Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2018 Mar 1;31(1):e1344.
doi: 10.1590/0102-672020180001e1344.

PREVALENCE OF JOINT PAIN AND OSTEOARTHRITIS IN OBESE BRAZILIAN POPULATION

[Article in English, Portuguese]
Daniel Moreira Pacca  1 , Gustavo Constantino DE-Campos  1 , Alessandro Rozin Zorzi  1 , Elinton Adami Chaim  2 , Jõao Batista DE-Miranda  1
Affiliations
Comparative Study

PREVALENCE OF JOINT PAIN AND OSTEOARTHRITIS IN OBESE BRAZILIAN POPULATION

[Article in English, Portuguese]
Daniel Moreira Pacca et al. Arq Bras Cir Dig. .

Abstract
in English, Portuguese

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.

Racional:: Alto índice de massa corpórea, assim como a manutenção desta condição por longo período de tempo, são importantes fatores de risco para o desenvolvimento de osteoartrite.

Objetivo:: Determinar a prevalência de dor articular e osteoartrite em pacientes aguardando cirurgia bariátrica.

Métodos:: Pacientes obesos mórbidos responderam à escala e questionário (VAS e WOMAC) de dor e função. Radiografias dos quadris e joelhos foram avaliadas. Os desfechos primários foram dor articular referida nos questionários e o diagnóstico de osteoartrite feito através dos critérios clinicoradiológicos do Colégio Americano de Reumatologia.

Resultados:: Cento e quarenta e um pacientes foram entrevistados (85,1% mulheres) com idade média de 40 anos. A média do índice de massa corpórea foi de 46. Coluna lombar e joelhos foram as regiões mais comumente referidas com dor (77,9% e 73,2% respectivamente). A prevalência de osteoartrite dos joelhos foi de 63,1% e dos quadris foi de 40,8%. Idade, média da escala visual de dor e resultados do questionário de WOMAC foram maiores nos indivíduos com osteoartrite.

Conclusão:: Há prevalência de 90,1% de sintomas dolorosos nos pacientes obesos mórbidos encaminhados para cirurgia bariátrica. A osteoartrite dos joelhos foi de 63,1% e de quadris de 40,8%.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: none

Figures

FIGURE 1
FIGURE 1. Histograms: A) WOMAC total; B) WOMAC pain subscale; C) WOMAC stiffness subscale; D) WOMAC function subscale data distribution
See this image and copyright information in PMC

References

    1. Abu-Abeid S, Wishnitzer N, Szold A, Liebergall M, Manor O. The influence of surgically-induced weight loss on the knee joint. Obes Surg. 2005;15(10):1437–1442. - PubMed
    1. Altman R, Asch E, Bloch D. Development of criteria for the classification and reporting of osteoarthritis Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum. 1986;29(8):1039–1049. - PubMed
    1. Carlsson AM. Assessment of chronic pain I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983;16(1):87–101. - PubMed
    1. de Lange-Brokaar BJ, Ioan-Facsinay A, van Osch GJ. Synovial inflammation, immune cells and their cytokines in osteoarthritis a review. Osteoarthritis Cartilage. 2012;20(12):1484–1499. - PubMed
    1. de Rezende MU, de Campos GC, Pailo AF. Current concepts in osteoarthritis. Acta Ortop Bras. 2013;21(2):120–122. - PMC - PubMed

Publication types