Body mass indices in patients with disabling hip osteoarthritis.

Body mass indices in patients with disabling hip osteoarthritis.
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DOI:
10.1186/ar387
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发表时间:
2002
期刊:
Arthritis research
影响因子:
--
通讯作者:
Allegrante JP
Allegrante JP
中科院分区:
其他
文献类型:
--
作者:
Marks R;Allegrante JP

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髋关节骨性关节炎(OA)是一种导致大量发病率的退行性关节疾病。在某些情况下,可以通过减少与该疾病有关的危险因素来预防该疾病。我们进行了一项研究,以确定超重或肥胖(一种适用于年轻人和老年人的健康风险)是否通常与髋关节OA相关。对1021例年龄在23 ~ 94岁、需要手术治疗终末期髋关节OA的男性和女性患者的体重指数(bmi)进行分析,以了解手术时高体重的患病率。BMI在25-29.9 kg/m2之间被定义为超重,BMI在30 kg/m2之间被定义为肥胖。68%的被调查患者记录了bmi指标。在35例30-39岁的患者中,53.3%的患者bmi为bbb25,平均为28.8,接近肥胖定义的下限。平均而言,之前接受过手术并出现并发症需要重新植入新手术装置的患者的bmi处于肥胖范围。我们的研究结果表明,终末期髋关节骨关节炎患者超重的比例很高,包括年轻人和症状持续3-6个月的患者。此外,bmi在肥胖范围内的患者可能会增加假体移除和再植的风险。
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/m2 and being obese as having a BMI >30 kg/m2. 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.
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