Body mass index and carpal tunnel syndrome

Kouyoumdjian, João Aris; Morita, Maria da Penha Ananias; Rocha, Paulo Ricardo Fernando; Miranda, Rafael Carlos; Gouveia, Gustavo Maciel

doi:10.1590/s0004-282x2000000200008

Cited by 39 publications

(40 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Carpal tunnel syndrome (CTS) leads to functional impairment and pain due to compression of the median nerve at the wrist level [1]. Obesity – designated as a major risk factor for various diseases [2] – is also a risk factor for CTS [1,2,3,4,5,6,7].…”

Section: Introductionmentioning

confidence: 99%

Obesity and Carpal Tunnel Syndrome: Is There a Causal Relationship?

Kurt

Kısacık²,

Kaplan

et al. 2008

Eur Neurol

View full text Add to dashboard Cite

Objectives: Obesity is defined as a risk factor for carpal tunnel syndrome (CTS). In this study, the presence or absence of recovery in median nerve conduction velocities after weight loss in obese patients was assessed in order to determine whether excess weight or other factors influence the higher prevalence of CTS in obese patients. Methods: Patients with body mass indexes (BMIs) ≧30 were included in the study. CTS symptoms, age, gender, height, body weight, and concomitant diseases were evaluated. Nerve conduction studies (NCS) were obtained on one upper extremity. All patients were included in dietetic programs. Three months later, NCS were repeated and compared with the first NCS. Results: BMIs were statistically significantly lower on the second visits 3 months later (p = 0.0001). No statistically significant difference was observed in the second NCS of electromyographically diagnosed cases with CTS (p > 0.05). Conclusion: We expected a recovery in median nerve conduction velocities in patients with CTS after weight loss. In the literature, even in untreated cases with CTS, spontaneous improvements in second NCS have been reported. This finding suggests that factors other than excess body weight may be influential in the higher prevalence of CTS in obese patients. A more detailed, genetic-factor-targeted investigation may prove more beneficial to clarify this issue.

show abstract

Section: Introductionmentioning

confidence: 99%

Obesity and Carpal Tunnel Syndrome: Is There a Causal Relationship?

Kurt

Kısacık²,

Kaplan

et al. 2008

Eur Neurol

View full text Add to dashboard Cite

show abstract

“…The syndrome affects an estimated 2.7% of the population [2,3,7,8,13]. Overall prevalence of CTS in the United States may affect as many as 1.9 million people and may account for 500,000 surgical procedures annually, with costs over $2 billion [12].…”

Section: Introductionmentioning

confidence: 99%

A Prospective, Longitudinal Outcome Study of Patients with Carpal Tunnel Surgery and the Relationship of Body Mass Index

Bodavula

Burke

Dubin

et al. 2007

Hand (New York, N,Y.)

View full text Add to dashboard Cite

This study investigated whether body mass index (BMI) was associated with effectiveness of carpal tunnel release as measured by physical and self-assessment tests. This prospective, longitudinal study was conducted from March 2001 to March 2003 using 598 cases (hands) diagnosed with carpal tunnel syndrome and scheduled for surgery at The Curtis National Hand Center, Baltimore, Maryland, and at the Pulvertaft Hand Centre, Derby, England. Body mass index was calculated, and demographic, clinical, and functional data were collected preoperatively and at 6-month follow-up. Grip, pinch, and Semmes-Weinstein scores were measured preoperatively and at 6-month follow-up. Levine-Katz self-assessment scores for symptom severity and functional status were measured preoperatively and at 6-month follow-up. Grip and pinch increased, whereas Semmes-Weinstein, symptom severity, and functional scores decreased by 6-month follow-up. Cases with BMI >35 had lower grip strength and higher symptom severity in males and higher functional status in both sexes pre-and postoperatively compared to normalweight BMI cases. BMI had no relationship to patient satisfaction. Although morbidly obese cases did worse on some physical and self-assessment tests compared to normal BMI cases preoperatively, all improved to the same extent postoperatively regardless of BMI.

show abstract

“…Similarly, Moghtaderi et al 8 conducted a case-control study examining risk factors for CTS and demonstrated that BMI, age and anthropometric data of the wrist were higher in patients with CTS than in controls. Interestingly, Kouyoumdjian et al 12 , although having found an association between CTS and increased BMI, could not establish an association between CTS severity and BMI, as happened in the postoperative group.…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 89%

“…It can therefore be concluded that obesity is associated with CTS, but weight loss in bariatric surgery is not sufficient to improve its repercussions in daily life. The higher prevalence of CTS in obese individuals is already well known in the literature [6][7][8][9][10][11][12][13] . Similarly, Moghtaderi et al 8 conducted a case-control study examining risk factors for CTS and demonstrated that BMI, age and anthropometric data of the wrist were higher in patients with CTS than in controls.…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…The most widely accepted theories for CTS ethiopathology are the mechanical and the microvascular nerve damage 2 . Many authors considered obesity as a predisposing factor [6][7][8][9][10][11][12][13] , as it may be associated to the mechanical theory when the fat tissue causes nerve root compression and raises local hydrostatic pressure 10,12 . However, microvascular insufficiency secondary to atherosclerosis, which is more common in the obese population 13 , may also play a role.…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

See 1 more Smart Citation

Ultrasound evaluation on carpal tunnel syndrome before and after bariatric surgery

Castro

Skare

Nassif

et al. 2014

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

Objective:To evaluate the prevalence of carpal tunnel syndrome in candidates for bariatric surgery comparing with the non-obese population and verify the effects on it of bariatric treatment. Methods:We studiedthree groups of individuals: 1) patients waiting for bariatric surgery (preoperative); 2) individuals who had already undergone the procedure (postoperative); and 3) control group. We collected demographic and clinical data of carpal tunnel syndrome. The Ultrasound examination was carried out to diagnose the syndrome by measuring the median nerve area. Results:We included 329 individuals (114 in the preoperative group, 90 in the postoperative group and 125 controls). There was a higher prevalence of paresthesias (p=0.0003), clinical tests (p=0.0083) on the preoperative group when compared with controls (p<0.00001). There were lowe levels of paresthesias (p=0.0002) and median nerve area (p=0.04) in postoperative patients but with no significant difference in general. A significant difference was found between the preoperative and postoperative groups (p=0.05) in those who performed non-manual work.Conclusion: There was a higher prevalence of carpal tunnel syndrome in the preoperative group compared with the control one, but no significant difference was observed between the pre and postoperative groups in general. There was difference between pre and postoperative groups for non-manual workers.

show abstract

Body mass index and carpal tunnel syndrome

Cited by 39 publications

References 11 publications

Obesity and Carpal Tunnel Syndrome: Is There a Causal Relationship?

Obesity and Carpal Tunnel Syndrome: Is There a Causal Relationship?

A Prospective, Longitudinal Outcome Study of Patients with Carpal Tunnel Surgery and the Relationship of Body Mass Index

Ultrasound evaluation on carpal tunnel syndrome before and after bariatric surgery

Contact Info

Product

Resources

About