FRI0415 BODY MASS INDEX AND STATIC FOOT DISORDERS IN GONARTHROSIC PATIENTS

Background:Several studies have shown that there is a link between body mass index (BMI) and painful foot imputed to a biomechanical change in foot structure [1].Objectives:Our objective was to study the association between BMI and static foot disorders in gonarthrosic subjects.Methods:It was a prospective descriptive study conducted in the rheumatology department of the Mohamed Kassab Institute of Orthopedics with 60 patients with Gonarthrosis. The socio-demographic data of the patients were studied. BMI was calculated for all patients. Static foot disorders have been studied.Results:Sixty patients were included, 83.3% of whom were female. The average age was 55.2 years [38-78 years]. The disease has been evolving for an average of 6 years [1-13 years]. The lesion was bilateral in 80% of cases, the average body mass index was 30.4 kg / m2 [24-36]. Knee arthritis was classified as stage I, II and III according to the Kellgren and Lawrence classification in 18.5%, 55.6% and 25.9% of patients respectively. The foot examination involved 108 gonarthrosic limbs. Examination of the integuments showed hyperkeratosis in 94.4% of the cases (79.6% calluses and 83.3% callosities). Forefoot deformities were Hallux valgus (HV) in 52.8% of cases and overlapping toes in 18.5% of cases. Pronation deformity using the Foot Posture Index (FPI) was found in 51.9% of cases. Abnormal lowering of navicular bone was noted in 51.9%. The podoscopic impression revealed flat feet in 73.2% of the cases.A statistically significant association was found between BMI and the presence of calluses (31.21 ± 2.897 vs26.83 ± 1.425, p <0.001), with HV (31.37 ± 3.086 vs29.49 ± 2.969, p = 0.002), at the overlap of the toes (33.2 ± 1.361vs29.86 ± 1.130, p <0.001), with the lowering of the navicular bone (31.17 ± 2.885vs29.68 ± 3.304, p = 0.015), FPI (p = 0.003) and flat podoscopic impression (p <0.001).Conclusion:BMI is strongly associated with static feet disorders in gonarthrosic patients by aggravating the postural changes in the foot caused by knee osteoarthritis [2]. Obesity is associated mainly with the existence of flat feet, pronation of the foot, toes deformities and hyperkeratosis.References:[1]Steele JR, Mickle KJ, Munro B. Fat flat frail feet: how does obesity affect the older foot. XXII Congress of the International Society of Biomechanics; 2009[2]Norton AA, Callaghan JJ, Amendola A, Phisitkul P, Wongsak S, Liu SS, et al. Correlation of knee and hindfoot deformities in advanced knee OA: compensatory hindfoot alignment and where it occurs. Clin Orthop Relat Res. 2015;473(1):166-74Disclosure of Interests:None declared

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Relationship of Body Mass Index and Footprint Morphology to the Actual Height of the Medial Longitudinal Arch of the Foot

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18189815 ◽

2021 ◽

Vol 18 (18) ◽

pp. 9815

Author(s):

Carolina Rosende-Bautista ◽

Pedro V. Munuera-Martínez ◽

Teresa Seoane-Pillado ◽

María Reina-Bueno ◽

Francisco Alonso-Tajes ◽

...

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Individual Characteristics ◽

Medial Longitudinal Arch ◽

Men And Women ◽

Foot Posture Index ◽

Posture Index ◽

Longitudinal Arch ◽

Flat Feet ◽

Foot Posture

The medial longitudinal arch height of the foot is linked to individual characteristics such as sex and body mass index, and these characteristics have been shown to be associated with conditions such as flat feet. In this cross-sectional descriptive study, we examined the medial longitudinal arch morphology in an adult population to determine if there are differences related to sex and body mass index, and values were obtained for the foot posture index. Normalized anthropometric measurements and arch indices were calculated from footprints. Groups, defined by sex and body mass index, were compared, and the correlations between body mass index and the variables were determined. In the population studied (266 women and 177 men), significant differences between men and women for the foot posture index and normalized arch measurements were found. Analysis of the variables related to body mass index indicated there were significant differences in arch indices. Significant differences and positive correlations were also found between the arch index and body mass index for the left and right feet among the men and women studied. The results obtained allow us to reflect on and analyze whether the medial longitudinal arch morphology classification methods used in the clinical and research setting are adequate or whether the influence of factors such as body mass index can generate confusion.

