[Pain and osteoarticular changes in obese persons].
Obesity was confirmed as a possible aetiological and certainly promoting factor in the development of osteoarthritis (OA). One of the first clinical symptoms of OA is pain which does not always correspond with the X-ray picture of the damaged joint. The authors examined 11,124 obese subjects where they investigated X-ray changes of the hip joints, knees and heels and selected clinical symptoms. They correlated them with the degree of obesity, the duration of obesity and the subjects age. They revealed a direct correlation between the development of OA and all the investigated parameters. An alarming finding was that arthritis changes developed in the hip joints also in half the subjects with minor overweight and in particular that in one third of the obese subjects in the second and third decade pathological changes of the joints are present without causing subjects complaints. During a prolonged reducing regime attention must be paid to the possible development of osteopenia which may be also the source of pain. Obese subjects suffer pain also from nodes of non-inflammatory proliferated subcutaneous adipose tissue, venous insufficiency and trophic skin changes.
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Výskumný ústav výzivy l'udu, Bratislava.
Beno
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D000328:Adult; D005260:Female; D006801:Humans; D007596:Joints; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D010003:Osteoarthritis / Q000209:etiology*; D010146:Pain / Q000209:etiology*