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Starkt samband övervikt/obesitas och ortopediska åkommor. Fetmaepidemins konsekvenser vidgas.

Dahlberg, Leif LU ; Bergkvist, Dan ; Hekmat, Korosh and Svensson, Thomas (2008) In Läkartidningen 105(34). p.2246-2248
Abstract
t is well known that overweight/obesity are risk factors for several important conditions of internal medicine. The positive correlation between gonarthrosis and a high BMI is also well investigated. However, the possible correlation between owerweight/obesitas and other orthopaedic conditions are less well studied and are therefore rarely discussed in either medical terms or economical considerations. Objective: To examine the relationship between owerweight/obesity and orthopaedic conditions.

Patient BMI was compared with a reference population BMI in two assessments. In one we investigated patients who were diagnosed with ankle fracture in the emergency room (n=79). In the other we investigated outpatients with various... (More)
t is well known that overweight/obesity are risk factors for several important conditions of internal medicine. The positive correlation between gonarthrosis and a high BMI is also well investigated. However, the possible correlation between owerweight/obesitas and other orthopaedic conditions are less well studied and are therefore rarely discussed in either medical terms or economical considerations. Objective: To examine the relationship between owerweight/obesity and orthopaedic conditions.

Patient BMI was compared with a reference population BMI in two assessments. In one we investigated patients who were diagnosed with ankle fracture in the emergency room (n=79). In the other we investigated outpatients with various orthopaedic conditions (n=647). In both assessments patients were recruited in a consecutive mode. The BMI of the patients with ankle fracture was self reported as were the BMI of the normal population. The outpatients were weighted and measured.

Patients with ankle fractures differed significantly from the reference population, (1.92 units (p<0.001). The fracture odds ratio of BMI>30 was 3.46 (p<0.001). Similarly, the outpatients had 1.44 higher BMI units than the references (p<0,001). Odds ratio to become an orthopaedic outpatient if BMI>30 was 2.3 (p<0.001). In both investigations results were age and gender standardised.

Both studies indicate that there is a positive correlation between BMI and the risk of sustaining orthopaedic conditions. Although there may be reporting-bias, results seem prominent enough to conclude that orthopaedic conditions may be added to other medical disciplines regarding negative consequences of overweight/obesity and strengthens the need for preventive measures aimed at the epidemic progress of overweight/obesity. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Obesity: complications, Obesity: economics, Obesity: prevention & control, Orthopedics: economics, Overweight: complications, Overweight: prevention & control, Overweight: economics, Musculoskeletal Diseases: etiology, Ankle Injuries: etiology, Bone: etiology, Fractures
in
Läkartidningen
volume
105
issue
34
pages
2246 - 2248
publisher
Swedish Medical Association
external identifiers
  • pmid:18785596
  • scopus:50849139928
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
32fb63fe-900e-4a83-bff7-c6d884334cda (old id 1243123)
alternative location
http://ltarkiv.lakartidningen.se/artNo35424
http://www.ncbi.nlm.nih.gov/pubmed/18785596?dopt=Abstract
date added to LUP
2016-04-04 09:13:17
date last changed
2022-01-29 08:50:00
@article{32fb63fe-900e-4a83-bff7-c6d884334cda,
  abstract     = {{t is well known that overweight/obesity are risk factors for several important conditions of internal medicine. The positive correlation between gonarthrosis and a high BMI is also well investigated. However, the possible correlation between owerweight/obesitas and other orthopaedic conditions are less well studied and are therefore rarely discussed in either medical terms or economical considerations. Objective: To examine the relationship between owerweight/obesity and orthopaedic conditions.<br/><br>
Patient BMI was compared with a reference population BMI in two assessments. In one we investigated patients who were diagnosed with ankle fracture in the emergency room (n=79). In the other we investigated outpatients with various orthopaedic conditions (n=647). In both assessments patients were recruited in a consecutive mode. The BMI of the patients with ankle fracture was self reported as were the BMI of the normal population. The outpatients were weighted and measured.<br/><br>
Patients with ankle fractures differed significantly from the reference population, (1.92 units (p&lt;0.001). The fracture odds ratio of BMI&gt;30 was 3.46 (p&lt;0.001). Similarly, the outpatients had 1.44 higher BMI units than the references (p&lt;0,001). Odds ratio to become an orthopaedic outpatient if BMI&gt;30 was 2.3 (p&lt;0.001). In both investigations results were age and gender standardised.<br/><br>
Both studies indicate that there is a positive correlation between BMI and the risk of sustaining orthopaedic conditions. Although there may be reporting-bias, results seem prominent enough to conclude that orthopaedic conditions may be added to other medical disciplines regarding negative consequences of overweight/obesity and strengthens the need for preventive measures aimed at the epidemic progress of overweight/obesity.}},
  author       = {{Dahlberg, Leif and Bergkvist, Dan and Hekmat, Korosh and Svensson, Thomas}},
  issn         = {{0023-7205}},
  keywords     = {{Obesity: complications; Obesity: economics; Obesity: prevention & control; Orthopedics: economics; Overweight: complications; Overweight: prevention & control; Overweight: economics; Musculoskeletal Diseases: etiology; Ankle Injuries: etiology; Bone: etiology; Fractures}},
  language     = {{swe}},
  number       = {{34}},
  pages        = {{2246--2248}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Läkartidningen}},
  title        = {{Starkt samband övervikt/obesitas och ortopediska åkommor. Fetmaepidemins konsekvenser vidgas.}},
  url          = {{http://ltarkiv.lakartidningen.se/artNo35424}},
  volume       = {{105}},
  year         = {{2008}},
}