The effect of increasing body mass index on the pain and function of patients with adult spinal deformity.
Body mass index (BMI)
deformity
obese
scoliosis
spine
Journal
Journal of spine surgery (Hong Kong)
ISSN: 2414-469X
Titre abrégé: J Spine Surg
Pays: China
ID NLM: 101685460
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
entrez:
12
2
2020
pubmed:
12
2
2020
medline:
12
2
2020
Statut:
ppublish
Résumé
Both adult spinal deformity (ASD) and obesity are growing concerns internationally. This study therefore aims to determine the effect of increasing body mass index (BMI) on the pain and function of patients with ASD. A retrospective review of prospectively collected data from a multicentre European database was undertaken. Initially a univariate analysis was performed on the effect of BMI on the initial presentation of functional scores in patients with ASD. The functional scores included the Numerical Rating Scale (NRS) back and leg score, Core Outcome Measures Index (COMI) back score, SRS22 total score, Short Form 36 (SF-36) [general health, physical component score (PCS) and mental component score (MCS)] and Oswestry Disability Index (ODI) score (including all domains). Subsequently a multivariate analysis controlling for age, sex, comorbidities, employment status, smoking status and radiological parameters [coronal cobb, coronal balance, sagittal balance, global tilt, and pelvic incidence minus lumbar lordosis (PI - LL) mismatch] was performed. A total of 1,004 patients were included in this study (166 male, 838 female). On univariate analysis a statistically significant (P<0.05) moderate correlation between NRS leg pain, ODI (walking, standing, sex life, social life and total score), SF-36 (physical component), sagittal balance, global tilt and age were recognised (P<0.05). A statistically significant low correlation was identified for all other outcomes, except coronal balance (P=0.640). On multivariate analysis BMI remained significantly related to all functional outcomes except ODI-pain and ODI-travelling (P>0.05). Increasing BMI has a significant adverse effect on the pain and functioning of patients with ASD. Clinicians should recognise this association and treat patients accordingly.
Sections du résumé
BACKGROUND
BACKGROUND
Both adult spinal deformity (ASD) and obesity are growing concerns internationally. This study therefore aims to determine the effect of increasing body mass index (BMI) on the pain and function of patients with ASD.
METHODS
METHODS
A retrospective review of prospectively collected data from a multicentre European database was undertaken. Initially a univariate analysis was performed on the effect of BMI on the initial presentation of functional scores in patients with ASD. The functional scores included the Numerical Rating Scale (NRS) back and leg score, Core Outcome Measures Index (COMI) back score, SRS22 total score, Short Form 36 (SF-36) [general health, physical component score (PCS) and mental component score (MCS)] and Oswestry Disability Index (ODI) score (including all domains). Subsequently a multivariate analysis controlling for age, sex, comorbidities, employment status, smoking status and radiological parameters [coronal cobb, coronal balance, sagittal balance, global tilt, and pelvic incidence minus lumbar lordosis (PI - LL) mismatch] was performed.
RESULTS
RESULTS
A total of 1,004 patients were included in this study (166 male, 838 female). On univariate analysis a statistically significant (P<0.05) moderate correlation between NRS leg pain, ODI (walking, standing, sex life, social life and total score), SF-36 (physical component), sagittal balance, global tilt and age were recognised (P<0.05). A statistically significant low correlation was identified for all other outcomes, except coronal balance (P=0.640). On multivariate analysis BMI remained significantly related to all functional outcomes except ODI-pain and ODI-travelling (P>0.05).
CONCLUSIONS
CONCLUSIONS
Increasing BMI has a significant adverse effect on the pain and functioning of patients with ASD. Clinicians should recognise this association and treat patients accordingly.
Identifiants
pubmed: 32043004
doi: 10.21037/jss.2019.11.12
pii: jss-05-04-535
pmc: PMC6989938
doi:
Types de publication
Journal Article
Langues
eng
Pagination
535-540Informations de copyright
2019 Journal of Spine Surgery. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of Interest: The authors have no conflicts of interest to declare.
Références
Int J Obes (Lond). 2013 Jun;37(6):889-91
pubmed: 22986681
Spine J. 2017 Apr;17(4):480-488
pubmed: 27815217
Spine (Phila Pa 1976). 2010 Apr 1;35(7):764-8
pubmed: 20228714
Spine (Phila Pa 1976). 2005 May 1;30(9):1082-5
pubmed: 15864163
Spine (Phila Pa 1976). 2013 Jan 15;38(2):133-9
pubmed: 22718225
Spine (Phila Pa 1976). 2000 Apr 15;25(8):995-1014
pubmed: 10767814
Spine (Phila Pa 1976). 2018 Sep 1;43(17):1184-1192
pubmed: 29529002
Eur Spine J. 2016 Aug;25(8):2390-400
pubmed: 26821143
J Clin Epidemiol. 2000 Mar 1;53(3):245-50
pubmed: 10760633
Arch Intern Med. 2009 Feb 9;169(3):251-8
pubmed: 19204216
Spine (Phila Pa 1976). 1999 Nov 1;24(21):2254-60; discussion 2260-1
pubmed: 10562993
Eur J Epidemiol. 2008;23(8):499-509
pubmed: 18509729
Ann Transl Med. 2016 Mar;4(5):91
pubmed: 27047950
Ann Rheum Dis. 2011 Oct;70(10):1740-5
pubmed: 21646416
Spine (Phila Pa 1976). 2005 Sep 15;30(18):2024-9
pubmed: 16166889