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Study regarding the bio-motor level and health of children from gymnasium level

SPORT AND SOCIETY ◽

10.36836/2020/1/13 ◽

2020 ◽

pp. 1-9

Author(s):

Dan Alexandru Szabo

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Anthropometric Measurements ◽

Average Height ◽

Mathematical Methods ◽

Health Development ◽

Health Level ◽

Class Level ◽

Flat Feet ◽

Weight Problems

The investigation started from the need to find the level of bio-motor and health development in our Gymnasium School “Unirea” from Târgu Mureş. The research was also focused on discovering the children with BMI problems and finding the link between obesity and apparition of flat feet, spin and knee deficiencies. The methods of research were mainly experimental, we used anthropometric measurements of height, weight, body mass index and analyzed the parameters using statically and mathematical methods. The location of the study was the gymnasium level of the National College “Unirea” from Târgu Mureş, and involved 16 selected children with an average age 12.69 years old, 4 children with weight problems selected from every class level. The results of the investigation showed that the average height of the sample was 162.7 cm, weight 71 kg and a BMI average of 26.6. The BMI analyzed showed that obesity is an important factor in the apparition of other deficiencies, among students that were measured we also found 5 cases of kyphosis, 5 of scoliosis and 6 cases of flat feet. Conclusions of the investigation showed that BMI in youth is an important parameter in establishing the health level of children from gymnasium level and in preventing the apparition of the spine and feet deficiencies.

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One year change of knee cartilage morphology in the first release of participants from the Osteoarthritis Initiative progression subcohort: association with sex, body mass index, symptoms and radiographic osteoarthritis status

Annals of the Rheumatic Diseases ◽

10.1136/ard.2008.089904 ◽

2008 ◽

Vol 68 (5) ◽

pp. 674-679 ◽

Cited By ~ 95

Author(s):

F Eckstein ◽

S Maschek ◽

W Wirth ◽

M Hudelmaier ◽

W Hitzl ◽

...

Keyword(s):

Risk Factors ◽

Body Mass Index ◽

Body Mass ◽

Statistical Significance ◽

Weight Bearing ◽

Rate Of Change ◽

Cartilage Loss ◽

Knee Oa ◽

Symptomatic Knee ◽

Osteoarthritis Initiative

Objective:The Osteoarthritis Initiative (OAI) is a multicentre study targeted at identifying biomarkers for evaluating the progression and risk factors of symptomatic knee OA. Here cartilage loss using 3 Tesla (3 T) MRI is analysed over 1 year in a subset of the OAI, together with its association with various risk factors.Methods:An age- and gender-stratified subsample of the OAI progression subcohort (79 women and 77 men, mean (SD) age 60.9 (9.9) years, body mass index (BMI) 30.3 (4.7)) with both frequent symptoms and radiographic OA in at least one knee was studied. Coronal FLASHwe (fast low angle shot with water excitation) MRIs of the right knee were acquired at 3 T. Seven readers segmented tibial and femoral cartilages blinded to order of acquisition. Segmentations were quality controlled by one expert.Results:The reduction in mean cartilage thickness (ThC) was greater (p = 0.004) in the medial than in the lateral compartment, greater (p = 0.001) in the medial femur (−1.9%) than in the medial tibia (−0.5%) and greater (p = 0.011) in the lateral tibia (−0.7%) than in the lateral femur (0.1%). Multifactorial analysis of variance did not reveal significant differences in the rate of change in ThC by sex, BMI, symptoms and radiographic knee OA status. Knees with Kellgren–Lawrence grade 2 or 3 and with a BMI >30 tended to display greater changes.Conclusions:In this sample of the OAI progression subcohort, the greatest, but overall very modest, rate of cartilage loss was observed in the weight-bearing medial femoral condyle. Knees with radiographic OA in obese participants showed trends towards higher rates of change than those of other participants, but these trends did not reach statistical significance.

