Hafeez Abiola Afolabi, Zaidi Zakaria, Yuni Astuti, Salzihan Md Salleh, Nouf H. Alkhamees, Yusuf Wada, Dauda Goni Mohammed, Omar Mahmoud Said Alshajrawi, Sameer Badri Al-Mhanna
Background. Obesity raises the risk of various debilitating, degenerative diseases, particularly osteoarthritis. The ablative impact on subchondral cartilage in weight-supporting joints induces osteoarthritis (OA) pain and reduced function. Objectives. Hip osteoarthritis diagnosis and propensity using two self-administered questionnaires: the 12-item osteoarthritis-perception questionnaire and the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index. Setting: University Sains Malaysia, Malaysia. Methods. Seventy patients aged 18 to 79 visiting Hospital-USM participated in this prospective cross-sectional study investigating obese patients' susceptibility to hip osteoarthritis (HOA). Obesity was defined as BMI >30 kg/m2. Results. Of the 70 patients recruited, 40 were obese, while 30 were non-obese. Females were the most likely to be obese (57.1%), and the average age was 53.2 years (SD 7.1). The mean BMI of the OA group (YES-HOA) was 42.14 (SD 3.24), which was significantly more significant than the mean BMI of the group without osteoarthritis (NO-HOA), which was 30.95 (SD 0.51) (p-value =0.001). Among the YES-HOA group, 84.6% were obese. There was a 12-point reduction in the overall WOMAC score between the two groups, and the obese group (OG) had a significantly higher overall mean WOMAC score than the non-obese group (NOG) (64 (SD 22) vs. 52 (SD 21) respectively). Further, the mean WOMAC scores for the three HOA joint features were higher for the OG than the NOG (61 (SD 20) vs. 54 (SD 19) for pain, 54 (SD 19) vs. 61 (SD 20) for stiffness, and 51 (SD 11) vs. 71 (SD 24) for reduced function respectively; p-value <0.05 for all). Both of the investigation tools demonstrated the obese patients' susceptibility to the onset and progression of hip osteoarthritis. Conclusion. Obesity is associated with an increased likelihood of OA, but whether it causes the onset of the condition or exacerbates its progression remains unclear. © 2024, Society of Aging and Physical Activity (SAPA). All rights reserved.
Department of General Surgery, School of Medical Sciences, Hospital Universiti Sains Malaysia, Universiti Sains Malaysia USM, Kubang Kerian, Kelantan, 16150, Malaysia; Department of Sport Education, Faculty of Sport Science, Universitas Negeri Padang, Indonesia; Department of Pathology, School of Medical Sciences, Hospital Universiti Sains Malaysia, Universiti Sains Malaysia USM, Kubang Kerian, Kelantan, 16150, Malaysia; Department of Rehabilitation, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Building 240, Riyadh, Saudi Arabia; Department of Zoology, Faculty of Life Sciences, Ahmadu Bello University ABU, Kaduna, Zaria, Nigeria; Department of Clinical Studies, Faculty of Veterinary Sciences, Universiti Malaysia Kelantan, Malaysia UMK, Pengkalan Chepa, Kelantan, Kota Bharu, 16100, Malaysia; Department of Chemical Pathology, Universiti Sains Malaysia, Kubang Kerian, Kelantan, 16150, Malaysia; Center for Global Health Research, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 602105, India
