Influence of morbid obesity on physical capacity, knee-related symptoms and overall quality of life: A cross-sectional study

Tamura, Lilian Sarli; Cazzo, Everton; Chaim, Élinton Adami; Piedade, Sérgio Rocha

doi:10.1590/1806-9282.63.02.142

Cited by 15 publications

(16 citation statements)

References 39 publications

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“…The functional performance, measured by the WOMAC score, presented a worse outcome in the groups with high BMI, as previously described by other authors. 10 , 11 , 15 …”

Section: Discussionmentioning

confidence: 99%

“…Another significant result was the 20% rate of intense pain on standing up and getting in and out of a car, also described in other studies. 11 , 29 These data are of significant interest and have objective and planning repercussions: the care sector for obese patients should be located preferably on the ground floor, not requiring the use of stairs. In addition, reinforced seats should be available in a quantity compatible with the demand.…”

Section: Discussionmentioning

confidence: 99%

“…Few studies have addressed the involvement of the musculoskeletal system and its impact on individuals with morbid or severe obesity (BMI > 36). 3 , 10 , 11 Regarding the knee joint in this special subgroup of patients, the prevalence of pain, the degree of functional performance, alignment analysis, and the degree of radiographic involvement due to arthrosis have not yet been sufficiently described in the literature. 11 The compilation of these data is necessary for a proper assessment of the issue.…”

Section: Introductionmentioning

confidence: 99%

“… 3 , 10 , 11 Regarding the knee joint in this special subgroup of patients, the prevalence of pain, the degree of functional performance, alignment analysis, and the degree of radiographic involvement due to arthrosis have not yet been sufficiently described in the literature. 11 The compilation of these data is necessary for a proper assessment of the issue. The determination of clinical and imaging parameters that may indicate the need for early intervention plays a fundamental role in the formulation of therapeutic and, above all, preventive strategies in this growing group of individuals, who are most commonly of productive age.…”

Section: Introductionmentioning

confidence: 99%

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Radiographic evaluation and pain symptomatology of the knee in severely obese individuals – controlled transversal study

Martins

Filho²,

Raposo³

et al. 2018

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate the prevalence of pain and radiographic degenerative arthritis in a group of severe obese patients (body mass index [BMI] > 35).Methods41 patients with an indication of bariatric surgery were studied. The group of severely obese patients was subdivided into two subgroups: those with BMI < 50 and those with BMI > 50 (n = 14). They were compared to control group (n = 39). The following parameters were analyzed and correlated: radiographic arthritis by Kellgren-Lawrence's classification, tibiofemoral axis, gender, age, and knee pain (visual analog scale [VAS]). The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to evaluate in 21 severe obese patients and IN 19 controls.ResultsA higher incidence of knee pain was observed in the severely obese group when compared with the control group (p < 0.0001, odds ratio: 2.96). In the severely obese group, increasing levels of pain with aging were observed (p = 0.047). A positive correlation was observed between the incidence of radiographic arthritis and increasing age in the severely obese (p = 0.001) and control (p = 0.037) groups. The WOMAC index results were worse in the severely obese group when compared with the control group (p = 0.001, odds ratio: 18.2).ConclusionA higher incidence of knee pain was observed in the severely obese group when compared with the control group. In the severely obese group, there increasing levels of pain with aging. A positive relation between the incidence of arthritis and increasing age was observed in the severely obese and control groups. The WOMAC index results were worse in the severely obese group.

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“…The functional performance, measured by the WOMAC score, presented a worse outcome in the groups with high BMI, as previously described by other authors. 10 , 11 , 15 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Radiographic evaluation and pain symptomatology of the knee in severely obese individuals – controlled transversal study

Martins

Filho²,

Raposo³

et al. 2018

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

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“…Overweight and obesity are major health problems worldwide. Obesity may lead to serious disorders such as musculoskeletal disabilities resulting in impaired quality of life (1)(2)(3). It has been also shown in some studies that weight gain and obesity are along with some postural disorders such as higher prevalence of knee valgus angle, thoracic kyphosis, and lumbar hyperlordosis compared to eutrophic ones (3)(4)(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

Long-Term Beneficial Effects of Laparoscopic Roux-en-Y Gastric Bypass Surgery on Functionality and Body Posture in Obese Patients

