Tamura Lilian Sarli, Cazzo Everton, Chaim Elinton Adami, Piedade Sérgio Rocha
MSc, Postgraduate Student, Department of Orthopedics and Traumatology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil.
PhD, Assistant Lecturer, Department of Surgery, Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brazil.
Rev Assoc Med Bras (1992). 2017 Feb;63(2):142-147. doi: 10.1590/1806-9282.63.02.142.
: To evaluate the impact of morbid obesity on physical capacity, joint-related symptoms, and on the overall quality of life.
: Cross-sectional study carried out at a university hospital, enrolling 39 individuals admitted to a bariatric surgery service. Physical capacity was assessed by Six-Minute Walk Test (SMWT) and the Borg rating of perceived exertion (RPE). Knee-related symptoms were evaluated by Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Lysholm Score. Quality of life was evaluated by Short Form 36 Health Questionnaire (SF-36).
: On SMWT, the mean distance walked was 374.1±107.5 m. The mean Borg score was 12.9±2.4. KOOS questionnaire found the following scores: pain (64.3±24), other symptoms (67.2±25.5), function in daily living (60.4±26.8), function in sport and recreation (28.5±32.2), knee-related quality of life (35.9±33.5), mean Lysholm scale score (55.3±25.4). SF-36 provided the following scores: physical functioning (41±27.4), physical role functioning (34.6±39.2), bodily pain (45.7±23.6), general health perceptions (63.1±26.2), vitality (53.5±12.1), social role functioning (52.6±29.3), emotional role functioning (41±44.9), mental health (55±27.7).
: Obesity led to significant loss of physical capacity, gait impairment, knee-related symptoms, and a negative impact on the overall quality of life.
评估病态肥胖对身体能力、关节相关症状及总体生活质量的影响。
在一家大学医院开展横断面研究，纳入39名接受减肥手术治疗的患者。通过六分钟步行试验（SMWT）和伯格自觉劳累分级（RPE）评估身体能力。通过膝关节损伤和骨关节炎疗效评分（KOOS）及Lysholm评分评估膝关节相关症状。通过简明健康调查问卷（SF-36）评估生活质量。
在六分钟步行试验中，平均步行距离为374.1±107.5米。平均伯格评分为12.9±2.4。KOOS问卷得出以下评分：疼痛（64.3±24）、其他症状（67.2±25.5）、日常生活功能（60.4±26.8）、运动和娱乐功能（28.5±32.2）、膝关节相关生活质量（35.9±33.5）、Lysholm量表平均评分（55.3±25.4）。SF-36得出以下评分：身体功能（41±27.4）、身体角色功能（34.6±39.2）、身体疼痛（45.7±23.6）、总体健康感知（63.1±26.2）、活力（53.5±12.1）、社会角色功能（52.6±29.3）、情感角色功能（41±44.9）、心理健康（55±27.7）。
肥胖导致身体能力显著丧失、步态受损、膝关节相关症状，并对总体生活质量产生负面影响。
