{
  "id": "SCR-LIP-000019",
  "statement": "Increased limb adipose tissue in lipedema can impair mobility and hinder activities of daily living, contributing to functional disability beyond the cosmetic burden.",
  "statement_pt": "O aumento do tecido adiposo dos membros no lipedema pode prejudicar a mobilidade e dificultar atividades da vida diária, contribuindo para incapacidade funcional além do impacto estético.",
  "claim_type": "clinical_association",
  "context": {
    "population": "patients with lipedema (especially advanced stages)",
    "condition": "lipedema",
    "exposure": "increased limb adiposity",
    "comparator": "",
    "outcome": "impaired mobility / limitation of activities of daily living",
    "scope": "functional impact (consensus)"
  },
  "knowledge_state": "probable",
  "evidence_confidence": "low",
  "evidence": [
    {
      "ref": "DOI:10.1590/1677-5449.202301832",
      "stance": "supporting",
      "study_design": "consensus",
      "n": 113,
      "risk_of_bias": "moderate",
      "year": 2025,
      "amato_authored": true,
      "note": "consensus: increased adipose tissue hinders activities of daily living 4.55, level C"
    }
  ],
  "relations": [
    {
      "type": "associates",
      "target_hint": "functional disability / mobility"
    }
  ],
  "gaps": "Functional impact endorsed by expert consensus; not quantified here with standardized disability instruments.",
  "primary_amato_source": "DOI:10.1590/1677-5449.202301832",
  "curators": [
    {
      "name": "Alexandre C. M. Amato",
      "orcid": "0000-0003-4008-4029",
      "role": "lead_curator"
    }
  ],
  "created": "2026-05-30",
  "updated": "2026-05-30",
  "license": "CC-BY-4.0",
  "answers_questions": [
    {
      "id": "SQ-LIP-000017",
      "role": "supporting",
      "question": "Does lipedema progress to lymphedema and cause functional disability?",
      "url": "https://scientificclaims.org/q/SQ-LIP-000017.html"
    }
  ],
  "url": "https://scientificclaims.org/c/SCR-LIP-000019.html"
}