de Sá Pinto Ana L, de Barros Holanda Patricia M, Radu Ari S, Villares Sandra M F, Lima Fernanda R
Rheumatology Division, School of Medicine, University of São Paulo, São Paulo, Brazil.
J Paediatr Child Health. 2006 Jun;42(6):341-4. doi: 10.1111/j.1440-1754.2006.00869.x.
A cross-sectional study was conducted to explore osteoarticular alterations in obese children.
Twenty-five boys and 24 girls (mean age: 10.8+/-2.07 years) with a body mass index (BMI) above the 95th percentile were compared with 28 boys and 19 girls (controls, mean age: 10.4+/-2.3 years) with a BMI below the 80th percentile.
A higher frequency of at least one osteoarticular manifestation was observed in obese patients (55%) compared with the control group (23%) (P=0.001). A statistically significant association was also found between obesity and lower back pain, genu valgum, genu recurvatum and tight quadriceps. Fibromyalgia tender points (=11) were present at similar frequency in both groups (obese: 3/38 (9%) vs. control: 1/48 (2%)).
The present data suggest that obesity has a negative impact on osteoarticular health by promoting biomechanical changes in the lumbar spine and lower extremities.
开展一项横断面研究以探究肥胖儿童的骨关节改变。
将25名男孩和24名女孩（平均年龄：10.8±2.07岁），其体重指数（BMI）高于第95百分位数，与28名男孩和19名女孩（对照组，平均年龄：10.4±2.3岁），其BMI低于第80百分位数进行比较。
与对照组（23%）相比，肥胖患者中至少有一种骨关节表现的频率更高（55%）（P = 0.001）。在肥胖与下背痛、膝外翻、膝反屈和股四头肌紧张之间也发现了具有统计学意义的关联。两组中纤维肌痛压痛点（≥11个）出现的频率相似（肥胖组：3/38（9%） vs. 对照组：1/48（2%））。
目前的数据表明，肥胖通过促进腰椎和下肢的生物力学变化，对骨关节健康产生负面影响。
