Evidence mapPaperPMID 33147607Full record

ArticleRheumatology (Oxford, England)2021

Psoriatic arthritis is associated with adverse body composition predictive of greater coronary heart disease and type 2 diabetes propensity - a cross-sectional study.

Lyn D Ferguson, Jennifer Linge, Olof Dahlqvist Leinhard, Rosemary Woodward, Pauline Hall Barrientos, Giles Roditi, Aleksandra Radjenovic, Iain B McInnes, Stefan Siebert, Naveed Sattar

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07443956 (Combination of Biologic and Anti-obesity Therapies in Psoriatic Arthritis), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07443956 narecruitingstarted 2026, after this paper: background citation

Combination of Biologic and Anti-obesity Therapies in Psoriatic Arthritis

Ran2026Enrolled45Registered outcomes5Posted comparisons0ConditionsObesity & Overweight, Psoriatic Arthritis (PsA)ArmsIxekizumab, Tirzepatide
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3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Lyn D FergusonInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.
Jennifer LingeAMRA Medical, Linköping, Sweden.
Olof Dahlqvist LeinhardAMRA Medical, Linköping, Sweden.
Rosemary WoodwardGlasgow Clinical Research Imaging Facility, Queen Elizabeth University Hospital, Glasgow, UK.
Pauline Hall BarrientosGlasgow Clinical Research Imaging Facility, Queen Elizabeth University Hospital, Glasgow, UK.
Giles RoditiGlasgow Clinical Research Imaging Facility, Queen Elizabeth University Hospital, Glasgow, UK.
Aleksandra RadjenovicInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.
Iain B McInnesInstitute of Infection, Immunity, and Inflammation, University of Glasgow, Glasgow, UK.
Stefan SiebertInstitute of Infection, Immunity, and Inflammation, University of Glasgow, Glasgow, UK.
Naveed SattarInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.
University of Glasgow · GBQueen Elizabeth University Hospital · GBLinköping University · SE

Funding

British Heart Foundation RE/13/5/30177Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MR/N003403/1Wellcome Trust
6 · The paper itself

Abstract

objectivesTo compare body composition in PsA with metabolic disease free (MDF) controls and type 2 diabetes and assess body-composition predicted propensity for cardiometabolic disease.

methodsDetailed MRI body composition profiles of 26 PsA participants from the IMAPA study were compared with 130 age, sex and BMI-matched MDF controls and 454 individuals with type 2 diabetes from UK Biobank. The body-composition predicted propensity for coronary heart disease (CHD) and type 2 diabetes was compared between PsA and matched MDF controls.

resultsPsA participants had a significantly greater visceral adipose tissue (VAT) volume [mean 5.89 l (s.d. 2.10 l)] compared with matched-MDF controls [mean 4.34 l (s.d. 1.83 l)] (P <0.001) and liver fat percentage [median 8.88% (interquartile range 4.42-13.18%)] compared with MDF controls [3.29% (1.98-7.25%)] (P <0.001). These differences remained significant after adjustment for age, sex and BMI. There were no statistically significant differences in VAT, liver fat or muscle fat infiltration (MFI) between PsA and type 2 diabetes. PsA participants had a lower thigh muscle volume than MDF controls and those with type 2 diabetes. Body composition-predicted propensity for CHD and type 2 diabetes was 1.27 and 1.83 times higher, respectively, for PsA compared with matched-MDF controls.

conclusionIndividuals with PsA have an adverse body composition phenotype with greater visceral and ectopic liver fat and lower thigh muscle volume than matched MDF controls. Body fat distribution in PsA is more in keeping with the pattern observed in type 2 diabetes and is associated with greater propensity to cardiometabolic disease. These data support the need for greater emphasis on weight loss in PsA management to lessen CHD and type 2 diabetes risk.

Indexed as

Body CompositionAdultAgedAge FactorsArthritis, PsoriaticCase-Control StudiesCoronary DiseaseCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleHumansIntra-Abdominal FatLiverMagnetic Resonance ImagingMaleMiddle AgedCHDdiabetesectopic fatobesitypsoriatic arthritis

Identifiers

PMID33147607
PMCPMC8024001
OpenAlexW3097741450

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.