Evidence mapPaperPMID 39576328Full record

ArticleRheumatology international2024

The association of obesity and the risk of rheumatoid arthritis according to abdominal obesity status: a nationwide population-based study in Korea.

Jung Sun Lee, Ji Seon Oh, Sehee Kim, Ye-Jee Kim, Seokchan Hong, Yong-Gil Kim, Chang-Keun Lee, Bin Yoo

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Article in Rheumatology international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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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

8 authors.

Jung Sun Lee *Division of Rheumatology, Department of Internal Medicine, Seoul Veterans Hospital, Seoul, Korea.
Ji Seon Oh *Department of Information Medicine, Asan Medical Center, Seoul, Korea.ORCID 0000-0002-9245-8603
Sehee KimDepartment of Clinical Epidemiology and Biostatistics, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.ORCID 0000-0002-1815-6957
Ye-Jee KimDepartment of Clinical Epidemiology and Biostatistics, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.ORCID 0000-0002-3307-2970
Seokchan HongDivision of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-Ro 43-GilSongpa-Gu, Seoul, 138-736, Korea.ORCID 0000-0001-8722-3124
Yong-Gil KimDivision of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-Ro 43-GilSongpa-Gu, Seoul, 138-736, Korea.ORCID 0000-0002-8029-7355
Chang-Keun LeeDivision of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-Ro 43-GilSongpa-Gu, Seoul, 138-736, Korea.ORCID 0000-0003-3653-7515
Bin YooDivision of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-Ro 43-GilSongpa-Gu, Seoul, 138-736, Korea. byoo@amc.seoul.kr.ORCID 0000-0002-1836-5273

Funding

Asan Institute for Life Sciences, Asan Medical Center 2023IP0001the Ministry of Health & Welfare, Republic of Korea HR21C0198VHS Medical Center VHSMC23020
6 · The paper itself

Abstract

objectivesThis study aimed to assess the association between obesity or changes in body mass index (BMI) and the risk of RA considering the abdominal obesity status.

methodsWe included individuals aged 23 to 60 who underwent a national health examination in 2012-2013 (baseline) and four years prior. Obesity was defined by a BMI  ≥ 25 kg/m

resultsA total of 6,207,246 subjects were included, and 7,859 incident cases of RA were identified. Obesity was associated with a reduced risk of RA in males (HR 0.78, 95% CI 0.71-0.85) and females (HR 0.91, 95% CI 0.85-0.97). In subgroup analysis according to abdominal obesity status, the associations were observed for obesity with normal waist circumference (WC) in males (HR 0.75, 95% CI 0.67-0.84) and females (HR 0.88, 95% CI 0.81-0.95). In terms of BMI change, compared to the stable BMI group (quartile 2), the third (HR 0.92, CI 0.85-0.99) and highest quartile (HR 0.89, CI 0.83-0.96) showed an inverse association with the risk of RA in females, particularly in those with normal WC.

conclusionObesity was associated with a lower risk of RA, especially among individuals with a normal WC. Increased BMI was also associated with a lower risk of RA, but this association was mainly observed in females and specifically for those with normal WC.

Indexed as

Arthritis, RheumatoidBody Mass IndexObesity, AbdominalAdultFemaleHumansIncidenceMaleMiddle AgedObesityRepublic of KoreaRisk AssessmentRisk FactorsWaist CircumferenceYoung AdultAbdominal obesityEpidemiologyObesityRheumatoid arthritis

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Registered trials

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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.