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Life course body mass index and risk of knee osteoarthritis at the age of 53 years: evidence from the 1946 British birth cohort study

Annals of the Rheumatic Diseases ◽

10.1136/ard.2011.154021 ◽

2011 ◽

Vol 71 (5) ◽

pp. 655-660 ◽

Cited By ~ 63

Author(s):

Andrew K Wills ◽

Stephanie Black ◽

Rachel Cooper ◽

Russell J Coppack ◽

Rebecca Hardy ◽

...

Keyword(s):

Body Mass Index ◽

Knee Osteoarthritis ◽

Birth Cohort ◽

Body Mass ◽

Prolonged Exposure ◽

Birth Cohort Study ◽

Activity Levels ◽

Z Score ◽

Knee Oa ◽

High Bmi

IntroductionThe authors examined how body mass index (BMI) across life is linked to the risk of midlife knee osteoarthritis (OA), testing whether prolonged exposure to high BMI or high BMI at a particular period has the greatest influence on the risk of knee OA.MethodsA population-based British birth cohort of 3035 men and women underwent clinical examination for knee OA at age 53 years.Heights and weights were measured 10 times from 2 to 53 years. Analyses were stratified by gender and adjusted for occupation and activity levels.ResultsThe prevalence of knee OA was higher in women than in men (12.9% (n=194) vs 7.4% (n=108)). In men, the association between BMI and later knee OA was evident at 20 years (p=0.038) and remained until 53 years (OR per z-score 1.38 (95% CI 1.11 to 1.71)). In women, there was evidence for an association at 15 years (p=0.003); at 53 years, the OR was 1.89 (95% CI 1.59 to 2.24) per z-score increase in BMI. Changes in BMI from childhood in women and from adolescence in men were also positively associated with knee OA. A structured modelling approach to disentange the way in which BMI is linked to knee OA suggested that prolonged exposure to high BMI throughout adulthood carried the highest risk and that there was no additional risk conferred from adolescence once adult BMI had been accounted for.ConclusionThis study suggests that the risk of knee OA accumulates from exposure to a high BMI through adulthood.

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MODEST OVERWEIGHT AND HEALTHY DIETARY HABITS REDUCE RISK OF DEMENTIA: A NATIONWIDE SURVEY IN TAIWAN

Journal of Prevention of Alzheimer's Disease ◽

10.14283/jpad.2016.123 ◽

2016 ◽

pp. 1-8

Author(s):

C.-Y. Lee ◽

Y. Sun ◽

H.-J. Lee ◽

T.-F. Chen ◽

P.-N. Wang ◽

...

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Dietary Habits ◽

Demographic Data ◽

Sugar Content ◽

East Asian ◽

Asian Population ◽

Nationwide Survey ◽

Normal Subjects ◽

Cross Sectional

Background: Evidence of the associations of dietary habits and body mass index with dementia is inconsistent and limited in East Asian countries. Objective: We aim to explore the associations of dietary habits and body mass index with the odds of dementia. Design: Cross-sectional observational study. Setting: A nationwide, population-based, door-to-door, in-person survey. Participants: Selected by computerized random sampling from all 19 counties in Taiwan. Measurement: Diagnosis of dementia using the criteria recommended by the National Institute on Aging-Alzheimer’s Association. Lifestyle factors, dietary habits and demographic data were compared between normal subjects and participants with dementia. Results: A total of 10432 residents were assessed, among whom 2049 were classified as having a mild cognitive impairment (MCI), 929 were diagnosed with dementia, and 7035 were without dementia or MCI. After adjustment for age, gender, education, body mass index (BMI), dietary habits, habitual exercises and co-morbidities, including hypertension, diabetes and cerebrovascular diseases, we found inverse associations of dementia with the consumption of fish (OR 0.62, 95% CI 0.41-0.94), vegetables (OR 0.35, 95% CI 0.13-0.95), coffee (OR 0.59, 95% CI 0.35-0.97), green tea (OR 0.51, 95% CI 0.34-0.75) and other types of tea (OR 0.41, 95% CI 0.28-0.60). There was no association between dementia and fruit consumption. Compared with people who had a normal BMI (18 < BMI <= 24), older overweight people (24 < BMI <=30) had a reduced risk of dementia with an adjusted OR of 0.77 (95% CI 0.61-0.96). Conclusions: Our study provides preliminary evidence that suggests that the consumption of fish, vegetables, tea, and coffee has potential benefits against dementia in East Asian population. Being modestly overweight (nadir risk at BMI = 25) in late life was associated with decreased odds of dementia. The benefit of fruits may be offset by their high sugar content.

