The impact of abdominal obesity on the quality of life and the clinical and functional state of the musculoskeletal system in patients with osteoarthritis

Abstract

Introduction. Osteoarthritis (OA) is the most common joint disease affecting more than 240 million people worldwide and is the most common cause of activity limitation in adults. Objective. To determine the impact of abdominal obesity on the quality of life and the clinical and functional state of the musculoskeletal system in patients with osteoarthritis. Results. According to the examination results, it was determined that in patients with combined pathology, anthropometric data and BMI were significantly higher than in patients with isolated OA. By dividing the patients according to the radiological stage of OA, it was found that in the group of patients with OA without combined pathology, stage I and II prevailed, and stage IV was not detected in the corresponding group, while in the group of patients with OA combined with abdominal obesity stage III was mainly observed. Also, 12% of patients in this group had IV radiological stage of OA. Based on the obtained data, it was found that all quality of life indicators in patients with combined pathology were significantly increased compared to the group of patients with OA (p<0.05), which indicates an unsatisfactory level of quality of life in patients with OA with abdominal obesity. Conclusions. It was determined, that there is an increase in the severity and intensity of clinical symptoms (increase in VAS, Lequesne and WOMAC indices) and a lower quality of life in patients with OA in association with obesity compared to the isolated OA.