Prevalence of Joint Pain and Osteoarthritis in Obese Brazilian Population

Abstract

Background: High body mass index, as well as maintaining this condition for a long period of time, are important risk factors for the development of osteoarthritis. Aim: To determine joint pain and osteoarthritis prevalence in patients referred to bariatric surgery. Methods: Morbidly obese patients referred to bariatric surgery responded to the visual analogue pain scale (VAS) and the WOMAC questionnaire. X-rays of the hips and knees were evaluated. The primary endpoints were self-reported joint pain and the diagnosis of osteoarthritis by clinical and radiological criteria of the American College of Rheumatology. Results: 141 patients were interviewed (85.1% women) with a mean age of 40 years. The mean body mass index was 46. The lumbar spine and knee joint were the most commonly reported as painful (77.9% and 73.2% respectively). Prevalence of knee osteoarthritis was 63.1% and hip osteoarthritis was 40.8%. Age, mean VAS and WOMAC scores were higher in the osteoarthritic individuals.Conclusion: There is prevalence of 90.1% of pain symptoms in morbidly obese patients referred to bariatric surgery. The prevalence of knee osteoarthritis was 63.1% and hip osteoarthritis was 40.8% in this sample.

Association of Pain, Severe Pain, and Multisite Pain with the Level of Physical Activity and Sedentary Behavior in Severely Obese Adults: Baseline Data from the DieTBra Trial

“…Our findings regarding the high prevalence of pain, severe pain, and pain in four or more regions in adults with severe obesity are consistent with other studies in the same patient populations [4,5,13,15,45,46]. In Brazil, the prevalence of pain in adults with BMI ≥ 35 kg/m 2 ranges from 66.7% to 90.1% [46,47]. The prevalence of pain in several body regions has also been reported in many studies [4,5,48].…”

Physical capacity outcomes in patients with severe obesity after 12 months of physician‐led multidisciplinary team care: A case series from a public hospital clinical obesity service

“…These predictors are likely explained by improvements in leg muscle power with exercise, a relative absence of pain from osteoarthritis, and treatment‐induced weight loss . This finding is particularly important given that musculoskeletal disorders are highly prevalent in patients with clinically severe obesity (Table ) . We suggest that improvements in walking capacity following a clinical weight‐management intervention such as ours will likely be limited by the presence of disabling musculoskeletal disorders.…”

“…28,[39][40][41][42] This finding is particularly important given that musculoskeletal disorders are highly prevalent in patients with clinically severe obesity (Table 1). 43 We suggest that improvements in walking capacity following a clinical weightmanagement intervention such as ours will likely be limited by the presence of disabling musculoskeletal disorders.…”

Presença De Assimetrias Posturais E Dores Musculoesqueléticas Em Membros Superiores De Indivíduos Adultos Com Excesso De Peso

“…Independente do grau da artrite na pesquisa de Rosales et al, (2014) foi constatado que o grupo avaliado em estudo que diminuiu o IMC apresentou melhora da dor e da função, e aqueles que o IMC aumentou teve uma piora tanto da dor quanto da função. Além do IMC, o excesso de adiposidade também pode estar associado a maior sensibilidade a dor (ALFIERI et al, 2017;PACCA et al, 2018).…”