Belczak Cleusa Ema Quilici, de Godoy José Maria Pereira, Belzack Sergio Quilici, Ramos Rubiana Neves, Caffaro Roberto Augusto
Lymphovenous Rehabilitation, Medicine School of São Jose do Rio Preto-FAMERP, Brazil.
Department of Cardiology and Cardiovascular Surgery, Medicine School of São José do Rio Preto-FAMERP and CNPq (National Council for Research and Development), Brazil
Phlebology. 2014 Sep;29(8):500-4. doi: 10.1177/0268355513492510. Epub 2013 May 31.
The aim of this study was to investigate a possible relationship between obesity and decreased mobility of the talocrural joint and in turn chronic venous disease.
One hundred obese patients recruited at Hospital Santa Casa de Maringa, Parana were enrolled by order of arrival at the hospital in a randomized quantitative cross-sectional study. Inclusion criteria were patients with a body mass index above 30 kg/m(2) and the exclusion criteria were infectious conditions that would interfere with the assessment. Patients were graded according to the clinical, etiological, anatomical and pathophysiological classification. Talocrural goniometry was performed to assess the degree of mobility of the legs. The Kolmogorov-Smirnov normality test, Kruskal-Wallis test, Dunn's Multiple comparison test and analysis of variance were used for statistical analysis tests with an alpha error of 5% being considered acceptable.
The increase in body mass index is correlated to the reduction in joint mobility (Kruskal-Wallis test: p-value <0.0001) and increase in clinical, etiological, anatomical and pathophysiological classification is correlated to a decrease in joint mobility and the increase in age is associated with an increase in clinical, etiological, anatomical and pathophysiological classification (Kruskal-Wallis test: p-value <0.0001).
Obesity is associated with deterioration in joint mobility and worsening of chronic venous disease.
本研究旨在调查肥胖与距小腿关节活动度降低以及慢性静脉疾病之间可能存在的关系。
在巴拉那州马林加市圣卡莎医院招募的100名肥胖患者，按照到达医院的顺序纳入一项随机定量横断面研究。纳入标准为体重指数高于30kg/m²的患者，排除标准为会干扰评估的感染性疾病。根据临床、病因、解剖和病理生理分类对患者进行分级。进行距小腿关节角度测量以评估腿部的活动度。采用柯尔莫哥洛夫-斯米尔诺夫正态性检验、克鲁斯卡尔-沃利斯检验、邓恩多重比较检验和方差分析进行统计分析，α错误率为5%被认为是可接受的。
体重指数的增加与关节活动度的降低相关（克鲁斯卡尔-沃利斯检验：p值<0.0001），临床、病因、解剖和病理生理分类的增加与关节活动度的降低相关，年龄的增加与临床、病因、解剖和病理生理分类的增加相关（克鲁斯卡尔-沃利斯检验：p值<0.0001）。
肥胖与关节活动度恶化以及慢性静脉疾病加重有关。
