Study of the relation between body weight and functional limitations and pain in patients with knee osteoarthritis

ABSTRACT Objective To assess the influence of the body weight in functional capacity and pain of adult and elderly individuals with knee osteoarthritis. Methods The sample consisted of 107 adult and elderly patients with knee osteoarthritis divided into two groups (adequate weight/adiposity and...

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Main Authors: Fábio Marcon Alfieri, Natália Cristina de Oliveira Vargas e Silva, Linamara Rizzo Battistella
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Series:Einstein (São Paulo)
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000300307&lng=en&tlng=en
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author Fábio Marcon Alfieri
Natália Cristina de Oliveira Vargas e Silva
Linamara Rizzo Battistella
author_facet Fábio Marcon Alfieri
Natália Cristina de Oliveira Vargas e Silva
Linamara Rizzo Battistella
author_sort Fábio Marcon Alfieri
collection DOAJ
description ABSTRACT Objective To assess the influence of the body weight in functional capacity and pain of adult and elderly individuals with knee osteoarthritis. Methods The sample consisted of 107 adult and elderly patients with knee osteoarthritis divided into two groups (adequate weight/adiposity and excessive weight/adiposity) according to body mass index and percent of body fat mass, assessed by electric bioimpedance. Subjects were evaluated for functional mobility (Timed Up and Go Test), pain, stiffness and function (Western Ontario and MacMaster Universities Osteoarthritis Index − WOMAC), pain intensity (Visual Analogue Scale − VAS) and pressure pain tolerance threshold (algometry in vastus medialis and vastus lateralis muscles). Data were analyzed with Statistical Package of the Social Sciences, version 22 for Windows. Comparisons between groups were made through Student’s t test, with significance level set at 5%. Results There was predominance of females in the sample (81.3%), and mean age was 61.8±10.1 years. When dividing the sample by both body mass index and adiposity, 89.7% of them had weight/adiposity excess, and 59.8% were obese. There was no difference between groups regarding age, pain intensity, pressure pain tolerance threshold, functional mobility, stiffness and function. However, pain (WOMAC) was higher (p=0.05) in the group of patients with weight or adiposity excess, and pain perception according to VAS was worse in the group of obese patients (p=0.05). Conclusion Excessive weight had negative impact in patients with osteoarthritis, increasing pain assessed by WOMAC or VAS, although no differences were observed in functionality and pressure pain tolerance.
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spelling doaj.art-07913b9bf9e24b59afee8ed59ee1f53c2022-12-22T00:51:04ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-638515330731210.1590/s1679-45082017ao4082S1679-45082017000300307Study of the relation between body weight and functional limitations and pain in patients with knee osteoarthritisFábio Marcon AlfieriNatália Cristina de Oliveira Vargas e SilvaLinamara Rizzo BattistellaABSTRACT Objective To assess the influence of the body weight in functional capacity and pain of adult and elderly individuals with knee osteoarthritis. Methods The sample consisted of 107 adult and elderly patients with knee osteoarthritis divided into two groups (adequate weight/adiposity and excessive weight/adiposity) according to body mass index and percent of body fat mass, assessed by electric bioimpedance. Subjects were evaluated for functional mobility (Timed Up and Go Test), pain, stiffness and function (Western Ontario and MacMaster Universities Osteoarthritis Index − WOMAC), pain intensity (Visual Analogue Scale − VAS) and pressure pain tolerance threshold (algometry in vastus medialis and vastus lateralis muscles). Data were analyzed with Statistical Package of the Social Sciences, version 22 for Windows. Comparisons between groups were made through Student’s t test, with significance level set at 5%. Results There was predominance of females in the sample (81.3%), and mean age was 61.8±10.1 years. When dividing the sample by both body mass index and adiposity, 89.7% of them had weight/adiposity excess, and 59.8% were obese. There was no difference between groups regarding age, pain intensity, pressure pain tolerance threshold, functional mobility, stiffness and function. However, pain (WOMAC) was higher (p=0.05) in the group of patients with weight or adiposity excess, and pain perception according to VAS was worse in the group of obese patients (p=0.05). Conclusion Excessive weight had negative impact in patients with osteoarthritis, increasing pain assessed by WOMAC or VAS, although no differences were observed in functionality and pressure pain tolerance.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000300307&lng=en&tlng=enArticulação do joelho/patologiaOsteoartrite do joelho/complicaçõesPeso corporalÍndice de massa corporalDorAdultoIdoso
spellingShingle Fábio Marcon Alfieri
Natália Cristina de Oliveira Vargas e Silva
Linamara Rizzo Battistella
Study of the relation between body weight and functional limitations and pain in patients with knee osteoarthritis
Einstein (São Paulo)
Articulação do joelho/patologia
Osteoartrite do joelho/complicações
Peso corporal
Índice de massa corporal
Dor
Adulto
Idoso
title Study of the relation between body weight and functional limitations and pain in patients with knee osteoarthritis
title_full Study of the relation between body weight and functional limitations and pain in patients with knee osteoarthritis
title_fullStr Study of the relation between body weight and functional limitations and pain in patients with knee osteoarthritis
title_full_unstemmed Study of the relation between body weight and functional limitations and pain in patients with knee osteoarthritis
title_short Study of the relation between body weight and functional limitations and pain in patients with knee osteoarthritis
title_sort study of the relation between body weight and functional limitations and pain in patients with knee osteoarthritis
topic Articulação do joelho/patologia
Osteoartrite do joelho/complicações
Peso corporal
Índice de massa corporal
Dor
Adulto
Idoso
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000300307&lng=en&tlng=en
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