Radiographic evaluation and pain symptomatology of the knee in severely obese individuals - controlled transversal study
ABSTRACT Objective: To evaluate the prevalence of pain and radiographic degenerative arthritis in a group of severe obese patients (body mass index [BMI] > 35). Methods: 41 patients with an indication of bariatric surgery were studied. The group of severely obese patients was subdivided into tw...
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Sociedade Brasileira de Ortopedia e Traumatologia
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000600740&lng=en&tlng=en |
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| author | Glaucus Cajaty Martins Luiz Felippe Martins Filho Andre Heringer Raposo Raphael Barbosa Gamallo Zarthur Menegazzi Antônio Vítor de Abreu |
| author_facet | Glaucus Cajaty Martins Luiz Felippe Martins Filho Andre Heringer Raposo Raphael Barbosa Gamallo Zarthur Menegazzi Antônio Vítor de Abreu |
| author_sort | Glaucus Cajaty Martins |
| collection | DOAJ |
| description | ABSTRACT Objective: To evaluate the prevalence of pain and radiographic degenerative arthritis in a group of severe obese patients (body mass index [BMI] > 35). Methods: 41 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. Results: A 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). Conclusion: A 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. |
| first_indexed | 2024-03-08T08:36:44Z |
| format | Article |
| id | doaj.art-cb40740ecf6c457ca721424d89baa0e3 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T08:36:44Z |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-cb40740ecf6c457ca721424d89baa0e32024-02-02T01:17:00ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-437853674074610.1016/j.rboe.2018.09.006S0102-36162018000600740Radiographic evaluation and pain symptomatology of the knee in severely obese individuals - controlled transversal studyGlaucus Cajaty MartinsLuiz Felippe Martins FilhoAndre Heringer RaposoRaphael Barbosa GamalloZarthur MenegazziAntônio Vítor de AbreuABSTRACT Objective: To evaluate the prevalence of pain and radiographic degenerative arthritis in a group of severe obese patients (body mass index [BMI] > 35). Methods: 41 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. Results: A 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). Conclusion: A 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000600740&lng=en&tlng=enArthritisKneeObesityPain |
| spellingShingle | Glaucus Cajaty Martins Luiz Felippe Martins Filho Andre Heringer Raposo Raphael Barbosa Gamallo Zarthur Menegazzi Antônio Vítor de Abreu Radiographic evaluation and pain symptomatology of the knee in severely obese individuals - controlled transversal study Revista Brasileira de Ortopedia Arthritis Knee Obesity Pain |
| title | Radiographic evaluation and pain symptomatology of the knee in severely obese individuals - controlled transversal study |
| title_full | Radiographic evaluation and pain symptomatology of the knee in severely obese individuals - controlled transversal study |
| title_fullStr | Radiographic evaluation and pain symptomatology of the knee in severely obese individuals - controlled transversal study |
| title_full_unstemmed | Radiographic evaluation and pain symptomatology of the knee in severely obese individuals - controlled transversal study |
| title_short | Radiographic evaluation and pain symptomatology of the knee in severely obese individuals - controlled transversal study |
| title_sort | radiographic evaluation and pain symptomatology of the knee in severely obese individuals controlled transversal study |
| topic | Arthritis Knee Obesity Pain |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000600740&lng=en&tlng=en |
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