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The Influence of Overweight/Obesity on Patient-Perceived Physical Functioning and Health-Related Quality of Life After Primary Total Hip Arthroplasty

BACKGROUND: Overweight/obesity in patients after total hip arthroplasty (THA) is a growing problem and is associated with postoperative complications and a negative effect on functional outcome. The objective of this study is to determine to what extent overweight/obesity is associated with physical...

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Autores principales: Stevens, Martin, Paans, Nienke, Wagenmakers, Robert, van Beveren, Jan, van Raay, Jos J. A. M., van der Meer, Klaas, Stewart, Roy, Bulstra, Sjoerd K., Reininga, Inge H. F., van den Akker-Scheek, Inge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer-Verlag 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3297740/
https://www.ncbi.nlm.nih.gov/pubmed/21800224
http://dx.doi.org/10.1007/s11695-011-0483-1
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author Stevens, Martin
Paans, Nienke
Wagenmakers, Robert
van Beveren, Jan
van Raay, Jos J. A. M.
van der Meer, Klaas
Stewart, Roy
Bulstra, Sjoerd K.
Reininga, Inge H. F.
van den Akker-Scheek, Inge
author_facet Stevens, Martin
Paans, Nienke
Wagenmakers, Robert
van Beveren, Jan
van Raay, Jos J. A. M.
van der Meer, Klaas
Stewart, Roy
Bulstra, Sjoerd K.
Reininga, Inge H. F.
van den Akker-Scheek, Inge
author_sort Stevens, Martin
collection PubMed
description BACKGROUND: Overweight/obesity in patients after total hip arthroplasty (THA) is a growing problem and is associated with postoperative complications and a negative effect on functional outcome. The objective of this study is to determine to what extent overweight/obesity is associated with physical functioning and health-related quality of life 1 year after primary THA. METHODS: A retrospective analysis of prospectively collected data from 653 patients who had undergone a primary THA was conducted. Physical functioning, health-related quality of life, body mass index (BMI), comorbidity, and postoperative complications were assessed by means of a questionnaire and from medical records. To determine to what extent overweight/obesity is associated with physical functioning and health-related quality of life after THA, a structural equation model (SEM) analysis was conducted. RESULTS: The association of BMI corrected for age, gender, complications, and comorbidity with physical functioning is −0.63. This means that an increase in 1 kg/m(2) BMI leads to a reduction of 0.63 points in the physical functioning score as measured with the Western Ontario and McMaster Universities Osteoarthritis Index (100-point scale). The prevalence of complications or comorbidity leads to a reduction of, respectively, 5.63 and 7.25 (one or two comorbidities) and 14.50 points in the case of more than two comorbidities on the physical functioning score. The same pattern is observed for health-related quality of life. CONCLUSIONS: The influence of overweight/obesity on physical functioning and health-related quality of life is low. The impact of complications and comorbidity is considerable. Refusing a patient a THA solely on the basis of overweight or obesity does not seem justified.
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spelling pubmed-32977402012-03-21 The Influence of Overweight/Obesity on Patient-Perceived Physical Functioning and Health-Related Quality of Life After Primary Total Hip Arthroplasty Stevens, Martin Paans, Nienke Wagenmakers, Robert van Beveren, Jan van Raay, Jos J. A. M. van der Meer, Klaas Stewart, Roy Bulstra, Sjoerd K. Reininga, Inge H. F. van den Akker-Scheek, Inge Obes Surg Clinical Research BACKGROUND: Overweight/obesity in patients after total hip arthroplasty (THA) is a growing problem and is associated with postoperative complications and a negative effect on functional outcome. The objective of this study is to determine to what extent overweight/obesity is associated with physical functioning and health-related quality of life 1 year after primary THA. METHODS: A retrospective analysis of prospectively collected data from 653 patients who had undergone a primary THA was conducted. Physical functioning, health-related quality of life, body mass index (BMI), comorbidity, and postoperative complications were assessed by means of a questionnaire and from medical records. To determine to what extent overweight/obesity is associated with physical functioning and health-related quality of life after THA, a structural equation model (SEM) analysis was conducted. RESULTS: The association of BMI corrected for age, gender, complications, and comorbidity with physical functioning is −0.63. This means that an increase in 1 kg/m(2) BMI leads to a reduction of 0.63 points in the physical functioning score as measured with the Western Ontario and McMaster Universities Osteoarthritis Index (100-point scale). The prevalence of complications or comorbidity leads to a reduction of, respectively, 5.63 and 7.25 (one or two comorbidities) and 14.50 points in the case of more than two comorbidities on the physical functioning score. The same pattern is observed for health-related quality of life. CONCLUSIONS: The influence of overweight/obesity on physical functioning and health-related quality of life is low. The impact of complications and comorbidity is considerable. Refusing a patient a THA solely on the basis of overweight or obesity does not seem justified. Springer-Verlag 2011-07-29 2012 /pmc/articles/PMC3297740/ /pubmed/21800224 http://dx.doi.org/10.1007/s11695-011-0483-1 Text en © The Author(s) 2011 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Clinical Research
Stevens, Martin
Paans, Nienke
Wagenmakers, Robert
van Beveren, Jan
van Raay, Jos J. A. M.
van der Meer, Klaas
Stewart, Roy
Bulstra, Sjoerd K.
Reininga, Inge H. F.
van den Akker-Scheek, Inge
The Influence of Overweight/Obesity on Patient-Perceived Physical Functioning and Health-Related Quality of Life After Primary Total Hip Arthroplasty
title The Influence of Overweight/Obesity on Patient-Perceived Physical Functioning and Health-Related Quality of Life After Primary Total Hip Arthroplasty
title_full The Influence of Overweight/Obesity on Patient-Perceived Physical Functioning and Health-Related Quality of Life After Primary Total Hip Arthroplasty
title_fullStr The Influence of Overweight/Obesity on Patient-Perceived Physical Functioning and Health-Related Quality of Life After Primary Total Hip Arthroplasty
title_full_unstemmed The Influence of Overweight/Obesity on Patient-Perceived Physical Functioning and Health-Related Quality of Life After Primary Total Hip Arthroplasty
title_short The Influence of Overweight/Obesity on Patient-Perceived Physical Functioning and Health-Related Quality of Life After Primary Total Hip Arthroplasty
title_sort influence of overweight/obesity on patient-perceived physical functioning and health-related quality of life after primary total hip arthroplasty
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3297740/
https://www.ncbi.nlm.nih.gov/pubmed/21800224
http://dx.doi.org/10.1007/s11695-011-0483-1
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