The effects of lower-extremity total joint replacement for arthritis on obesity.
Total hip or knee replacement patients who are overweight or obese often consider their disabling joint disease a cause for their increased weight. This prospective study investigated weight change in 100 patients after successful total joint replacement to determine whether surgical treatment of hip or knee arthritis leads to weight reduction. Postoperatively, both hip and knee replacement patients gained weight, with no difference in weight gain between hip and knee replacement patients. Younger hip patients gained a significant amount of weight. Patients a with normal body mass index and obese patients did not lose weight, while overweight patients gained a significant amount of weight after surgery. These findings demonstrate successful treatment of lower-extremity arthritis does not lead to weight loss, and obesity should be treated as an independent disease that is not the result of inactivity from arthritis.
Heisel
Christian
C
Joint Replacement Institute at Orthopaedic Hospital, Los Angeles, CA 90007, USA.
Silva
Mauricio
M
dela Rosa
Mylene A
MA
Schmalzried
Thomas P
TP
D000328:Adult; D000368:Aged; D001168:Arthritis / Q000150:complications / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D015992:Body Mass Index; D001835:Body Weight / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000601:surgery; D006801:Humans; D007595:Joint Prosthesis / Q000592:standards; D007719:Knee Joint / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000503:physiopathology*; D011182:Postoperative Care; D011446:Prospective Studies; D016896:Treatment Outcome