Impact of Knee Osteoarthritis on Physical Performance and Quality of Life in Obese Adults: A Cross-sectional Study

Introduction: Obese subjects with Knee Osteoarthritis (KOA) demonstrate poor Physical Performance (PP) and impaired Quality Of Life (QOL). The burden of OA in obese subjects is not well understood. Aim: To evaluate PP and QOL in obese subjects with KOA and in obese subjects without KOA. Materials...

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Main Authors: B Keerthana, N Malasree, R Angeline, N Venkatesh, K Soundararajan
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2022-01-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/15924/52028_CE(Ra1)_F(SS)_PF1(RI_SHU)_PFA(RI_KM)_PN(KM).pdf
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author B Keerthana
N Malasree
R Angeline
N Venkatesh
K Soundararajan
author_facet B Keerthana
N Malasree
R Angeline
N Venkatesh
K Soundararajan
author_sort B Keerthana
collection DOAJ
description Introduction: Obese subjects with Knee Osteoarthritis (KOA) demonstrate poor Physical Performance (PP) and impaired Quality Of Life (QOL). The burden of OA in obese subjects is not well understood. Aim: To evaluate PP and QOL in obese subjects with KOA and in obese subjects without KOA. Materials and Methods: A cross-sectional observational study was conducted at the Outpatient Physiotherapy Department, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India, from July 2017 to June 2018. Twenty-four obese subjects with and without KOA were included in the current study based on their BMI and American College of Rheumatological criteria for OA knee. The subjects were randomly allocated into two groups with; Obese KOA and Obese non KOA. All subjects were evaluated for anthropometric (BMI, Waist-Hip Ratio and Fat Percentage) and PP {30 Second Chair Stand Test (SCST), Stair Climb Test (SCT), 40 m Fast-Paced Walk Test (40 m FPWT), Timed up and Go test (TUGT), 6 Minute Walk Test (6 MWT)}. Additionally, all subjects responded to self-reported disability measures (KOA Outcome Score - KOOS) and Medical Outcome Study Short Form measure (SF-36). Results: Intergroup statistical difference was found in both PP and QOL. The PP and QOL was significantly lower in obese KOA subjects when compared with their counterparts, {mean±SD; 30 SCST (8.58±1.62 vs 17.08±3.26), SCT (36.25±13.16 vs 9.58±1.62), 40 m FPWT (64.75±14.35 vs 29.92±3.99), TUGT (17.7±2.42 vs 7.58±1.51), 6 MWT (244.25±63.03 vs 508.83±76.42), KOOS (42.52±5.73 vs 91.42±4.58), SF-36- Physical, Mental Cumulative Health Score (36.23±5.7, 45.52±9.13 ; 53.80±2.15, 53.89±2.47); (p<0.05)}. Conclusion: The KOA is a predictor for reduction of PP and QOL among obese subjects. Early physiotherapy intervention of obese subjects may prevent KOA and helps to progress or maintain PP and QOL in obese subjects.
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spelling doaj.art-b86885e58b144ae0ae06fad1226bd96e2023-02-03T09:34:31ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-01-01161YC11YC1410.7860/JCDR/2022/52028.15924Impact of Knee Osteoarthritis on Physical Performance and Quality of Life in Obese Adults: A Cross-sectional StudyB Keerthana0N Malasree 1R Angeline2N Venkatesh3K Soundararajan4Student, Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.Student, Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.Assistant Professor, Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.Professor, Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, IndiaPostgraduate Student, Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India..Introduction: Obese subjects with Knee Osteoarthritis (KOA) demonstrate poor Physical Performance (PP) and impaired Quality Of Life (QOL). The burden of OA in obese subjects is not well understood. Aim: To evaluate PP and QOL in obese subjects with KOA and in obese subjects without KOA. Materials and Methods: A cross-sectional observational study was conducted at the Outpatient Physiotherapy Department, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India, from July 2017 to June 2018. Twenty-four obese subjects with and without KOA were included in the current study based on their BMI and American College of Rheumatological criteria for OA knee. The subjects were randomly allocated into two groups with; Obese KOA and Obese non KOA. All subjects were evaluated for anthropometric (BMI, Waist-Hip Ratio and Fat Percentage) and PP {30 Second Chair Stand Test (SCST), Stair Climb Test (SCT), 40 m Fast-Paced Walk Test (40 m FPWT), Timed up and Go test (TUGT), 6 Minute Walk Test (6 MWT)}. Additionally, all subjects responded to self-reported disability measures (KOA Outcome Score - KOOS) and Medical Outcome Study Short Form measure (SF-36). Results: Intergroup statistical difference was found in both PP and QOL. The PP and QOL was significantly lower in obese KOA subjects when compared with their counterparts, {mean±SD; 30 SCST (8.58±1.62 vs 17.08±3.26), SCT (36.25±13.16 vs 9.58±1.62), 40 m FPWT (64.75±14.35 vs 29.92±3.99), TUGT (17.7±2.42 vs 7.58±1.51), 6 MWT (244.25±63.03 vs 508.83±76.42), KOOS (42.52±5.73 vs 91.42±4.58), SF-36- Physical, Mental Cumulative Health Score (36.23±5.7, 45.52±9.13 ; 53.80±2.15, 53.89±2.47); (p<0.05)}. Conclusion: The KOA is a predictor for reduction of PP and QOL among obese subjects. Early physiotherapy intervention of obese subjects may prevent KOA and helps to progress or maintain PP and QOL in obese subjects.https://www.jcdr.net/articles/PDF/15924/52028_CE(Ra1)_F(SS)_PF1(RI_SHU)_PFA(RI_KM)_PN(KM).pdfobesityphysiotherapysix minute walk testtimed up and go test
spellingShingle B Keerthana
N Malasree
R Angeline
N Venkatesh
K Soundararajan
Impact of Knee Osteoarthritis on Physical Performance and Quality of Life in Obese Adults: A Cross-sectional Study
Journal of Clinical and Diagnostic Research
obesity
physiotherapy
six minute walk test
timed up and go test
title Impact of Knee Osteoarthritis on Physical Performance and Quality of Life in Obese Adults: A Cross-sectional Study
title_full Impact of Knee Osteoarthritis on Physical Performance and Quality of Life in Obese Adults: A Cross-sectional Study
title_fullStr Impact of Knee Osteoarthritis on Physical Performance and Quality of Life in Obese Adults: A Cross-sectional Study
title_full_unstemmed Impact of Knee Osteoarthritis on Physical Performance and Quality of Life in Obese Adults: A Cross-sectional Study
title_short Impact of Knee Osteoarthritis on Physical Performance and Quality of Life in Obese Adults: A Cross-sectional Study
title_sort impact of knee osteoarthritis on physical performance and quality of life in obese adults a cross sectional study
topic obesity
physiotherapy
six minute walk test
timed up and go test
url https://www.jcdr.net/articles/PDF/15924/52028_CE(Ra1)_F(SS)_PF1(RI_SHU)_PFA(RI_KM)_PN(KM).pdf
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