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肥胖和骨关节炎患者的身体组成参数与生活质量之间的关系

Jaime González-Gutiérrez¹, Juan José López-Gómez¹, David Primo-Martín¹

¹Endocrinology and Nutrition Department, Clinic University Hospital of Valladolid, Valladolid, Spain; Endocrinology and Nutrition Investigation Centre, University of Valladolid, Valladolid, Spain.

Nutrition (Burbank, Los Angeles County, Calif.)

|April 13, 2025

概括

在肥胖和慢性骨关节炎患者中,较高的肌肉质量和相角与更好的生活质量和功能有关. 生物阻抗计可以评估这些影响骨关节炎结果的身体组成因素.

科学领域:

类风湿病学类风湿病学
肥胖医学肥胖医学
身体组成分析身体成分分析

背景情况:

慢性骨关节炎和肥胖严重影响患者的生活质量 (QoL) 和功能能力.
生物阻抗计 (BIA) 提供了一种评估身体组成的方法,包括肌肉和脂肪质量,这可能会影响疾病的结果.

研究的目的:

研究肥胖和慢性骨关节炎患者的BIA和QoL/功能能力测量的身体组成参数之间的关系.
为了确定特定的BIA衍生的指标是否与骨关节炎症状严重程度相关.

主要方法:

一项描述性的横截面研究包括467名患有肥胖和慢性骨关节炎的患者 (74.9%为女性).
收集的数据包括人口统计,BMI,WOMAC评分 (评估疼痛,硬,功能) 和BIA参数 (MMI,FMI,PA,BMI调整后PA,Xc,Rz).
根据WOMAC总分数,患者被分为四组.

主要成果:

肌肉质量指数 (MMI) 和BMI调整后的相角 (PA) 与WOMAC功能能力得分呈负相关性 (r = -0.16,P <0.05).
较低的BMI调整的PA与QOL略有下降有关.
虽然并非所有指标都具有统计学意义,但趋势表明男性和女性之间的WOMAC分数存在差异.

结论:

通过BIA评估的肌肉质量可能与肥胖和慢性骨关节炎患者的QoL有关.
减小BMI调整相角与此患者群体的生活质量下降有关.
BIA参数提供了对身体组成的见解,这可能会影响肥胖个体患有骨关节炎的体验.

关键词:

功能性的功能性.低肌肉质量低肌肉质量肥胖问题肥胖问题骨关节炎是一种骨关节炎.生活质量生活的质量.

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