脂肪性水肿以及随着肥胖进展向淋巴水肿的演变
Lipedema and the Evolution to Lymphedema With the Progression of Obesity.
作者信息
Pereira de Godoy Lívia Maria, Pereira de Godoy Henrique Jose, Pereira de Godoy Capeletto Paula, Guerreiro Godoy Maria de Fatima, Pereira de Godoy Jose Maria
机构信息
General Practice, Clínica Godoy, São José do Rio Preto, BRA.
General Practice, Clínica Godoy, Sao Jose do Rio Preto, BRA.
出版信息
Cureus. 2020 Dec 2;12(12):e11854. doi: 10.7759/cureus.11854.
AIM
The aim of the present study was to evaluate the prevalence of subclinical and clinical systemic lymphedema in patients with lipedema and different body mass index (BMI) values.
METHOD
A cross-sectional study was conducted to determine the prevalence of subclinical systemic lymphedema and clinical lymphedema of the lower limbs detected by bioimpedance (InBody S10 device, Seoul, Korea) in 258 women with clinically diagnosed lipedema. The patients were divided into three groups based on BMI: Group I - BMI below 30 kg/m; Group II - BMI between 30 and 40 kg/m; and Group III - BMI 40 to 50 kg/m.
RESULTS
Fisher's exact test revealed a statistically significant difference between Group I and both Groups II and III (p = 0.0001) regarding the occurrence of lower limb lymphedema.
CONCLUSION
Patients with lipedema can develop edema even when their weight is within the standards of normality. However, obesity is an aggravating factor, as the prevalence of lipedema increases progressively with the increase in weight.
目的
本研究旨在评估不同体重指数（BMI）值的脂肪性水肿患者中亚临床和临床系统性淋巴水肿的患病率。
方法
进行了一项横断面研究，以确定258例临床诊断为脂肪性水肿的女性中通过生物电阻抗法（InBody S10设备，韩国首尔）检测到的亚临床系统性淋巴水肿和下肢临床淋巴水肿的患病率。根据BMI将患者分为三组：第一组 - BMI低于30kg/m；第二组 - BMI在30至40kg/m之间；第三组 - BMI为40至50kg/m。
结果
Fisher精确检验显示，在下肢淋巴水肿的发生方面，第一组与第二组和第三组之间存在统计学上的显著差异（p = 0.0001）。
结论
脂肪性水肿患者即使体重在正常范围内也可能出现水肿。然而，肥胖是一个加重因素，因为脂肪性水肿的患病率随着体重增加而逐渐升高。
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