Gomes-Neto Mansueto, Araujo Anderson Delano, Junqueira Isabel Dayanne Almeida, Oliveira Diego, Brasileiro Alécio, Arcanjo Fabio Luciano
Department of Biofunction, Physical Therapy Course, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil; Post-Graduate Program in Medicine and Health, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil; Physical Therapy Course, União Metropolitana de Educação e Cultura, Salvador, BA, Brazil.
Department of Biofunction, Physical Therapy Course, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil; Physical Therapy Course, União Metropolitana de Educação e Cultura, Salvador, BA, Brazil.
Rev Bras Reumatol Engl Ed. 2016 Mar-Apr;56(2):126-30. doi: 10.1016/j.rbre.2015.08.014. Epub 2015 Sep 26.
The association between osteoarthritis (OA) and obesity can lead to a reduced functional capacity, compromising the quality of life (QoL) of the elderly.
To compare the functional capacity and QoL of obese and non-obese older adults with knee OA.
The sample consisted of 35 subjects with OA divided into two groups, obese and non-obese subjects, according to their body mass index. To assess functional capacity, performance tests such as Timed Up and Go (TUG), gait speed test, and the six-minute walk test (6 MWT) were carried out. To assess QoL, WOMAC and SF-36 questionnaires were administered. We performed descriptive and inferential statistics using SPSS software version 20.0.
Elderly patients with OA were divided into two groups (obese, n=16; non-obese, n=19). Socio-demographic characteristics were similar between groups (p>0.05). The obese group showed a worst performance in TUG, brisk walking speed and 6 MWT. A more severe pain was found in the following items: "performing heavy housework chores", "going down stairs", "bending to floor" and "getting up from bed" in the obese group (p<0.05). In addition, the obese group had more difficulty to perform tasks for the following items: "going down stairs", "rising from a chair", "standing" and "getting on/off toilet" (p<0.05). There was no statistically significant difference in the assessed domains of SF-36 between groups (p>0.05).
OA associated with obesity caused a negative impact on functional capacity; however, quality of life scores were low, and no difference in obese and non-obese subjects was found.
骨关节炎（OA）与肥胖之间的关联会导致功能能力下降，损害老年人的生活质量（QoL）。
比较肥胖和非肥胖的老年膝骨关节炎患者的功能能力和生活质量。
样本由35名骨关节炎患者组成，根据体重指数分为肥胖组和非肥胖组。为评估功能能力，进行了如计时起立行走测试（TUG）、步速测试和六分钟步行测试（6MWT）等性能测试。为评估生活质量，发放了WOMAC和SF-36问卷。我们使用SPSS 20.0软件进行描述性和推断性统计。
老年骨关节炎患者分为两组（肥胖组，n = 16；非肥胖组，n = 19）。两组间社会人口学特征相似（p>0.05）。肥胖组在TUG、快走速度和6MWT测试中表现较差。在肥胖组中，以下项目疼痛更严重：“进行繁重家务”、“下楼梯”、“弯腰至地面”和“从床上起身”（p<0.05）。此外，肥胖组在以下项目执行任务时更困难：“下楼梯”、“从椅子上起身”、“站立”和“上/下马桶”（p<0.05）。两组间SF-36评估领域无统计学显著差异（p>0.05）。
与肥胖相关的骨关节炎对功能能力产生负面影响；然而，生活质量得分较低，肥胖和非肥胖受试者之间未发现差异。
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