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Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
CHARLES-LOZOYA, Sergio et al. Obesity, depression and factors associated to the quality of life in total knee arthroplasty. Cir. cir. [online]. 2020, vol.88, n.2, pp.143-149. Epub 15-Nov-2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.19000989.
Background:
Knee osteoarthritis can be accompanied by depression and obesity, which could affect the quality of life (QOL) and function after a total knee arthroplasty (TKA).
Objective:
To compare the QOL in subjects with depression and obesity 5 years after TKA.
Methods:
Cross-sectional study of prospectively collected data, with two and three groups based on depression and obesity status. Sociodemographic variables, QOL and pain were compared. Depression was evaluated with a screening geriatric depression questionnaire used in the Mexican Health and Age Study (CENASEM). QOL was evaluated with the health survey SF-36.
Results:
378 participants were reviewed, 266 were included. Depression was detected in 24.1%, female (p < 0.001), with comorbidity (p = 0.04) and anxiety (p < 0.001), and the QOL score in subjects with depression was lower (p < 0.001). Obese subjects had greater pain (analogous visual scale 3 vs. 2; p = 0.002) and affection of the vitality domain in the QOL (75 vs. 80; p = 0.02).
Conclusions:
Evaluating depression and QOL with questionnaires such as CENASEM and SF-36 in elderly subjects who undergo ATR should be indispensable, since detecting and treating depression could increase QOL and function. Obese elderly with TKA may present greater pain.
Palabras llave : Arthroplasty; Quality of life; Depression; Body mass index; Obesity.