BACKGROUND: To investigate the correlation between various orthopedic conditions and overweight/obesity at the Department of Orthopedics, Malmö University Hospital Sweden. Obesity is associated with numerous major medical conditions. Although the relationship between gonarthrosis and osteoarthritis and body mass index (BMI) is well recognized, other orthopedic conditions have been less well studied. METHODS: We compared the BMI of 2 orthopedic outpatient cohorts of a local community-based urban reference population. Study 1 identified the medical records of 79 consecutive emergency room patients (45 women; age 27-49 years) with the diagnosis of ankle fracture, for whom we calculated the BMI from the self-reported height and weight. Study 2 prospectively weighed and measured 647 consecutive patients (316 women, age 20-80 years) attending our orthopedic specialty clinic for various recent and chronic conditions during a 3-week period. RESULTS: The mean BMI was 1.9 units greater in the patients with ankle fractures than in the age- and gender-matched controls (P <.001). The odds ratio for a BMI >30 kg/m(2) was 3.46. The orthopedic clinic patients had a mean BMI 1.4 units greater than the reference population (P <.001), with an odds ratio of 2.3 for a BMI >30 kg/m(2) (P <.001). CONCLUSION: The results of these pilot studies have demonstrated significant relationships between obesity and common orthopedic conditions that contribute to the global excess medical expenditures attributable to obesity.
BACKGROUND: To investigate the correlation between various orthopedic conditions and overweight/obesity at the Department of Orthopedics, Malmö University Hospital Sweden. Obesity is associated with numerous major medical conditions. Although the relationship between gonarthrosis and osteoarthritis and body mass index (BMI) is well recognized, other orthopedic conditions have been less well studied. METHODS: We compared the BMI of 2 orthopedic outpatient cohorts of a local community-based urban reference population. Study 1 identified the medical records of 79 consecutive emergency room patients (45 women; age 27-49 years) with the diagnosis of ankle fracture, for whom we calculated the BMI from the self-reported height and weight. Study 2 prospectively weighed and measured 647 consecutive patients (316 women, age 20-80 years) attending our orthopedic specialty clinic for various recent and chronic conditions during a 3-week period. RESULTS: The mean BMI was 1.9 units greater in the patients with ankle fractures than in the age- and gender-matched controls (P <.001). The odds ratio for a BMI >30 kg/m(2) was 3.46. The orthopedic clinic patients had a mean BMI 1.4 units greater than the reference population (P <.001), with an odds ratio of 2.3 for a BMI >30 kg/m(2) (P <.001). CONCLUSION: The results of these pilot studies have demonstrated significant relationships between obesity and common orthopedic conditions that contribute to the global excess medical expenditures attributable to obesity.
Authors: Juliet E Compston; Nelson B Watts; Roland Chapurlat; Cyrus Cooper; Steven Boonen; Susan Greenspan; Johannes Pfeilschifter; Stuart Silverman; Adolfo Díez-Pérez; Robert Lindsay; Kenneth G Saag; J Coen Netelenbos; Stephen Gehlbach; Frederick H Hooven; Julie Flahive; Jonathan D Adachi; Maurizio Rossini; Andrea Z Lacroix; Christian Roux; Philip N Sambrook; Ethel S Siris Journal: Am J Med Date: 2011-11 Impact factor: 4.965
Authors: Kim D Barber Foss; Myles Hornsby; Nicholas M Edwards; Gregory D Myer; Timothy E Hewett Journal: Phys Sportsmed Date: 2012-02 Impact factor: 2.241
Authors: Melissa Premaor; Richard A Parker; Steve Cummings; Kris Ensrud; Jane A Cauley; Li-Yung Lui; Theresa Hillier; Juliet Compston Journal: J Bone Miner Res Date: 2013-01 Impact factor: 6.741
Authors: Anne Lübbeke; Davide Salvo; Richard Stern; Pierre Hoffmeyer; Nicolas Holzer; Mathieu Assal Journal: Int Orthop Date: 2012-01-17 Impact factor: 3.075
Authors: Juliet E Compston; Julie Flahive; David W Hosmer; Nelson B Watts; Ethel S Siris; Stuart Silverman; Kenneth G Saag; Christian Roux; Maurizio Rossini; Johannes Pfeilschifter; Jeri W Nieves; J Coen Netelenbos; Lyn March; Andrea Z LaCroix; Frederick H Hooven; Susan L Greenspan; Stephen H Gehlbach; Adolfo Díez-Pérez; Cyrus Cooper; Roland D Chapurlat; Steven Boonen; Frederick A Anderson; Silvano Adami; Jonathan D Adachi Journal: J Bone Miner Res Date: 2014-02 Impact factor: 6.741
Authors: Frank Mo; Ineke C Neutel; Howard Morrison; Doug Hopkins; Caroline Da Silva; Ying Jiang Journal: BMJ Open Date: 2013-03-13 Impact factor: 2.692