Status gizi berhubungan positif dengan derajat nyeri sendi penderita osteoartritis lutut
Nyoman Kertia(1*)
(1) Sub Bagian Reumatologi, Bagian Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Gadjah Mada/ Rumah Sakit Umum Pusat Dr. Sardjito
(*) Corresponding Author
Abstract
Background: Knee osteoarthritis (OA) is a common disorder that is associated with significant morbidity, disability, and medical costs, particularly in its advanced stages. While the cause of knee OA remains unclear, it has been associated with various risk factors, such as age, sex, genetic predisposition, biomechanical, and obesity. Pain in osteoarthritis occurs due to combination of various factors. Pain significantly increases the medical and non medical cost in OA. Data showed that obesity will increase the mechanical stress and pain of knee OA. However, uncertainty remains regarding potential relationship between body mass index (BMI) and pain in osteoarthritis. Moreover, since obesity is one of modifiable and preventable risk factors for the onset and progression of the disease, it is important to know the correlation between BMI and severity of pain in knee OA.
Objectives: To investigate the relationship between body mass index and severity of joint pain in knee osteoarthritis.
Methods: A cross sectional study was conducted and subjects were osteoarthritis patients in rheumatology clinic of Sardjito general hospital. Body mass index and visual analogue scale (VAS) score were measured. Correlation between BMI and VAS score were analyzed by bivariate correlation test.
Results: There were 80 patients with osteoarthritis who participated in the study. Mean BMI was 26.36 +4.23 kg/m2 and VAS score was 52.40+24.53 mm. The correlation test showed that there was a positive but non significant correlation between BMI and VAS scores (r = 0,11; p = 0,33).
Conclusion: There was a positive but non significant correlation between body mass index and the severity of joint pain in knee osteoarthritis.
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Soeroso J, Isbagio H, Kalim H, 1. Broto R, PramudiyoR. Osteoartritis. Dalam: Sudoyo A, Setiyohadi B, Alwi I. Buku ajar ilmu penyakit dalam. Jakarta: Pusat Penerbitan Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Inonesia; 2009.
Nisha JM, Hart D, Spector TD, MacGregor AJ. The association of body mass index and osteoarthritis of the knee joint an examination of genetic and environmental influences. Arthritis Rheum 2003;48(4):1024-9.
Marks R. Obesity profiles with knee osteoarthritis: correlation with pain, disability and disease progression. Obesity 2007;15(7):1867-74.
Rogers MW, Wilder FV. The association of BMI and knee pain among persons with radiographic knee osteoarthritis: a cross-sectional study. BMC Musculoskelet Disord 2008;9:163-70.
Dahlan. Langkah-langkah membuat proposal penelitian. Jakarta: Sagung Seto; 2009.
Ardyasih, Rahardjo P, Kertia, N. Nilai kesepakatan dokter-pasien dan pasien-pasien dari kuesioner visual analogue scale untuk pasien osteoartritis lutut di rumah sakit Dr. Sardjito Yogyakarta. Dalam: Setyohadi B, Kasjmir YI. Naskah Lengkap Temu Ilmiah dan Kursus Nyeri. Jakarta: Ikatan Reumatologi Indonesia; 2004.
Arisman. Gizi dalam daur kehidupan. Palembang: Bagian Gizi Fakultas Kedokteran Universitas Sriwijaya; 2002.
RippeJ, McInnis K, MelansonK. Physician involvement in the management of obesity as a primary medical condition. Obesity research 2001;9:302-11.
National Institutes of Health. Strategic plan for NIH obesity research. U.S. Department of Health and Human Services: NIH Publication No. 11-5493; 2011.
Direktorat Gizi Masyarakat, Ditjen Binkesmas, Depkes RI. Pedoman umum gizi seimbang. Jakarta: Depkes RI; 2002.
Isbagio H. Tiga hal yang paling menonjol dari 100 lebih jenis rematik. Jakarta: Smart Living edisi 16; 2009.
Isbagio H. Pendekatan diagnostik penyakit reumatik. Cermin Dunia Kedokteran 1995:78.
Breedveld FC. Osteoarthritis the impact of a serious disease. Rheumatol 2004;43(Suppl 1):14-8.
Felson DT. Osteoarthritis new 14. insights. Part 1: the disease and its risk factors. Ann Intern Med 2000;133:637-9.
Ranitya R, Isbagio H. Epidemiologi dan faktor risiko osteoarthritis. Dalam: Pramudiyo R, Wachjudi RG, Hamijoyo L. Makalah Lengkap Kursus Osteoartritis; 28-30 January 2005; Bandung.
Pottie P, Presle N, Terlain B, Netter P, Mainard D, Berenbaum F. Obesity and osteoarthritis: more complex than predicted. Ann Rheum Dis 2006;65:1403-05.
Kertia N, Khomimah H. Peran inflamasi terhadap nyeri dan progresivitas osteoarthritis. Dalam: Setiyohadi B, Kasjmir YI. Naskah Lengkap Temu Ilmiah Reumatologi Indonesia. Jakarta: Pusat Informasi dan Penerbitan Departemen Ilmu Penyakit Dalam FK-UI; 2005.
Sanghi D, Srivastava RN, Singh A, Kumari R, Misra R, Misra A. The association of anthropometric measures and osteoarthritis knee in non-obese subjects: a cross sectional study. Clinics 2011;66(2):275-9.
Goulston LM, Kiran A, Javait MK, Soni A, White KM, Hart DJ, Spector TD, Arden NK. Does obesity predict knee pain over fourteen years in women, independently of radiographic changes? Arthritis Care Res 2011;63(10):1398-406.
Meisser SP, Gutekunst DJ, Davis C, Devita P. Weight loss reduces knee-joint loads in overweight and obese older adults with knee osteoarthritis. Arthritis Rheum 2005;52(7):2026-32.
Janke EA, Collins A, Kozak AT. Overview of the relationship between pain and obesity: what do we know? where do we go next?. J Rehabil Res Dev 2007;44(2):245-62.
Wolhurter T, Till A. Nutritional management of osteoarthritis. Medical Chronicle 2010;73.
DOI: https://doi.org/10.22146/ijcn.18210
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