Influence of morbid obesity on physical capacity, knee-related symptoms and overall quality of life: A cross-sectional study.

Rev Assoc Med Bras (1992)

PhD, Full Professor, Department of Orthopedics and Traumatology, Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brazil.

Published: February 2017

Objective:: To evaluate the impact of morbid obesity on physical capacity, joint-related symptoms, and on the overall quality of life.

Method:: Cross-sectional study carried out at a university hospital, enrolling 39 individuals admitted to a bariatric surgery service. Physical capacity was assessed by Six-Minute Walk Test (SMWT) and the Borg rating of perceived exertion (RPE). Knee-related symptoms were evaluated by Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Lysholm Score. Quality of life was evaluated by Short Form 36 Health Questionnaire (SF-36).

Results:: On SMWT, the mean distance walked was 374.1±107.5 m. The mean Borg score was 12.9±2.4. KOOS questionnaire found the following scores: pain (64.3±24), other symptoms (67.2±25.5), function in daily living (60.4±26.8), function in sport and recreation (28.5±32.2), knee-related quality of life (35.9±33.5), mean Lysholm scale score (55.3±25.4). SF-36 provided the following scores: physical functioning (41±27.4), physical role functioning (34.6±39.2), bodily pain (45.7±23.6), general health perceptions (63.1±26.2), vitality (53.5±12.1), social role functioning (52.6±29.3), emotional role functioning (41±44.9), mental health (55±27.7).

Conclusion:: Obesity led to significant loss of physical capacity, gait impairment, knee-related symptoms, and a negative impact on the overall quality of life.

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http://dx.doi.org/10.1590/1806-9282.63.02.142DOI Listing

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