The Impact of Weight Loss on Lomber and Knee Pain

Yıl 2018, Cilt: 18 Sayı: 3, 267 - 275, 28.09.2018

Zeki Taşdemir , Şevin Demir Oya Taşdemir Mehmet Sargın

https://doi.org/10.17098/amj.461408

Öz

Objectives: When the risk factors of symptomatic
osteoarthritis (OA) are evaluated, it has been shown

that increased body mass index, lower
educational levels and social support, depressive mood are

associated with reporting more pain. The
aim of this study was to investigate the relationship with

radiological grade of osteoarthritis of
knee at symptomatic obese patients and body mass index,

functional status.

Materials and Methods: Forty‐one patients whose BMI was more than
30 kg/m2 and diagnosed as

primary knee OA due to knee pain complaints
were included in the study. The anatomic tibiofemoral

angle (aTFA) was measured on orthoro‐
entgenography by Picture Archiving Communication Systems

(PACS). Western Ontario McMaster
Osteoarthritis Index (WOMAC) and knee Visual Analogue Scale

(VAS) were evaluated according to the knee
which has more pain complaint.

Results: A statistically significant correlation in
the positive direction was found between the decrease

in BMI and the decrease in the Lumbar VAS
(Initial‐3rd month difference). However, there was a

correlation between the decrease in BMI and
the decrease in knee function and VAS which was not

statistically significant.

Conclusion: It is suggested that short term knee pain
due to knee OA is not directly associated with

weight loss and irreversible mechanical
factors (knee varus, cartilage damage in knee joint) caused by

obesity can be the effective factor.

Anahtar Kelimeler

Body mass index, knee osteoarthritis, body fat ratio, visual analog scale, lumbar pain

Kilo Vermenin Bel ve Diz Ağrılarına Etkisi

Öz

Amaç: Semptomatik osteoartrit
(OA) ‘in risk faktörleri değerlendirildiğinde yüksek vücut kitle indeksi (VKİ) ‘nin,
düşük eğitim düzeyi ve sosyal desteğin, depresif durumun daha fazla ağrı
bildirilmesi ile ilişkili olduğu görülmüştür. Bu çalışmanın amacı, obez ve
semptomatik diz osteoartriti ve bel ağrısı olan hastalarda; radyolojik evre ve
vücut kitle indeksi ile fonksiyonel durum arasındaki ilişkiyi değerlendirmekti.

Materyal ve Metot: Çalışmaya diz ağrısı
yakınması nedeniyle başvuran primer diz OA tanısı alan VKİ 30 kg/m2üstü 41 hasta dahil edildi. Anatomik
tibiofemoral açı (aTFA), ortoröntgenografiler üzerinde Resim Arşivleme
İletişim Sistemleri (PACS) ile ölçüldü. Ağrı yakınması daha çok olan dize göre
Western Ontario
McMaster Osteoartrit Indeksi (WOMAC) ve görsel ağrı skalası (VAS) ile değerlendirildi.

Bulgular: VKİ’deki düşme ile bel ağrısı
VAS’daki (0‐3.Ay Fark) düşme arasında pozitif yönde istatistiksel olarak anlamlı
korelasyon gözlenmiştir. Fakat VKİ’deki değişim ile diz fonksiyonları ve VAS
arasında pozitif yönde düşme gözlenirken istatistiksel olarak anlamlı bulunmamıştır.

Sonuç: Obez diz osteoartiritine bağlı
kısa dönem diz ağrılarının kilo vermek ile direk bağlantısı olmayıp, fazla
kilonun yol açtığı geri dönüşümü olmayan mekanik faktörlerin (dizin aşırı
varusu, diz eklemindeki kıkırdak hasarı) etken olduğunu düşündürmüştür.

Anahtar Kelimeler

Vücut kitle indeksi, diz osteoartriti, vücut yağ oranı, görsel ağrı skalası, bel ağrısı

Kaynakça

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