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Afolabi H A, Zakaria Z, Astuti Y, Salleh S M, Alkhamees N H, Wada Y, et al . High Body Mass as a Weight Factor for Hip Osteoarthritis Progression: Insights into Challenges, Strategies, and Consequences. Ann Appl Sport Sci 2024; 12
URL: http://aassjournal.com/article-1-1400-en.html
1- Department of General Surgery, School of Medical Sciences, Hospital Universiti Sains Malaysia, Universiti Sains Malaysia USM, Kubang Kerian 16150, Kelantan, Malaysia
2- Department of Sport Education, Faculty of Sport Science, Universitas Negeri Padang, Indonesia , yuniastuti@fik.unp.ac.id
3- Department of Pathology, School of Medical Sciences, Hospital Universiti Sains Malaysia, Universiti Sains Malaysia USM, Kubang Kerian 16150, Kelantan, Malaysia
4- Department of Rehabilitation, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Building 240, Riyadh, Kingdom of Saudi Arabia
5- Department of Zoology, Faculty of Life Sciences, Ahmadu Bello University ABU, Zaria, Kaduna, Nigeria
6- Department of Clinical Studies, Faculty of Veterinary Sciences, Universiti Malaysia Kelantan, Malaysia UMK, Pengkalan Chepa, Kota Bharu 16100, Kelantan, Malaysia
7- Department of Chemical Pathology, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia
8- Center for Global Health Research, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 602105, India
Abstract:   (264 Views)
Background. Obesity raises the risk of various debilitating, degenerative diseases, particularly osteoarthritis. The ablative impact on subchondral cartilage in weight-supporting joints induces osteoarthritis (OA) pain and reduced function.
Objectives. Hip osteoarthritis diagnosis and propensity using two self-administered questionnaires: the 12-item osteoarthritis-perception questionnaire and the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index. Setting: University Sains Malaysia, Malaysia.
Methods. Seventy patients aged 18 to 79 visiting Hospital-USM participated in this prospective cross-sectional study investigating obese patients' susceptibility to hip osteoarthritis (HOA). Obesity was defined as BMI >30 kg/m2.
Results. Of the 70 patients recruited, 40 were obese, while 30 were non-obese. Females were the most likely to be obese (57.1%), and the average age was 53.2 years (SD 7.1). The mean BMI of the OA group (YES-HOA) was 42.14 (SD 3.24), which was significantly more significant than the mean BMI of the group without osteoarthritis (NO-HOA), which was 30.95 (SD 0.51) (p-value =0.001). Among the YES-HOA group, 84.6% were obese. There was a 12-point reduction in the overall WOMAC score between the two groups, and the obese group (OG) had a significantly higher overall mean WOMAC score than the non-obese group (NOG) (64 (SD 22) vs. 52 (SD 21) respectively). Further, the mean WOMAC scores for the three HOA joint features were higher for the OG than the NOG (61 (SD 20) vs. 54 (SD 19) for pain, 54 (SD 19) vs. 61 (SD 20) for stiffness, and 51 (SD 11) vs. 71 (SD 24) for reduced function respectively; p-value <0.05 for all). Both of the investigation tools demonstrated the obese patients' susceptibility to the onset and progression of hip osteoarthritis.
Conclusion. Obesity is associated with an increased likelihood of OA, but whether it causes the onset of the condition or exacerbates its progression remains unclear.
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APPLICABLE REMARKS
• The study demonstrates a significant correlation between obesity and hip osteoarthritis (HOA). Obese patients, as defined by a BMI greater than 30, were found to have a substantially higher mean BMI and a greater prevalence of HOA compared to their non-obese counterparts. This suggests a higher body weight is a considerable risk factor for developing and progressing HOA.
• The findings highlight that females are more likely to be obese and consequently at higher risk for HOA, with the average age of participants being 53.2 years. This suggests that middle-aged to older adults, particularly women, are a crucial demographic for targeted interventions aimed at reducing obesity to mitigate the risk of HOA.
• The study found that obese patients had significantly higher WOMAC scores, indicating more severe pain, stiffness, and reduced function in the hip joints compared to non-obese patients. This underscores the importance of weight management in improving the quality of life for patients with HOA, as obesity exacerbates the symptoms and functional impairments associated with the condition.

Type of Study: Original Article | Subject: Kinesiology and Sport Injuries
Received: 2024/06/2 | Accepted: 2024/09/11

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