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Overweight and health problems of the lower extremities: osteoarthritis, pain and disability.

Abstract：

AIM:To examine the association between overweight and health problems of the lower extremities, i.e. osteoarthritis (OA), pain and disability. METHODS:Cross-sectional data from the Dutch population-based Musculoskeletal Conditions & Consequences Cohort (DMC3), comprising a random sample from the Dutch population aged >25 years (n 3664), were analysed using multivariate logistic regression. Overweight was defined as BMI > or = 25.0 kg/m2, moderate overweight as 25.0 kg/m2 < or = BMI < 30.0 kg/m2 and obesity as BMI > or = 30.0 kg/m2. Health problems of the lower extremities were: (i) self-reported OA of the hip or knee as told by a doctor; (ii) presence of self-reported chronic pain (>3 months) of the lower extremities; and (iii) disabilities in mobility as measured by the Euroqol questionnaire (EQ-5D). RESULTS:Moderate overweight was associated with self-reported OA of the hip or knee (OR = 1.7; 95 % CI 1.4, 2.1), chronic pain of the lower extremities at one or more location(s) (OR = 1.6; 95 % CI 1.3, 1.9) and disability in mobility (OR = 1.7; 95 % CI 1.4, 2.0). For obesity these odds were higher: 2.8 (95 % CI 2.1, 3.7), 2.5 (95 % CI 1.9, 3.2) and 3.0 (95 % CI 2.3, 3.9), respectively. Also, among those with OA, moderate overweight and obesity were associated with disability in mobility. CONCLUSION:There is a strong association between overweight/obesity and health problems of the lower extremities, i.e. OA, pain and disability. The increasing prevalence of overweight and obesity worldwide urges for public health action not only for diabetes and heart disease, but also OA.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Tukker A,Visscher TL,Picavet HS

doi

10.1017/S1368980008002103

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

359-68

issue

3

eissn

1368-9800

issn

1475-2727

pii

S1368980008002103

journal_volume

12

pub_type

杂志文章

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