1. Influência da obesidade mórbida sobre a capacidade física, sintomas relacionados aos joelhos e qualidade de vida geral: um estudo transversal
- Author
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Lilian Sarli Tamura, Everton Cazzo, Sérgio Rocha Piedade, and Elinton Adami Chaim
- Subjects
Adult ,Male ,obesidade ,medicine.medical_specialty ,obesity ,Knee Joint ,Cross-sectional study ,knee ,Walk Test ,Knee Injuries ,Osteoarthritis ,Vitality ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Quality of life (healthcare) ,Surveys and Questionnaires ,artropatias ,medicine ,Humans ,030212 general & internal medicine ,joint diseases ,arthralgia ,Rating of perceived exertion ,lcsh:R5-920 ,030222 orthopedics ,business.industry ,General Medicine ,Osteoarthritis, Knee ,medicine.disease ,Mental health ,Obesity ,Obesity, Morbid ,artralgia ,Cross-Sectional Studies ,quality of life ,qualidade de vida ,Test score ,Quality of Life ,Physical therapy ,joelho ,Female ,lcsh:Medicine (General) ,business ,human activities - Abstract
Summary Objective: To evaluate the impact of morbid obesity on physical capacity, joint-related symptoms, and on the overall quality of life. Method: 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). Results: 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). Conclusion: Obesity led to significant loss of physical capacity, gait impairment, knee-related symptoms, and a negative impact on the overall quality of life. Resumo Objetivo: Avaliar o impacto da obesidade mórbida sobre a capacidade física, sintomas osteoarticulares e qualidade de vida global. Método: Estudo transversal realizado em hospital universitário, envolvendo 39 indivíduos admitidos em um serviço de cirurgia bariátrica. A capacidade física foi avaliada através do teste de caminhada de 6 minutos e pela escala de percepção de esforço de Borg. Os sintomas relacionados ao joelho foram avaliados pelos escores de KOOS e Lysholm; a qualidade de vida foi avaliada por meio do questionário SF-36. Resultados: No teste de caminhada de 6 minutos, a distância média foi de 374,1±107,5 m. O escore médio de Borg foi 12,9±2,4. Os seguintes escores foram observados no KOOS: dor (64,3±24); outros sintomas (67,2±25,5); atividades da vida diária (60,4±26,8); atividades esportivas e lazer (28,5±32,2); qualidade de vida (35,9±33,5); o escore de Lysholm médio foi 55,3±25,4. O SF-36 mostrou estes escores: capacidade funcional (41±27,4); limitação por aspectos físicos (34,6±39,2); dor (45,7±23,6); estado geral de saúde (63,1±26,2); vitalidade (53,5±12,1); aspectos sociais (52,6±29,3); aspectos emocionais (41±44,9); saúde mental (55±27,7). Conclusão: A obesidade levou à perda significativa de capacidade física, a prejuízo à marcha, a sintomas relacionados ao joelho e a impacto negativo sobre a qualidade de vida global.
- Published
- 2017