Body mass indices in patients with disabling hip osteoarthritis

被引:57
作者
Marks, R
Allegrante, JP
机构
[1] Hosp Special Surg, Dana Ctr, Div Res, New York, NY 10021 USA
[2] Columbia Univ, Coll Teachers, Dept Hlth & Behav Studies, New York, NY 10027 USA
[3] Natl Ctr Earth Educ, New York, NY USA
关键词
arthroplasty surgery; body mass index; hip joint; osteoarthritis;
D O I
10.1186/ar387
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hip osteoarthritis (OA) is a degenerative joint disease that results in substantial morbidity. The disease may be preventable in some instances by reducing risk factors associated with the disease. We undertook a study to determine whether being overweight or obese, a health risk that applies to younger and older age groups, is commonly associated with hip joint OA. The body mass indices (BMIs) of 1021 males and females ranging in age from 23 to 94 years and requiring surgery for end-stage hip joint OA were analyzed to find the prevalence of high body weights at the time of surgery, Being overweight was defined as having a BMI of 25-29.9 kg/m(2) and being obese as having a BMI >30 kg/m(2). BMIs indicative of overweight were recorded for 68% of the patients surveyed. Of 35 patients aged 30-39 years, 53.3% had BMIs > 25, with a mean of 28.8, which nearly reaches the lower limit defined for obesity. On average, patients who had had previous surgery and complications warranting reimplantation of new surgical devices had BMIs in the obese range. Our findings suggest that a high percentage of patients with end-stage hip OA are overweight, including younger adults and those with symptoms of 3-6 months' duration. Moreover, patients whose BMIs are in the obese range may be at increased risk for removal and reimplantation of their prosthesis.
引用
收藏
页码:112 / 116
页数:5
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