title: Obesity and worsening of chronic venous disease and joint mobility.
abstract: OBJECTIVE
  The aim of this study was to investigate a possible relationship between obesity and decreased mobility of the talocrural joint and in turn chronic venous disease.
  
  
  METHODS
  One hundred obese patients recruited at Hospital Santa Casa de Maringa, Parana were enrolled by order of arrival at the hospital in a randomized quantitative cross-sectional study. Inclusion criteria were patients with a body mass index above 30 kg/m(2) and the exclusion criteria were infectious conditions that would interfere with the assessment. Patients were graded according to the clinical, etiological, anatomical and pathophysiological classification. Talocrural goniometry was performed to assess the degree of mobility of the legs. The Kolmogorov-Smirnov normality test, Kruskal-Wallis test, Dunn's Multiple comparison test and analysis of variance were used for statistical analysis tests with an alpha error of 5% being considered acceptable.
  
  
  RESULTS
  The increase in body mass index is correlated to the reduction in joint mobility (Kruskal-Wallis test: p-value <0.0001) and increase in clinical, etiological, anatomical and pathophysiological classification is correlated to a decrease in joint mobility and the increase in age is associated with an increase in clinical, etiological, anatomical and pathophysiological classification (Kruskal-Wallis test: p-value <0.0001).
  
  
  CONCLUSIONS
  Obesity is associated with deterioration in joint mobility and worsening of chronic venous disease.
authors.affiliation: Lymphovenous Rehabilitation, Medicine School of São Jose do Rio Preto-FAMERP, Brazil.
authors.forename: Cleusa Ema Quilici
authors.initials: CE
authors.lastname: Belczak
authors.affiliation: Department of Cardiology and Cardiovascular Surgery, Medicine School of São José do Rio Preto-FAMERP and CNPq (National Council for Research and Development), Brazil godoyjmp@gmail.com.
authors.forename: José Maria Pereira
authors.initials: JM
authors.lastname: de Godoy
authors.affiliation: University of São Paulo (USP), Brazil.
authors.forename: Sergio Quilici
authors.initials: SQ
authors.lastname: Belzack
authors.affiliation: Vascular Center, João Belczak, Maringa, Brazil.
authors.forename: Rubiana Neves
authors.initials: RN
authors.lastname: Ramos
authors.affiliation: Medical Science School, Santa Casa de São Paulo FCMSCSP, Brazil.
authors.forename: Roberto Augusto
authors.initials: RA
authors.lastname: Caffaro
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D006801:Humans; D007596:Joints / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D009068:Movement; D009765:Obesity / Q000150:complications / Q000503:physiopathology*; D014689:Venous Insufficiency / Q000150:complications / Q000503:physiopathology
keywords: Obesity; age; mobility talocrural joint; venous disease