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Serum C reactive protein levels and genetic variation in the CRP gene are not associated with the prevalence, incidence or progression of osteoarthritis independent of body mass index

Annals of the Rheumatic Diseases ◽

10.1136/ard.2009.125260 ◽

2010 ◽

Vol 69 (11) ◽

pp. 1976-1982 ◽

Cited By ~ 46

Author(s):

Hanneke J M Kerkhof ◽

Sita M A Bierma-Zeinstra ◽

Martha C Castano-Betancourt ◽

Moniek P de Maat ◽

Albert Hofman ◽

...

Keyword(s):

Systematic Review ◽

Body Mass Index ◽

Genetic Variation ◽

Body Mass ◽

Analysis Of Covariance ◽

C Reactive Protein ◽

Knee Oa ◽

Reactive Protein ◽

Serum Crp ◽

The Relationship

ObjectiveTo study the relationship between serum C reactive protein (CRP) levels, genetic variation in the CRP gene and the prevalence, incidence and progression of radiographic osteoarthritis (ROA) in the Rotterdam Study-I (RS-I). A systematic review of studies assessing the relationship between osteoarthritis (OA) and CRP levels was also performed.MethodsThe association between CRP levels and genetic variation in the CRP gene and ROA was examined in 861 patients with hand OA, 718 with knee OA, 349 with hip OA and 2806 controls in the RS-I using one-way analysis of covariance and logistic regression, respectively. PubMed was searched for articles published between January 1992 and August 2009 assessing the relationship between CRP levels and OA.ResultsIn RS-I the prevalence of knee OA, but not hip OA or hand OA, was associated with 14% higher serum CRP levels compared with controls (p=0.001). This association disappeared after adjustment for age and especially body mass index (BMI) (p=0.33). Genetic variation of the CRP gene was not consistently associated with the prevalence, incidence or progression of OA within RS-I. The systematic review included 18 studies (including RS-I) on serum CRP levels and the prevalence, incidence or progression of OA. Consistently higher crude CRP levels were found in cases of prevalent knee OA compared with controls. No association was observed between serum CRP levels and the prevalence of knee OA following adjustment for BMI (n=3 studies, meta-analysis p value=0.61).ConclusionThere is no evidence of association between serum CRP levels or genetic variation in the CRP gene with the prevalence, incidence or progression of OA independent of BMI.

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Prevalence of anemia among medical students of nobel medical college and correlation with body mass index

Asian Journal of Medical Sciences ◽

10.3126/ajms.v11i3.27124 ◽

2020 ◽

Vol 11 (3) ◽

pp. 62-66

Author(s):

Renu Yadav ◽

Nisha Ghimire ◽

Soumitra Mukhopadhyay ◽

Subodh Kumar Yadav

Keyword(s):

