Weight is one of the factors that most influences the development of osteoarthritis. Watch your weight to avoid joint pain.
Osteoarthritis is the most common musculoskeletal disease in the world – it affects 40% of people over 60 years old- and it is one of the major causes of disability.
Along with age, obesity is the factor most clearly implicated in the mechanism pathophysiology of osteoarthritis.
In fact, it has been seen that the percentage of people affected by osteoarthritis increases in obese groups and increases even more when obesity is related with any other cardiovascular risk factor. Such as high blood pressure, disorders of lipids or diabetes.
The possibility of suffering from osteoarthritis in people with obesity is 7 times higher than in people with a suitable weight.
Obesity is a chronic disease with an epidemic tendency in the Western world. It can generate metabolic diseases such as diabetes, hypertension, among others.
A clear correlation has been seen in the degree of obesity and the time during which it is suffered, with the early development of osteoarthritis of the hip, knee and hands.
The latter correlated with the production of inflammatory factors in body fat. Which is also cause osteoarthritis in the hands, even though they are not a load bearing joint.
How does obesity influence the development of osteoarthritis?
Obesity exerts a negative mechanism on the joints that can be explained by the effect of excessive loading that causes further degradation of joint cartilage. But it also exerts another systemic mechanism, in relation to the metabolic alteration associated with obesity.
Thus, adipose tissue is considered a true endocrine organ, producer of substances with inflammatory capacity that could have a damaging effect on cartilage joint. Regardless of the load effect, a reason that would explain the association between obesity and non-load bearing joints.
The Spanish Society of Rheumatology has investigated this phenomenon in a timely manner finding that 40% of people with obesity suffer from inflammation and osteoarthritis in the knees early, requiring a surgical procedure around 60 years of age.
Regarding weight loss, it has been pointed out that reducing 4 or 5 kilos, or 2 Index points of Body Mass, reduces the risk of osteoarthritis by 50%. It is not about reached the ‘ideal weight’ but achieve moderate losses that already have great benefits osteoarticular.
At the other extreme, bariatric surgery achieves important improvements in the osteoarticular symptoms; However, if the patient can reduce their weight with changes in eating habits and increased physical activity, this will be the first way to go.
Likewise, experts have highlighted that obesity has a negative impact on the evolution and effectiveness of osteoarthritis treatment. Obese patients, especially those women have greater pain, disability and lower quality of life associated with osteoarthritis.
Obesity affects the load on your joints
When other cardiovascular risk factors are associated with obesity, pain, and loss of function are even greater. It is also known that the progression of osteoarthritis involvement assessed by radiography is faster and worse in obese patients, especially if in addition, hypertension, dyslipidemia and diabetes are added.
Added to the aforementioned, forms osteoarthritis progresses, the ability to perform exercises cardiovascular in order to reduce body weight is reduced; it is because of that It is vital to take prompt action in reducing body weight.
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