Literature DB >> 21839981

Sex and body mass index correlate with Western Ontario and McMaster Universities Osteoarthritis Index and quality of life scores in knee osteoarthritis.

Avi Elbaz1, Eytan M Debbi, Ganit Segal, Amir Haim, Nahum Halperin, Gabriel Agar, Amit Mor, Ronen Debi.   

Abstract

OBJECTIVE: To examine the associations of sex, body mass index (BMI), and age with knee osteoarthritis (OA) symptomatic severity.
DESIGN: A cross-sectional retrospective analysis.
SETTING: Patients completed the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Data were acquired from a stored database of a private therapy center. PARTICIPANTS: Patients (N=1487) with symptomatic knee OA were evaluated.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: WOMAC questionnaire and SF-36.
RESULTS: BMI correlated significantly with worse knee OA symptoms for all WOMAC and SF-36 subcategories (all P ≤.001). Age correlated significantly with worse symptoms only for WOMAC function and SF-36 physical functioning (P=.001 and P=.009, respectively). A significant difference across BMI quintiles was found for all WOMAC and SF-36 subcategories (all P ≤.01). Women showed worse knee OA symptoms in all WOMAC and SF-36 subcategories (all P ≤.001). There was a significant interaction of sex by BMI in WOMAC pain and WOMAC function (P=.01 and P=.02, respectively).
CONCLUSIONS: Based on the results of this analysis, it can be concluded that women and patients with a higher BMI with knee OA are at a greater risk for worse symptoms.
Copyright © 2011 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

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Year:  2011        PMID: 21839981     DOI: 10.1016/j.apmr.2011.05.009

Source DB:  PubMed          Journal:  Arch Phys Med Rehabil        ISSN: 0003-9993            Impact factor:   3.966


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