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. 2020 Feb 27;10(1):3601.
doi: 10.1038/s41598-020-60587-1.

Level of obesity is directly associated with the clinical and functional consequences of knee osteoarthritis

Benjamin Raud  1 , Chloé Gay  2   3   4 , Candy Guiguet-Auclair  3 , Armand Bonnin  2 , Laurent Gerbaud  3 , Bruno Pereira  5 , Martine Duclos  6 , Yves Boirie  7 , Emmanuel Coudeyre  2
Affiliations

Level of obesity is directly associated with the clinical and functional consequences of knee osteoarthritis

Benjamin Raud et al. Sci Rep. .

Abstract

Obesity is one of the most important risk factors of knee osteoarthritis (KOA), but its impact on clinical and functional consequences is less clear. The main objective of this cross-sectional study was to describe the relation between body mass index (BMI) and clinical expression of KOA. Participants with BMI ≥ 25 kg/m2 and KOA completed anonymous self-administered questionnaires. They were classified according to BMI in three groups: overweight (BMI 25-30 kg/m2), stage I obesity (BMI 30-35 kg/m2) and stage II/III obesity (BMI ≥ 35 kg/m2). The groups were compared in terms of pain, physical disability, level of physical activity (PA) and fears and beliefs concerning KOA. Among the 391 individuals included, 57.0% were overweight, 28.4% had stage I obesity and 14.6% had stage II/III obesity. Mean pain score on a 10-point visual analog scale was 4.3 (SD 2.4), 5.0 (SD 2.6) and 5.2 (SD 2.3) with overweight, stage I and stage II/III obesity, respectively (p = 0.0367). The mean WOMAC function score (out of 100) was 36.2 (SD 20.1), 39.5 (SD 21.4) and 45.6 (SD 18.4), respectively (p = 0.0409). The Knee Osteoarthritis Fears and Beliefs Questionnaire total score (KOFBEQ), daily activity score and physician score significantly differed among BMI groups (p = 0.0204, p = 0.0389 and p = 0.0413, respectively), and the PA level significantly differed (p = 0.0219). We found a dose-response relation between BMI and the clinical consequences of KOA. Strategies to treat KOA should differ by obesity severity. High PA level was associated with low BMI and contributes to preventing the clinical consequences of KOA.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Flow diagram of participants in the study.
See this image and copyright information in PMC

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