Elderly with knee osteoarthritis should perform nutritional assessment: integrative literature review.

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obesity 20 endocrinologydiseases
osteoporosis 2 endocrinologydiseases

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obesity 1314 gathering and analysis of articles. Studies suggested that there is a positive correlation between obesity and knee osteoarthritis. Obesity is one of the most important modifiable factors in worsening of osteoarthritis
obesity 3270 great impact in nutritional status of these individuals.[8]Another important fact to consider is that obesity is of the main risk factors related to development of OA and this association of excessive body weight
obesity 3611 more risk to develop pain and any functional difficulties. There is evidence that this occur because obesity is directly related with inflammation, which contributing to worse knee OA.[9],[10]On the other hand,
obesity 8483 studyResultsVasconcelos et al.(13)To examine the influence of pain intensity, radiographic severity, obesity level and symptom duration on the functional capacity of obese individuals with knee OACross-sectionalPain
obesity 8853 sample had moderate affection of knee OAVasconcelos et al.(14)To compare the impact of the degree of obesity in symptoms and functional capacity of women with knee OACase-controlThe degree of obesity had no impact
obesity 8944 degree of obesity in symptoms and functional capacity of women with knee OACase-controlThe degree of obesity had no impact on knee OA symptoms of pain, stiffness and functional difficulty in both obese women and
obesity 9073 OA symptoms of pain, stiffness and functional difficulty in both obese women and women with morbid obesity Chacur et al.(15)To assess the correlations between body mass index, Waist circumference and Waist/Hip
obesity 9796 excessive weight and comorbidities that worsen the diseaseAurichio et al.(17)To determine prevalence of obesity and its association in old population living in the city of São Carlos (SP, Brazil)Cross-sectionalAn
obesity 13521 studies.[13]-[17],[20],[23]-[26]DISCUSSIONOsteoarthritis is progressive and irreversible disease in which a common finding is obesity . For this reason, to understand the impact of obesity in OA could provide information to health professionals
obesity 13575 irreversible disease in which a common finding is obesity. For this reason, to understand the impact of obesity in OA could provide information to health professionals and patients on how to reduce symptoms and complications
obesity 14249 increase pain in OA among older population.[24]One of hypothesis that possible explain the link between obesity and OA is the metabolic theory.[25],[26]The reason is that pro-inflammatory factors mainly released
obesity 16082 because it has more practical value, and it also the easiest and economic manner than DXA to diagnosed obesity .[26]It is also important to remember that BMI represents only a change in energetic balance, therefore
obesity 16862 arthritis but it was not sensitive to cases of OA. However, perhaps the association between joint pain and obesity could be explained by presence of OA in these older individuals, and this would agree with finding in
obesity 17188 times, respectively, more change of presenting OA.[15]However, Vasconcelos et al., showed that degree of obesity did not impact pain symptoms, stiffness and functional difficulties associated with knee OA in women
obesity 17310 pain symptoms, stiffness and functional difficulties associated with knee OA in women in different obesity degrees (obese and morbid obese) because both had similar performance, suggesting that other factors
obesity 19341 data of subjects aged ≥40 years who did not present OA found that those with excessive weight or obesity had increased risk to develop knees, hip and hands OA, but especially in knees compared with individuals
obesity 19515 especially in knees compared with individuals with normal weight. The excessive weight and degree I and II obesity increase the risk of OA in knee by 2 times, 3.1 times, and 4.7 times factor, respectively, in their
obesity 19704 respectively, in their study.[27]All studies discussed showed a positive correlation between overweight/ obesity and OA, therefore, a relationship may exist between weight loss and pain improvement. Messier et al.,[33]
obesity 21173 quality of live among older individuals with OA.CONCLUSIONStudies suggest a positive correlation between obesity and development of knee OA. Still, obesity is one of the most significant changeable factors in worsening
obesity 21216 OA.CONCLUSIONStudies suggest a positive correlation between obesity and development of knee OA. Still, obesity is one of the most significant changeable factors in worsening of osteoarthritis symptoms
osteoporosis 12089 current arthritic pain in older adultsCross-sectionalAge, female gender, higher body mass index, and osteoporosis were significant risk factors for OA, while higher education level was a protective factor for OAWeiss(25)To
osteoporosis 13884 individuals and they found that advanced age (p=0.005), female gender (p<0.001), higher BMI (p<0.001) and osteoporosis (p<0.001) were significant associated factors with OA, while the higher education level (p=0.025) was

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