Role of obesity on the risk for total hip or knee arthroplasty

Role of obesity on the risk for total hip or knee arthroplasty
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DOI:
10.1097/blo.0b013e3181576035
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发表时间:
2007-12-01
影响因子:
4.2
通讯作者:
Marin, Mihaela
Marin, Mihaela
中科院分区:
医学2区
文献类型:
--
作者:
Bourne, Robert;Mukhi, Shaheena;Marin, Mihaela

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我们使用加拿大关节置换登记处的54,406例THA和TKA患者的数据询问肥胖水平与随后的THA或TKA之间是否存在关联。我们使用2006年加拿大社区健康调查将这些患者与加拿大人口样本进行了比较。我们分析了加拿大关节置换登记处的信息,以量化加拿大特定体重指数类别的THA或TKA的相对风险。体重指数低于25 kg/m2的可接受体重类别中,超重个体的TKA和THA风险分别高出3.20倍和1.92倍(体重指数2529.9 kg/m2); I级肥胖患者的TKA和THA分别高出8.53倍和3.42倍(体重指数30-34.9 kg/m2)类别; II类肥胖患者的TKA和THA分别高出18.73倍和5.24倍体重指数35-39.9 kg/m2); III类肥胖组(体重指数> 40 kg/m2)的患者TKA和THA分别高出32.73倍和8.56倍。因此,我们的数据支持肥胖与随后的THA和TKA之间的关联。
We asked whether there was an association between obesity levels and subsequent THA or TKA using data from 54,406 THA and TKA patients entered into the Canadian Joint Replacement Registry. We compared these patients with a sample of the Canadian population using the Canadian Community Health Survey of 2006. We analyzed information from the Canadian Joint Replacement Registry to quantify the relative risk for THA or TKA in Canada for specific body mass index categories. In reference to the acceptable weight category of body mass index less than 25 kg/m(2), the risk for TKA and THA was 3.20- and 1.92-fold higher, respectively, for overweight individuals (body mass index 2529.9 kg/m(2)); 8.53- (TKA) and 3.42-fold (THA) higher for those in the obese Class I (body mass index 30-34.9 kg/m(2)) category; 18.73- (TKA) and 5.24-fold (THA) higher for those identified in obese Class II (body mass index 35-39.9 kg/m(2)); and 32.73- (TKA) and 8.56-fold (THA) higher for people in obese Class III group (body mass index > 40 kg/m(2)). Thus, our data support an association between obesity and subsequent THA and TKA.