md-medicaldata

Authors

 

Milena Isailović¹, Tijana Tanasković¹, Aleksandra Cvetinović¹, Jovana Krasić¹, Ivana Minaković^1,2, Jelena Zvekić-Svorcan<sup>1,3

1</sup>Medicinski fakultet Novi Sad, Univerzitet u Novom Sadu, Republika Srbija
²Dom zdravlja “Novi Sad” Novi Sad, Republika Srbija
³Specijalna bolnica za reumatske bolesti Novi Sad, Republika Srbija

 

UDK: 616.728.3-002:613.25

The paper was received / Rad primljen: 15.10.2024.

Accepted / Rad prihvaćen: 18.11.2024.

 

Correspondence to:

Doc. Dr Jelena Zvekić-Svorcan
Katedra za medicinsku rehabilitaciju
Medicinski fakultet Novi Sad
Univerzitet u Novom Sadu Specijalna bolnica za reumatske bolesti
Novi Sad Futoška 68, Republika Srbija
e-mail: jelena.zvekic-svorcan@mf.uns.ac.rs

 

 

Sažetak

 

 

Uvod: Osteoartroza kolena je hronično degenerativno oboljenje koje nastaje kao posledica oštećenja hrskavice sinovijalnih zglobova, a zatim i okolnih zglobnih struktura, što doprinosi lošijoj funkcionalnosti posebno kod pacijenata sa povećanom telesnom masom. Cilj: Ispitati uticaj telesne mase na rizik od pada i funkcionalno stanje kod pacijenata sa osteoartrozom kolena. Materijal i metode: Prospektivna studija preseka je obuhvatala 50 ispitanika oba pola, starosti 60-75 godina, sa dijagnozom osteoartroze kolena koji su lečeni u Specijalnoj bolnici za reumatske bolesti u Novom Sadu. Istraživanje je sprovedeno nakon odluke Etičkog odbora. Svi pacijenti su potpisali informisani pristanak o učešću u istraživanju, popunili su upitnik o sociodemografskim podacima sastavljenim od strane ispitivača, Vizuelno analognu skalu bola, Morzeovu skalu za procenu rizika od pada, kao i Funkcionalna skala za donje ekstremitete validirana za srpsku populaciju (Srb LEFS). Za obradu podataka korišćen je statistički paket Statistical Package for Sciences ver.24. Rezultati: Prosečna starost ispitanika je 69,06 ± 4,98 godina, dok su 92% uzorka činile osobe ženskog pola.  Potvrđen je uticaj BMI na funkcionalnu skalu za donje ekstremitete   (Beta = -0.284, p = 0.045, CI 95%: [-1.668, -0.019]). BMI objašnjava 8,1% varijanse funkcionalnosti donjih ekstremiteta. Što je BMI viši, niži je skor na SrbLEFS skali. BMI nije statistički značajni prediktor rezultata na Morzeovoj skali (p > 0,05) što je objašnjeno Beta = 0.137, p = 0.344, and CI 95%: [-0.673, 1.891]. Zaključak: Povećana telesna masa je prepoznata kao prediktor većeg smanjenja funkcionalnosti donjih ekstremi­teta, dok nije prepoznata kao prediktor za pad kod pacijenata sa osteoartrozom kolena.

 

Ključne reči:

osteoartroza kolena; pad; funkcionalnost donjih ekstremiteta; indeks telesne mase.

 

 

 

Abstract

 

Bacground: Osteoarthritis (OA) of the knee is a chronic degenerative disease that occurs as a result of damage to the cartilage of the synovial joints, gradually progressing to the surrounding joint structures, due to which it compromises functionality, especially in patients with increased body mass index (BMI). Aim: To examine the influence of BMI on the fall risk and functional status in patients with knee OA. Material and methods: The study was based on prospective cross-sectional design and involved 50 knee OA patients of both sexes, aged 60−75 years, who were treated at the Special Hospital for Rheumatic Diseases in Novi Sad. The research was approved by the institutional Ethics Committee and all participants provided their informed consent. Data was gathered via a sociodemographic questionnaire developed by the examiner, Visual Analogue Pain Scale (VAS), Morse Fall Scale (MFS), and Lower Extremity Functional Scale validated for the Serbian population (Srb-LEFS). It was subsequently processed using the Statistical Package for Social Sciences (SPSS) ver. 24. Results: The average age of the respondents was 69.06 ± 4.98 years, 92% of whom were women. The influence of BMI on the Srb-LEFS score was confirmed (Beta = -0.284, p = 0.045, CI 95%: [-1.668, -0.019]). BMI explained 8.1% of the variance in lower limb functionality. While higher BMI was associated with a lower Srb-LEFS score, BMI was not a statistically significant predictor of MFS scores (p > 0.05), which is explained by Beta = 0.137, p = 0.344, and CI 95%: [-0.673, 1.891]. Conclusion: Increased BMI was recognized as a predictor of greater reduction in the lower extremity functionality, but was not a predictor of falls in patients with knee OA.

 

Key words:

knee osteoarthritis; fall; lower extremity functionality; body mass index

 

 

 

 

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