Relationship between obesity and foot pain and its association with fat mass, fat distribution, and muscle mass

Tanamas, Stephanie K.; Wluka, Anita E.; Berry, Patricia; Menz, Hylton B.; Strauss, Boyd Josef Gimnicher; Davies‐Tuck, Miranda; Proietto, Joseph; Dixon, John; Jones, Graeme; Cicuttini, Flavia Maria

doi:10.1002/acr.20663

Cited by 90 publications

(97 citation statements)

References 37 publications

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“…These findings corroborate Larsson's conclusion that high BMI value, age and lower body pain could predict functional limitations in obese women (25). Furthermore, it has been demonstrated that increased BMI is strongly associated with foot pain and disability, and this may impair both biomechanical and metabolic mechanisms (26).…”

Section: Pain and Quality Of Life In Obese Patientssupporting

confidence: 79%

Prevalence of musculoskeletal symptoms in obese patients candidates for bariatric surgery and its impact on health related quality of life

Calenzani

Santos

Wittmer

et al. 2017

Arch. Endocrinol. Metab.

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Objective: This study was designed to identify the major musculoskeletal symptoms of individuals with obesity, to assess their health-related quality of life, and to evaluate the correlation between the musculoskeletal symptoms and the individuals' health-related quality of life. Materials and methods: Cross-sectional study. Instruments used: "Nordic Musculoskeletal Questionnaire" and "The Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)" . Results: In total, 41 subjects were evaluated, of which 90.15% were female. The mean age of the subjects was 40.78 ± 9.85 years and their mean body-mass index was 46.87 ± 8.08. All subjects reported musculoskeletal pain in at least one anatomical region and 80.49% had pain in three or more regions. The activity limitations due to pain were reported by 75.61% of them. The most affected regions by pain were the ankles and/or feet, lower back, knees and wrists/hands/fingers. The most associated regions with activity limitations due to pain were the ankles and/or feet, knees and lower back. The presence of pain showed a negative correlation with the domains physical functioning (PF), role-physical (RP) and body pain (BP). The activity limitations showed a negative correlation with the domains PF, BP, social functioning (SF) and role-emotional (RE). Conclusion: Our data showed a high prevalence of musculoskeletal pain and limitation in activities due to pain in obese subjects. The musculoskeletal symptoms had negative correlations with physical and mental components of the health-related quality of life, highlighting the importance of ensuring that patients with obesity have access to interdisciplinary care, for the prevention and rehabilitation of musculoskeletal disorders. Arch Endocrinol Metab. 2017;61(3):319-25.

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Section: Pain and Quality Of Life In Obese Patientssupporting

confidence: 79%

Prevalence of musculoskeletal symptoms in obese patients candidates for bariatric surgery and its impact on health related quality of life

Calenzani

Santos

Wittmer

et al. 2017

Arch. Endocrinol. Metab.

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“…A recent study found that both BMI and FMI were independent predictors of prevalent foot pain, suggesting there are likely both biochemical and biomechanical factors in the development of foot pain (3). Results of the current study also support the utility of FMI, with BMI losing its significance when fat mass was added to the multivariate model.…”

Section: Discussionsupporting

confidence: 80%

Association of Fat Mass and Adipokines With Foot Pain in a Community Cohort

Walsh

Gill

Evans

et al. 2016

Arthritis Care & Research

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Objective. To determine, first, if fat mass index (FMI) or fat-free mass index (FFMI) and serum adipokines tumor necrosis factor (TNF) and interleukin-6 (IL-6) are associated with prevalent (stage 2) foot pain, and, second, if they are predictive of future (stage 3) foot pain. Methods. A subset of participants ages ‡50 years (n 5 1,462) from the North West Adelaide Health Study were used for this study. Participants from this community cohort were asked in stage 2 (2004)(2005)(2006) and stage 3 (2008-2010) if they had foot pain, aching, or stiffness. In stage 2, serum adipokines and anthropometry were measured, while body composition was analyzed with dual x-ray absorptiometry. These variables, along with comorbidities and social history, were used in logistic regression analyses to determine if FMI, FFMI, and serum adipokines were associated with foot pain. Results. Prevalent foot pain was present in 20.2% of participants, and future foot pain in 36.4%. Following multivariate modeling, the odds of having pain at stage 2 increased by 8% for each FMI unit (odds ratio [OR] 1.08, 95% confidence interval [95% CI] 1.04-1.12), while the odds of having pain at stage 3 increased by 6% for each FMI unit at stage 2 (OR 1.06, 95% CI 1.02-1.11). TNF level, IL-6 level, and FFMI were not associated with pain. Conclusion. Increased FMI, but not body mass index, FFMI, or TNF or IL-6 level, was associated with both prevalent and future foot pain. These results suggest that body fat may be more important than body weight with respect to foot pain. The role played by other adipokines requires further investigation.

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“…In overweight and obese individuals, changes in their foot shape were observed due to excessive biomechanical loading and pressure (Crosbie & Burns 2008;Silveri 2015). In addition, foot pain was reported as a common problem in overweight and obese individuals (Butterworth et al 2012;Tanamas et al 2012). Overweight and obese individuals with either flat arch or high arch are at high risk of getting foot injuries and foot pain (Domjanic et al 2013).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Foot Arch in Adult Women: Comparison between Five Different Footprint Parameters

Shariff¹,

Manaharan²,

Shariff³

et al. 2017

JSM

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Relationship between obesity and foot pain and its association with fat mass, fat distribution, and muscle mass

Cited by 90 publications

References 37 publications

Prevalence of musculoskeletal symptoms in obese patients candidates for bariatric surgery and its impact on health related quality of life

Prevalence of musculoskeletal symptoms in obese patients candidates for bariatric surgery and its impact on health related quality of life

Association of Fat Mass and Adipokines With Foot Pain in a Community Cohort

Evaluation of Foot Arch in Adult Women: Comparison between Five Different Footprint Parameters

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