2018

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Background: Employing different procedures with the aim of treating obesity may improve the adverse consequences of obesity, especially disabilities secondary to pain or musculoskeletal deficits. The present study aimed to assess the long-term beneficial effects of weight reduction following obesity treatment by surgical interventions on musculoskeletal pain and body posture in obese patients.Methods: 60 morbidly obese patients aged higher than 30 years and having a body mass index of at least 40 kg/m 2 who were candidates for laparoscopic Roux-en-Y gastric bypass surgery for obesity treatment took part in the present prospective interventional case series study. The data related to spinal pain were collected using the standardized neck disability index (NDI) and Roland-Morris questionnaires immediately before and 3 months, 6 months, and 12 months after the surgery. The postural status was assessed using a plumb line. Results:The mean weight and body mass index, as well as the mean NDI score and Roland-Morris score, considerably reduced during 12 months after the surgical intervention as compared to before the surgery. Of all the measured postural parameters, foot pronation significantly improved. In addition, anteroposterior pelvic tilt, lumbar lordosis, elevated and dropped shoulder and head lateral tilt significantly reduced within 12 months after the surgery. The downward trends of the changes in weight, body mass index, NDI score, and Roland-Morris score were all significant after the surgery. Conclusions:The surgical treatment of obesity can effectively reduce disability resulting from spinal pain and can correct postural deviations. Ethical Considerations:This survey was a present prospective interventional case series approved by the

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Determination of normal KOOS and WOMAC values in a healthy population

Marot¹,

Murgier²,

Carrozzo³

et al. 2018

Knee Surg Sports Traumatol Arthrosc

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Purpose The KOOS questionnaire is used to assess the symptoms and function of patients with traumatic or degenerative knee pathology. The WOMAC score has been validated mainly in the context of knee osteoarthritis. The distribution of these scores in a non‐diseased population is not known. The hypothesis was that KOOS and WOMAC scores were influenced by patients’ age, sex, and BMI. The primary objective of this study was to describe, for the first time, the distribution of KOOS and WOMAC scores in a healthy population based on age, sex, and BMI. Methods This was a pilot (innovative), cross‐sectional, international, multicenter, descriptive study. Persons accompanying patients to our clinic were invited to participate in this study by filling out the KOOS questionnaire. These data were also used to calculate the WOMAC score. The study was designed according to guidelines on pilot studies and planned to enroll a minimum of 30 subjects in each age, gender, and BMI group. Expected KOOS and WOMAC scores by age, gender, and BMI were determined using a linear regression model. Results Seven hundred and fourteen subjects were included: 305 men (42.7%) and 409 women (57.3%). For the KOOS score, as age increases, there was a decrease in the “ADL” (p = 0.0001) and “sport” (p = 0.0001) items and an increase in the “symptoms” (p = 0.0025) and “QOL” items (p = 0.0001). Women had lower scores (p < 0.05) than men on all the KOOS items, except “QOL”. For the WOMAC, the “pain”, “stiffness”, and “function” items varied significantly based on age (p = 0.0203) and sex (p = 0.0121). The “stiffness” item varied significantly based on age (p = 0.0005) and sex (p = 0.0477). The “function” item varied significantly based on age (p = 0.0001) and sex (p = 0.0256). The expected value for the KOOS and WOMAC scores in a healthy population without any knee ailments were determined. Conclusions The KOOS and WOMAC scores vary significantly based on age, sex, and BMI in a healthy population. This study also provides KOOS and WOMAC values in a population without any knee issue. These scores can be used, in a daily practice, as a reference to assess functional outcomes after a surgical procedure. Level of evidence IV.

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Influence of morbid obesity on physical capacity, knee-related symptoms and overall quality of life: A cross-sectional study

Cited by 15 publications

References 39 publications

Radiographic evaluation and pain symptomatology of the knee in severely obese individuals – controlled transversal study

Radiographic evaluation and pain symptomatology of the knee in severely obese individuals – controlled transversal study

Long-Term Beneficial Effects of Laparoscopic Roux-en-Y Gastric Bypass Surgery on Functionality and Body Posture in Obese Patients

Determination of normal KOOS and WOMAC values in a healthy population

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