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Elevated Body Mass Index Is Associated With Rotator Cuff Disease: A Systematic Review and Meta-analysis. | LitMetric

Elevated Body Mass Index Is Associated With Rotator Cuff Disease: A Systematic Review and Meta-analysis.

Arthrosc Sports Med Rehabil

Division of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, U.S.A.

Published: August 2024

AI Article Synopsis

  • The study analyzes existing literature on the relationship between obesity, body mass index (BMI), and rotator cuff disease (RCD) through a systematic review and meta-analysis of relevant research articles.
  • After reviewing 248 articles, 27 provided data on obesity and RCD, leading to the inclusion of 17 studies in the meta-analysis, which revealed that higher BMI is significantly associated with increased odds of RCD.
  • The results showed that individuals with RCD are more likely to be overweight or obese, and each 5-unit increase in BMI correlates with a 35% increase in the likelihood of rotator cuff tears, while also noting potential biases and variability in study quality.

Article Abstract

Purpose: To analyze the literature regarding obesity, body mass index (BMI), and rotator cuff disease (RCD).

Methods: In this Systematic Review and Meta-analysis, we queried PubMed, Embase, Cochrane, Cumulative Index to Nursing & Allied Health, and Science Direct using key words (August 25, 2023). Analytic observational studies (cohort, case-control, and cross-sectional studies) with more than 30 participants per comparison group, evaluating the association between obesity and rotator cuff pathology, were eligible for inclusion. Meta-analysis was performed to quantitatively summarize associations between BMI and RCD to report odds ratios and corresponding 95% confidence intervals (CIs) for regression-based models and BMI mean differences between cases and controls. Risk Of Bias In Non-randomised Studies - of Interventions tool was used to evaluate risk of bias across all studies in the systematic review.

Results: After full-text review of 248 articles, 27 presented data on obesity and RCD, and 17 qualified for meta-analysis. Individuals with RCD were 1.21 times (95% CI 1.10-1.34) as likely to have overweight and 1.44 times (95% CI 1.32-1.59) as likely to have obesity compared with those without RCD. Each 5-unit increase in BMI was associated with 35% greater odds of having rotator cuff tear (95% CI 1.06-1.71). In-depth assessment for risk of bias shows quality of studies varies greatly and highlights outcome heterogeneity, lack of temporality, confounding and selection bias as major concerns for individual studies.

Conclusions: In this study, we found a positive association between elevated BMI and RCD.

Level Of Evidence: Level III, systematic review and meta-analysis of Level II-III studies.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11480809PMC
http://dx.doi.org/10.1016/j.asmr.2024.100953DOI Listing

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