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Healio:全膝关节置换术后肥胖风险增加

2015-11-07 seven L 译 MedSci原创

美国髋关节和膝关节外科医师协会年会上研究者称:近几年进行人工全系关节置换术的患者肥胖风险越来越显著。Odum:目前患者全膝关节置换术后肥胖风险已经到了警惕的水平了。Odum与他的伙伴对2002-2012年间行人工全膝关节置换术(TKA) 的451,982名患者进行了研究。设定BMI≥30为肥胖。研究者发现了参与者中有70,470为肥胖,335,257名非肥胖。通过卡方检验追踪肥胖率趋势,并进行多变

美国髋关节和膝关节外科医师协会年会上研究者称:近几年进行人工全系关节置换术的患者肥胖风险越来越显著。

Odum:目前患者全膝关节置换术后肥胖风险已经到了警惕的水平了。

Odum与他的伙伴对2002-2012年间行人工全膝关节置换术(TKA) 的451,982名患者进行了研究。设定BMI≥30为肥胖。研究者发现了参与者中有70,470为肥胖,335,257名非肥胖。通过卡方检验追踪肥胖率趋势,并进行多变量回归分析(如病人的人口统计、医院类型、健康情况等)。

校正混杂因素后,研究者发现人工TKA 患者肥胖风险在2011年是2002年的4.1倍,2012年是2002年的4.5倍!同时研究者观测到肥胖率也在明显增加,2002年仅为9.74%,2012年已经增加到24.57%!与肥胖相关的危险因素有女性(1.5倍)和年龄在45-64岁之间(3.2倍)。


“膝盖矫正不是一个可有可无的选择性的过程,所以减少BMI指数的最好时机是在做手术之前”,Christian Ingram说道。

原始出处:

Odum SM, et al. Paper #1. Presented at: American Association of Hip and Knee Surgeons Annual Meeting. Nov. 6-8, 2015; Dallas.  

Healio:Higher rates of obesity seen over time in patients undergoing revision TKA

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    2016-10-17 Yongwei

    见识了,还有其他风险吗

    0

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  3. [GetPortalCommentsPageByObjectIdResponse(id=149030, encodeId=3b47149030cf, content=见识了,还有其他风险吗, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160623/IMG576BDED1410214338.jpg, createdBy=4ff01739255, createdName=Yongwei, createdTime=Mon Oct 17 14:28:14 CST 2016, time=2016-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1754152, encodeId=22661e54152e4, content=<a href='/topic/show?id=7d3330135ac' target=_blank style='color:#2F92EE;'>#关节置换术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30135, encryptionId=7d3330135ac, topicName=关节置换术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=050736663344, createdName=apoenzyme, createdTime=Mon Dec 14 10:25:00 CST 2015, time=2015-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=49427, encodeId=71e34942e8b, content=是不是不运动, beContent=null, objectType=article, channel=null, level=null, likeNumber=164, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Sun Dec 27 17:40:00 CST 2015, time=2015-12-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1742342, encodeId=ec861e423427f, content=<a href='/topic/show?id=39cae96626f' target=_blank style='color:#2F92EE;'>#置换#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79662, encryptionId=39cae96626f, topicName=置换)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3a7c35056336, createdName=yxch48, createdTime=Fri Nov 13 05:25:00 CST 2015, time=2015-11-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42967, encodeId=8f9d4296e31, content=万一本来就会胖呢, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150625/IMG558B8C995D7262168.jpg, createdBy=36ad1623080, createdName=cyzj007, createdTime=Wed Nov 11 07:50:00 CST 2015, time=2015-11-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305954, encodeId=794413059549f, content=<a href='/topic/show?id=6a96296444d' target=_blank style='color:#2F92EE;'>#全膝关节置换术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29644, encryptionId=6a96296444d, topicName=全膝关节置换术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=55683, createdName=仁医06, createdTime=Mon Nov 09 13:25:00 CST 2015, time=2015-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1390083, encodeId=97081390083fd, content=<a href='/topic/show?id=c4d0858e23b' target=_blank style='color:#2F92EE;'>#膝关节置换术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85872, encryptionId=c4d0858e23b, topicName=膝关节置换术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a0802500050, createdName=肉我只吃一口, createdTime=Mon Nov 09 13:25:00 CST 2015, time=2015-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1548381, encodeId=f858154838188, content=<a href='/topic/show?id=39bf2964295' target=_blank style='color:#2F92EE;'>#全膝关节置换#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29642, encryptionId=39bf2964295, topicName=全膝关节置换)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e4014073525, createdName=12498f6em11暂无昵称, createdTime=Mon Nov 09 13:25:00 CST 2015, time=2015-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1576510, encodeId=fba815e65108f, content=<a href='/topic/show?id=48fee966468' target=_blank style='color:#2F92EE;'>#置换术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79664, encryptionId=48fee966468, topicName=置换术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Mon Nov 09 13:25:00 CST 2015, time=2015-11-09, status=1, ipAttribution=)]
    2015-12-27 忠诚向上

    是不是不运动

    0

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    2015-11-13 yxch48
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    2015-11-11 cyzj007

    万一本来就会胖呢

    0

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