Evidence map›Paper›PMID 41408645›Full record

ArticleDiabetology & metabolic syndrome2025

Unraveling the connection between obesity, metabolic syndrome and osteoarthritis risk: a large-observational study.

Junxiang Wang, Leixuan Peng, Peng Xu, Fanshun Guo, Xin Xu, Jiachen Wang, Hui Yu, Ke Xu, Zhi Yang, Junfei Guo and 1 more

Abstract read
In one paragraph

Article in Diabetology & metabolic syndrome, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Junxiang Wang *Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, No. 555, Youyi East Road, Beilin District, Xi'an, Shaanxi, China.
Leixuan Peng *Department of Medicine, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Peng Xu *Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, No. 555, Youyi East Road, Beilin District, Xi'an, Shaanxi, China.
Fanshun GuoDepartment of Medicine, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Xin XuDepartment of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, No. 555, Youyi East Road, Beilin District, Xi'an, Shaanxi, China.
Jiachen WangDepartment of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, No. 555, Youyi East Road, Beilin District, Xi'an, Shaanxi, China.
Hui YuDepartment of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, No. 555, Youyi East Road, Beilin District, Xi'an, Shaanxi, China.
Ke XuDepartment of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, No. 555, Youyi East Road, Beilin District, Xi'an, Shaanxi, China.
Zhi YangDepartment of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, No. 555, Youyi East Road, Beilin District, Xi'an, Shaanxi, China.
Junfei GuoDepartment of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, No. 555, Youyi East Road, Beilin District, Xi'an, Shaanxi, China. drjfguo@163.com.ORCID http://orcid.org/0000-0002-5687-3885
Mingyi YangDepartment of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, No. 555, Youyi East Road, Beilin District, Xi'an, Shaanxi, China. ymy25808@163.com.ORCID http://orcid.org/0000-0001-8640-9795

Funding

Postdoctoral Fund of Shaanxi Province No. 2023BSHGZZHQYXMZZ02Science and Technology Program of Xi'an, Shaanxi Province No. 24YXYJ0085Scientific Research and Innovation Platform for Intelligent and Precise Treatment of Bone and Joint Diseases in Shaanxi Province No. 2024PT-13
6 · The paper itself

Abstract

backgroundThe relationship between metabolic syndrome (MetS) and osteoarthritis (OA) remains debated, necessitating further exploration to clarify potential causal links.

methodsThis study included 271,019 participants from the UK Biobank and NHANES, and conducted Mendelian randomization (MR) analyses to determine the relationship between BMI, MetS, and OA. We used generalized linear modeling and restricted cubic spline plots to identify non-linear associations, as well as a mediation analysis of the possible mediating effect of MetS between BMI and OA. MR analyses were used to assess genetic causality, with sensitivity and subgroup analyses ensuring robustness.

resultsMetS was present in 27.3% of UK Biobank and 32.4% of NHANES participants, with OA prevalence at 17.2% and 12.6%. BMI showed a significant positive association with both MetS and OA, with risk increasing notably at a BMI of 27. MetS mediated a small proportion of the BMI effect on OA but was not an independent risk factor after BMI adjustment [1.03 (P < 0.05) in UK Biobank and 1.18 (P > 0.05) in NHANES]. Waist circumference was the primary MetS component influencing OA risk. Subgroup analyses indicated MetS increased OA risk in younger participants and showed a "U" shaped association across BMI levels. MR results consistent with observational studies.

conclusionsThere's a complex interplay between BMI, MetS, and OA. Although MetS mediated a small proportion of the BMI effect, it was not an independent risk factor for OA in the overall population. The impact of MetS on the risk of OA varied by age and BMI levels.

Indexed as

Cross-sectional studyMendelian randomizationMetabolic syndromeNHANESOsteoarthritisUK biobank

Identifiers

PMID41408645
PMCPMC12822255

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.