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

摘要

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.