Skip to main content
Top
Published in: International Orthopaedics 1/2007

01-02-2007 | Original Paper

Obesity increases the likelihood of total joint replacement surgery among younger adults

Authors: S. Harms, R. Larson, A. E. Sahmoun, J. R. Beal

Published in: International Orthopaedics | Issue 1/2007

Login to get access

Abstract

We conducted a retrospective review of medical charts of patients, aged 18 to 59 years old, who underwent either a total knee replacement (TKR) or total hip replacement (THR) from January 2002 to December 2004. Of the 204 study subjects, 52% had a TKR while 48% had a THR. Obesity was significantly associated with the need for a TKR or THR when comparing the study group to adults of similar age in the general population (P< 0.0001). Seventy-two percent (146) of the study group was obese and 21% (42) overweight (BMI 25.0 to 29.9 kg/m2) compared to only 26% (596) obese and 34% (732) overweight in the general population. Patients undergoing a TKR were significantly more likely to be obese (BMI>30 kg/m2) than those having a THR, 83% (89) compared to 59% (57) (P< .0006). Our findings support those previously observed in the elderly population. Primary and secondary prevention programs aimed at reducing obesity are strongly recommended.
Literature
1.
go back to reference Buckwalter J, Saltzman C, Brown T (2004) The impact of osteoarthritis: implications for research. Number 427S:S6–S15 Buckwalter J, Saltzman C, Brown T (2004) The impact of osteoarthritis: implications for research. Number 427S:S6–S15
5.
go back to reference Coggon D, Reading I, Croft P (2001) Knee osteoarthritis and obesity. Int J Obesity 25:622–627CrossRef Coggon D, Reading I, Croft P (2001) Knee osteoarthritis and obesity. Int J Obesity 25:622–627CrossRef
6.
go back to reference Flugsrud G, Nordsletten L, Espehaug B (2002) Risk factors for total hip replacement due to primary osteoarthritis. Arthritis Rheumatism 46(3):675–682PubMedCrossRef Flugsrud G, Nordsletten L, Espehaug B (2002) Risk factors for total hip replacement due to primary osteoarthritis. Arthritis Rheumatism 46(3):675–682PubMedCrossRef
7.
go back to reference Hill J, Catenacci V, Wyatt H (2005) Obesity: overview of an epidemic. Psychiatr Clin N Am 28:1–23CrossRef Hill J, Catenacci V, Wyatt H (2005) Obesity: overview of an epidemic. Psychiatr Clin N Am 28:1–23CrossRef
8.
go back to reference Karlson E, Mandl L, Aweh G (2003) Total hip replacement due to osteoarthritis: the importance of age, obesity, and other modifiable risk factors. Am J Med 114:93–98PubMedCrossRef Karlson E, Mandl L, Aweh G (2003) Total hip replacement due to osteoarthritis: the importance of age, obesity, and other modifiable risk factors. Am J Med 114:93–98PubMedCrossRef
9.
go back to reference Lievense A, Bierma-Zeinstra S, Verhagen A (2002) Influence of obesity on the development of osteoarthritis of the hip: a systematic review. Rheumatology 41:1155–1162PubMedCrossRef Lievense A, Bierma-Zeinstra S, Verhagen A (2002) Influence of obesity on the development of osteoarthritis of the hip: a systematic review. Rheumatology 41:1155–1162PubMedCrossRef
10.
go back to reference Manek N, Hart D, Spector T (2003) The association of body mass index and osteoarthritis of the knee joint. Arthritis Rheumatism 48:1024–1029PubMedCrossRef Manek N, Hart D, Spector T (2003) The association of body mass index and osteoarthritis of the knee joint. Arthritis Rheumatism 48:1024–1029PubMedCrossRef
11.
go back to reference Marks R, Allegrante J (2002) Body mass indices in patients with disabling hip osteoarthritis. Arthritis Res 4:112–116PubMedCrossRef Marks R, Allegrante J (2002) Body mass indices in patients with disabling hip osteoarthritis. Arthritis Res 4:112–116PubMedCrossRef
12.
go back to reference Sowers M (2001) Epidemiology of risk factors for osteoarthritis: systemic factors. Curr Opin Rheumatol 13:447–545PubMedCrossRef Sowers M (2001) Epidemiology of risk factors for osteoarthritis: systemic factors. Curr Opin Rheumatol 13:447–545PubMedCrossRef
13.
go back to reference Wendelboe A, Hegmann K, Biggs J (2003) Relationships between body mass indices and surgical replacements of knee and hip joints. Am J Prev Med 25(4):290–294PubMedCrossRef Wendelboe A, Hegmann K, Biggs J (2003) Relationships between body mass indices and surgical replacements of knee and hip joints. Am J Prev Med 25(4):290–294PubMedCrossRef
Metadata
Title
Obesity increases the likelihood of total joint replacement surgery among younger adults
Authors
S. Harms
R. Larson
A. E. Sahmoun
J. R. Beal
Publication date
01-02-2007
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 1/2007
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-006-0130-y

Other articles of this Issue 1/2007

International Orthopaedics 1/2007 Go to the issue