Abstract

MARQUES, Andreia Baptista. The association between overweight, obesity, musculoskeletal pain and osteoarthritis in primary health care: cross-sectional study. Rev Port Med Geral Fam [online]. 2017, vol.33, n.3, pp.222-228. ISSN 2182-5173.

Objectives: To evaluate the association of overweight, obesity, musculoskeletal pain and osteoarthritis in primary care. Design: Cross-sectional study. Setting: Health units in the Group of Health Centres of the Lisboa e Vale do Tejo Regional Health Administration Participants: Patients aged 21 years or older who consulted with a family doctor in 2014. Methods: Data were obtained from the centralized computer records of the regional health administration (Sistema de Informação da Administração Regional de Saúde). ICPC-2 codes L13, L15, L89, L90, T82 and T83, were examined by gender and age group. Descriptive statistics and chi-square tests were applied to evaluate differences in prevalence between the variables, with a significance level of 0.05. Results: The prevalences of overweight and obesity in the 1,742.470 patients in this population were 7.42% and 8.69%. The prevalence of hip symptoms or complaints was 1.51%, knee symptoms or complaint 3.25%, osteoarthritis of the hip 2.57%, and osteoarthritis of the knee 5.46%. There was a statistically significant association between overweight and hip symptoms or complaints (OR=1.07; IC95%: 1.02-1.12, p<0.0001), knee symptoms or complaints (OR=1.15; IC95%: 1.12-1.19, p<0.0001), osteoarthritis of the hip (OR=2.17; IC95%: 2.11-2.24, p<0.0001) and osteoarthritis of the knee (OR=2.18; IC95%: 2.14-2.23, p<0.0001), and between obesity and hip symptoms or complaints (OR=1.23; IC95%: 1.18-1.28, p<0.0001), knee symptoms or complaints (OR=1.62; IC95%: 1.58-1.66, p<0.0001), osteoarthritis of the hip (OR=2.57; IC95%: 2.50-2.63, p<0.0001), and osteoarthritis of the knee (OR=3.69; IC95%: 3.63-3.75, p<0.0001). Conclusions: The positive association between overweight and obesity, and hip symptoms or complaints, knee symptoms or complaints, osteoarthritis of the hip, and osteoarthritis of the knee in this population are consistent with results from international studies

Keywords : Obesity; Musculoskeletal pain; Osteoarthritis; Association; Primary health care.

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