Musculoskeletal profile due to obesity and risk factors

ABSTRACT

This study was designed to estimate musculoskeletal complication due to obesity and which of them is directly related to it. This study was carried out on fifty [50] obese female patients, after exclusion of diabetes mellitus, liver and kidney disease. Twenty [20] normal weight by BMI assessment and age matched female as a control. All persons were fulfilled for 1- Full history and complete clinical examination and locomotor estimation, 2- CBP, 3- ESR, 4- Serum RF, 5- Serum uric acid, 6- Lipid profile [blood cholesterol, triglycerides, LDL and HDL], 7- Plain X-ray of lumbosecral, knee and heels, 8- EMG and nerve conduction study of median, Ulner, common pronial and medial poplitial nerves for the patients complaining of numbnes. [66%] of patients had oestioarthritis of the knee, twenty of them had pattelofemoral OA [40%], [56%] of patients had back pain due to muscle strain, [36%] of patients had planter fasciitis, [8%] of patients had carpal tunnel syndrome, [4%] of patients had fibromyalgia syndrome. There was a significant correlation between the musculoskeletal problems and BMI of patients. All laboratories parameters are within normal range except the lipid profile, which were high in 32 patients and had the significant correlation with musculoskeletal problems. OA of knees, LBP, Planter fasciitis, CT syndrome and Fibromyalgia syndrome are the most common musculoskeletal complications of obesity. The high level of lipid profile in blood may be due to obesity per sea or disability due to musculoskeletal problems and leads to serious cardiovascular and heart complications