여성 퇴행성관절염 환자의 비만과 관절기능상태와의 관계

Relationship between Obesity and Functional Status of Joint in Women Patients with Osteoarthritis

Purpose: This study was done to identify obesity and functional status of joint and to examine the relationship between obesity and functional status of joint in women patients with osteoarthritis. Method: Data were collected from questionnaires of 120 community osteoarthritis patients in D metropolitan city in Korea, from Oct. 3rd to Nov. 20th, 2011. Obesity was measured body mass index(BMI) and waist to hip ratio(WHR). Korean-Western Ontario and McMaster Universities(K-WOMAC) was used as a functional status of joint. Result: The mean item score of BMI was 24.64 and obese group(BMI ≥ 25kg/㎡) was the most common. 72.5% were abdomen obese group(WHR ≥ 0.85), the average score of WHR was 0.89. There were significant differences between BMI and K-WOMAC subscale{pain(r= .321, p= .017), stiffness(r= .373, p= .005), difficult of ADL(r= .420, p= .001)}, K-WOMAC total score(r= .413, p= .002). There were significant differences WHR and K-WOMAC subscale{stiffness(r= .334, p= .002), difficult of ADL(r= .246, p= .021)}, K-WOMAC total score(r= .233, p= .030). Conclusion: Obesity had significant correlation with functional status of joint of osteoarthritis patients. Interventions designed to promote weight loss and exercise in obese people who have osteoarthritis have demonstrated clinically significant improvement in symptoms and disease risk factor.