Body Mass Index ◽

Medical Students ◽

Body Mass ◽

Teaching Hospital ◽

Demographic Data ◽

Sampling Technique ◽

Food Habit ◽

Cross Sectional ◽

Medical College ◽

Prevalence Of Anemia

Background: Studies have concluded that the medical students of hostels are at high risk of anemia due to inappropriate diet and their long schedules that indirectly affect their performance. Thus, concerning for the long duration of medical studies, it has become a serious medical issue. Aims and Objective: Thus, our objective is to determine the prevalence of anemia among medical students in Nobel Medical College and Teaching Hospital, Nepal. Materials and Methods: This is a descriptive cross-sectional study which was conducted and Teaching Hospital from January 2017 to December 2017 where all the subjects were selected with convenient sampling technique. The total of 150 MBBS students (male=95, female=55), age 18-25 years were included in the study who were clinically healthy. The demographic data (name, age, sex, address) and anthropometric variables (height, weight, body mass index) were recorded and hemoglobin was estimated by Sahli’s acid hematin method. Results: Only 42.1% of total were mild anemic and 11.6 % were moderately anemic. Among female, 1.8% were severely anemic, 9.1% were moderately anemic and 41.8% were mild anemic. Compared to male, anemia in female medical students was found to be more extensive. Conclusions: It has been concluded from the above study that the mild anemia is highly prevalent among medical students regardless of gender. Though the subjects are not severely affected, it is a concerned issue since the cause might be inappropriate food habit or the food facilities available at hostels.

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The relationship between the body mass index (BMI) and foot posture in elderly people

Archives of Gerontology and Geriatrics ◽

10.1016/j.archger.2010.06.014 ◽

2011 ◽

Vol 52 (2) ◽

pp. e89-e92 ◽

Cited By ~ 31

Author(s):

Thaís Rabiatti Aurichio ◽

José Rubens Rebelatto ◽

Alessandra Paiva de Castro

Keyword(s):

Body Mass Index ◽

Elderly People ◽

Body Mass ◽

The Body ◽

Foot Posture ◽

The Relationship

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Increased Body Mass Index in Ankylosing Spondylitis Is Associated with Greater Burden of Symptoms and Poor Perceptions of the Benefits of Exercise

The Journal of Rheumatology ◽

10.3899/jrheum.120595 ◽

2012 ◽

Vol 39 (12) ◽

pp. 2310-2314 ◽

Cited By ~ 34

Author(s):

LAURA DURCAN ◽

FIONA WILSON ◽

RICHARD CONWAY ◽

GAYE CUNNANE ◽

FINBAR D. O’SHEA

Keyword(s):

Body Mass Index ◽

Ankylosing Spondylitis ◽

Disease Activity ◽

Body Mass ◽

Functional Disability ◽

Activity Index ◽

Demographic Data ◽

Functional Limitation ◽

Disease Characteristics ◽

Significant Difference

Objective.Increased body mass index (BMI) in patients with ankylosing spondylitis (AS) is associated with a greater burden of symptoms and poor perceptions of the benefits of exercise. In AS, the effect of obesity on disease characteristics and exercise perceptions is unknown. We evaluated the prevalence of obesity in AS, to assess the attitudes of patients toward exercise and to evaluate the effect of obesity on symptoms and disease activity.Methods.Demographic data and disease characteristics were collected from 46 patients with AS. Disease activity, symptomatology, and functional disability were examined using standard AS questionnaires. BMI was calculated. Comorbidity was analyzed using the Charlson Comorbidity Index. Patients’ attitudes toward exercise were assessed using the Exercise Benefits and Barriers Scale (EBBS). We compared the disease characteristics, perceptions regarding exercise, and functional limitations in those who were overweight to those who had a normal BMI.Results.The mean BMI in the group was 27.4; 67.5% of subjects were overweight or obese. There was a statistically significant difference between those who were overweight and those with a normal BMI regarding their perceptions of exercise (EBBS 124.7 vs 136.6, respectively), functional limitation (Bath AS Functional Index 4.7 vs 2.5, Health Assessment Questionnaire 0.88 vs 0.26), and disease activity (Bath AS Disease Activity Index 4.8 vs 2.9). There was no difference between the groups in terms of their comorbid conditions or other demographic variables.Conclusion.The majority of patients in this AS cohort were overweight. They had a greater burden of symptoms, worse perceptions regarding the benefits of exercise, and enhanced awareness of their barriers to exercising. This is of particular concern in a disease where exercise plays a crucial role.

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