Evidence map›Paper›PMID 39763090›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2025

Metabolic Risk Factors Relate to Worse Tendon Health in Individuals With Achilles Tendinopathy.

Kayla D Seymore, Hayley Powell Smitheman, Andy K Smith, Ryan T Pohlig, Christian Couppé, Karin Grävare Silbernagel

Abstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. The Role of Phagocytic Cells in the Achilles Tendon.International journal of molecular sciences · 2026
    Review
  2. Observational
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

6 authors.

Kayla D SeymoreDepartment of Physical Therapy, University of Delaware, Newark, Delaware, USA.ORCID 0000-0003-3125-2238
Hayley Powell SmithemanDepartment of Physical Therapy, University of Delaware, Newark, Delaware, USA.
Andy K SmithDepartment of Physical Therapy, University of Delaware, Newark, Delaware, USA.
Ryan T PohligDepartment of Epidemiology, University of Delaware, Newark, Delaware, USA.
Christian CouppéDepartment of Physical Therapy and Occupational Therapy, Bispebjerg Hospital, Copenhagen, Denmark.
Karin Grävare SilbernagelDepartment of Physical Therapy, University of Delaware, Newark, Delaware, USA.

Funding

Recovery of symptoms, function, tendon structure and mechanical properties in patients with Achilles Tendinopathy: A comparison between men and womenR01AR072034 · NIAMS · UNIVERSITY OF DELAWARE · PI GRAVARE SILBERNAGEL, KARIN M E · 2018 to 2022
$2.5M
Assessment of Achilles Tendon Injury in AdolescentsF31AR081663 · NIAMS · UNIVERSITY OF DELAWARE · PI SEYMORE, KAYLA · 2023 to 2024
$81k
NIAMS NIH HHS F31 AR081663NIAMS NIH HHS R01 AR072034This work was supported by National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health under award numbers R01AR072034 and F31AR081663 and the Promotion of Doctoral Studies (PODS) Scholarships from the Foundation for Physical Therapy Research and the Rheumatology Research Foundation Medical and Graduate Student Preceptorship.
6 · The paper itself

Abstract

A high proportion of individuals with Achilles tendinopathy continue to demonstrate long-term symptoms and functional impairments after exercise treatment. Thus, there is a need to delineate patient presentations that may require alternative treatment. The objective of this study was to evaluate if the presence of metabolic risk factors relates to tendon symptoms, psychological factors, triceps surae structure, and lower limb function in individuals with Achilles tendinopathy. One hundred and fifty-eight individuals (88 female) with diagnosed midportion Achilles tendinopathy were divided into three groups based on the number of metabolic risk factors linked to cardiovascular disease present at baseline: two or more factors, one factor, no factors. Metabolic risk factors were determined by clinical evaluation and past medical history. Achilles tendinopathy symptoms (Victorian Institute of Sport Assessment-Achilles, Patient Reported Outcome Measurement Information System, movement-evoked pain ratings), psychological factors (Tampa Scale for Kinesiophobia), triceps surae structure (B-mode ultrasound of tendon and muscle morphology, continuous shear wave elastography of tendon mechanical properties), and lower limb function (test battery) were compared among groups. Individuals with two or more metabolic risk factors had worse symptoms with loading (p = 0.011), smaller Achilles tendon size relative to body mass (p = 0.002), and worse lower limb function compared to individuals without metabolic risk factors (p < 0.02). No differences were observed between individuals with one metabolic risk factor and those without metabolic risk factors. Future consideration of multiple metabolic risk factors for individuals with Achilles tendinopathy could facilitate understanding the underlying impairments of tendon pathology and recovery that may be addressed with treatment.

Indexed as

Achilles TendonTendinopathyAdultAgedFemaleHumansMaleMiddle AgedRisk FactorsAchilleshealth risksmetabolic comorbidityrehabilitationtendinopathy

Identifiers

PMID39763090
PMCPMC11903168

What Socratic holds

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Read underepoch 390

Registered trials

None linked

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.