| Paper title: |
Corelation between obesity, gonarthrosis and recovery plan effectiveness |
| DOI: | https://doi.org/10.4316/SAM.2025.0108 |
| Published in: | Volume XVIII issue 1/ 2025 |
| Publishing date: | 2025 |
| Pages: | 65-75 |
| Author(s): | Breha Alexandru Mihai
Pavel Răzvan-Cristian Paviliuc Iustina Ioana |
| Abstract. | This paper is a comparative, interventional, longitudinal study in which we monitored the differences in functional outcomes in a series of patients with osteoarthritis of the knee according to BMI (Body Mass Index). The patients were divided into two groups: group 1 comprised 8 normal weight patients and group 2 comprised 9 obese patients. All patients received the same principles of treatment within up to 4 weeks of recovery. Scales and measurements such as VAS (Visual Analog Scale), BARTHEL (Barthel Index), LEQUESNE (Lequesne Algofunctional Index), WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) showed functional improvements in both groups analysed. However, higher improvements were observed, favouring normal-weight patients according to the statistical tests applied but also to the clinical results recorded. The results recorded by us support the necessity of approaching patients with knee osteoarthritis by a multidisciplinary team that is formed by the attending physician, physiotherapists and dieticians to also act on weight loss by reducing the excessive pressure at the lower level. The limitations of this work are given by the low number of subjects included in both groups, the different degree of gonarthrosis and the different treatment period. |
| Keywords: | rehabilitation, osteoarthritis, obesity, normal weight |
| References: |
1. T. Neogi, “The Epidemiology and Impact of Pain in Osteoarthritis,” Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society, vol. 21, no. 9, p. 1145, Sep. 2013, doi: 10.1016/J.JOCA.2013.03.018. 2. Y. He et al., “Pathogenesis of Osteoarthritis: Risk Factors, Regulatory Pathways in Chondrocytes, and Experimental Models,” Biology 2020, Vol. 9, Page 194, vol. 9, no. 8, p. 194, Jul. 2020, doi: 10.3390/BIOLOGY9080194. 3. A. M. Reginato and B. R. Olsen, “The role of structural genes in the pathogenesis of osteoarthritic disorders,” Arthritis Res, vol. 4, no. 6, p. 337, 2002, doi: 10.1186/AR595. 4. B. Heidari, “Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part I,” Caspian J Intern Med, vol. 2, no. 2, p. 205, Mar. 2011, Available: https://pmc.ncbi.nlm.nih.gov/articles/PMC3766936/ 5. V. B. Vad, D. R. Adin, and J. Solomon, “Knee Osteoarthritis,” Crit Rev Phys Rehabil Med, vol. 16, no. 3, pp. 211–231, Jun. 2023, doi: 10.1615/CritRevPhysRehabilMed.v16.i3.30. 6. W. B. Lim and O. Al-Dadah, “Conservative treatment of knee osteoarthritis: A review of the literature,” World J Orthop, vol. 13, no. 3, p. 212, Mar. 2022, doi: 10.5312/WJO.V13.I3.212. 7. D. C. Crawford, L. E. Miller, and J. E. Block, “Conservative management of symptomatic knee osteoarthritis: a flawed strategy?,” Orthop Rev (Pavia), vol. 5, no. 1, p. e2, Feb. 2013, doi: 10.4081/OR.2013.E2. 8. K. Rönn, N. Reischl, E. Gautier, and M. Jacobi, “Current Surgical Treatment of Knee Osteoarthritis,” Arthritis, vol. 2011, p. 454873, Apr. 2011, doi: 10.1155/2011/454873. 9. P. Brumat et al., “The Surgical Treatment of Osteoarthritis,” Life, vol. 12, no. 7, p. 982, Jul. 2022, doi: 10.3390/LIFE12070982. 10. B. Uivaraseanu et al., “Therapeutic approaches in the management of knee osteoarthritis (Review),” Exp Ther Med, vol. 23, no. 5, p. 328, Mar. 2022, doi: 10.3892/ETM.2022.11257. 11. G. A. Brown, “An Evidence-Based Approach to the Treatment of Knee Osteoarthritis,” Journal of Orthopaedic Experience & Innovation, vol. 2, no. 2, p. 2021, Oct. 2021, doi: 10.60118/001C.29155. 12. B. Li, Y. Zhang, and L. Bi, “Comparative efficacy of treatments for patients with knee osteoarthritis: A network meta-analysis,” Eur J Med Res, vol. 25, no. 1, pp. 1–11, Jul. 2020, doi: 10.1186/S40001-020-00426-1/FIGURES/6. 13. E. RINGDAHL and S. PANDIT, “Treatment of Knee Osteoarthritis,” Am Fam Physician, vol. 83, no. 11, pp. 1287–1292, Jun. 2011, Available: https://www.aafp.org/pubs/afp/issues/2011/0601/p1287.html 14. L. K. King, L. March, and A. Anandacoomarasamy, “Obesity & osteoarthritis,” Indian J Med Res, vol. 138, no. 2, p. 185, Aug. 2013, Available: https://pmc.ncbi.nlm.nih.gov/articles/PMC3788203/ 15. A. S. Gersing et al., “Weight Loss Regimen in Obese and Overweight Individuals is Associated with Reduced Cartilage Degeneration: 96-Month Data from the Osteoarthritis Initiative,” Osteoarthritis Cartilage, vol. 27, no. 6, p. 863, Jun. 2019, doi: 10.1016/J.JOCA.2019.01.018. 16. M. Reijman et al., “Body mass index associated with onset and progression of osteoarthritis of the knee but not of the hip: The Rotterdam Study,” Ann Rheum Dis, vol. 66, no. 2, p. 158, Feb. 2006, doi: 10.1136/ARD.2006.053538. 17. L. Jiang et al., “Body mass index and susceptibility to knee osteoarthritis: A systematic review and meta-analysis,” Joint Bone Spine, vol. 79, no. 3, pp. 291–297, May 2012, doi: 10.1016/J.JBSPIN.2011.05.015. 18. A. A. Altowijri et al., “The Prevalence of Knee Osteoarthritis and Its Association With Obesity Among Individuals in Saudi Arabia,” Cureus, vol. 15, no. 11, p. e49625, Nov. 2023, doi: 10.7759/CUREUS.49625. 19. L. Chen et al., “Pathogenesis and clinical management of obesity-related knee osteoarthritis: Impact of mechanical loading,” J Orthop Translat, vol. 24, p. 66, Sep. 2020, doi: 10.1016/J.JOT.2020.05.001. 20. A. M. Breha, “The contribution of physiotherapy in the recovery of the post-traumatic knee and its influence on the resumption of daily activity,” The Annals of the “Ştefan cel Mare” University of Suceava. Physical Education and Sport Section. The Science and Art of Movement, Volume XVI issue 1/2023, pp. 75-83, doi: 10.4316/SAM.2023.0111. 21. S. Panunzi, S. Maltese, A. De Gaetano, E. Capristo, S. R. Bornstein, and G. Mingrone, “Comparative efficacy of different weight loss treatments on knee osteoarthritis: A network meta-analysis,” Obes Rev, vol. 22, no. 8, Aug. 2021, doi: 10.1111/OBR.13230. |
| Back to the journal content | |