KALKANEAL EPİN HASTALARINDA VÜCUT KOMPOZİSYONU İLE AYAK AĞRISI ARASINDAKİ İLİŞKİNİN İNCELENMESİ

Yıl 2019, Cilt: 21 Sayı: 2, 173 - 182, 31.08.2019

Özge Vergili , Birhan Oktaş Halime Arıkan , Fatma Cansu Aktaş

https://doi.org/10.24938/kutfd.530134

Öz

Amaç: Kalkaneal epin
özellikle fazla kilolu ve obez erişkin popülasyonda sık görülen ve bireyin
yaşam kalitesini ciddi ölçüde etkileyen bir hastalıktır. Çalışmamızın amacı bu
hasta popülasyonunda ayak ağrısı ile vücut kompozisyonu arasındaki ilişkiyi
incelemektir.

Gereç ve
Yöntemler: Kalkaneal epin tanısı almış olan 25-55 yaş arasındaki 44
birey üzerinde gerçekleştirilmiş olan çalışmada ağrı şiddeti ve ağrılı bölge
sayısı ayak ağrısını değerlendirme parametreleri olarak ele alınırken, vücut
kitle indeksi, bel kalça oranı, deri altı yağ dokusu ölçümlerinden elde edilen
yağ yüzdesi, yağ ağırlığı, yağsız vücut ağırlığı verileri ise adipoz dokuyu
değerlendirmek amacıyla kullanılmıştır.

Bulgular: Obez olan
hastalarda kronik hastalık görülme sıklığı kalkaneal epin tanılı diğer
bireylere nazaran daha yüksek bulunmuştur. Ayak ağrısına ilişkin parametreler
ile vücut kompozisyonu parametreleri arasında anlamlı bir ilişki
saptanmamıştır.

Sonuç: Bu çalışmada
adipoz dokuya ait yağ yüzdesi, yağ ağırlığı, yağsız vücut ağırlığı gibi
parametreler ile ayak ağrısı arasında bir ilişki olmadığı belirlenmiş olup,
adipoz dokunun değerlendirilmesinde daha objektif ölçüm yöntemleri üzerinde
odaklanılması gerekliliği bir kez daha vurgulanmıştır.

Anahtar Kelimeler

Obezite, vücut kompozisyonu, kalkaneal epin, ağrı, adipozite

The Analysis of the Relationship Between Body Composition and Foot Pain in Patients with Calcaneal Spur

Öz

Objective: Calcaneal spur is a disease frequently
seen in overweight and obese adult population and has a serious impact on the
quality of patients’ lives. The aim of our study was to analyze the
relationship between foot pain and body composition in this population.

Material and Methods: In this study which was carried out on
44 calcaneal spur patients aged between 25-55 years, pain level and number of
painful sites were used to evaluate foot pain whereas body mass index,
waist-hip ratio, fat percentage, fat mass, fat free mass data obtained from
subcutaneous fat mass measurements were used to evaluate adipose tissue.

Results: The prevalance of chronic diseases was
found to be higher in obese patients when compared to other patients with
calcaneal spur. There wasn’t a significant relationship between parameters
associated with foot pain and parameters of body composition.

Conclusion: In this study, no relationship was
found between foot pain and parameters of adipose tissue such as fat
percentage, fat mass, fat free mass thus it was highlighted once more that we
should focus on more objective measurement methods to evaluate adipose tissue.

Anahtar Kelimeler

Obesity, body composition, calcaneal spur, pain, adiposity

Kaynakça

• 1. Thomas MJ, Roddy E, Zhang W, Menz HB, Hannan MT, Peat GM. The population prevalence of foot and ankle pain in middle and old age: a systematic review. Pain. 2011;152(12):2870-80.
• 2. Tanamas SK, Wluka AE, Berry P, Menz HB, Strauss BJ, Davies-Tuck M. Relationship between obesity and foot pain and its association with fat mass, fat distribution, and muscle mass. Arthritis Care Res. 2012;64(2):262-8.
• 3. Butterworth PA, Landorf KB, Smith SE, Menz HB. The association between body mass index and musculoskeletal foot disorders: a systematic review. Obes Rev. 2012;13(7):630-42.
• 4. Butterworth PA, Urquhart DM, Cicuttini FM, Menz HB, Strauss BJ, Proietto J. Fat mass is a predictor of incident foot pain. Obesity. 2013;21(9): 495-9.
• 5. Bergman RN, Stefanovski D, Buchanan TA, Sumner AE, Reynolds JC, Sebring NG. A better index of body adiposity. Obesity. 2011;19(5):1083-9.
• 6. Kershaw EE. Adipose tissue as an endocrine organ. J Clin Endocrinol Metab. 2004;89(6):2548-56.
• 7. Scotece M, Conde J, Gomez R, Lopez V, Lago F, Gomez-Reino JJ. Beyond fat mass: exploring the role of adipokines in rheumatic diseases. Scientific World J. 2011;11:1932-47.
• 8. De Boer TN, Van Spil WE, Huisman AM, Polak AA, Bijlsma JW, Lafeber FP. Serum adipokines in osteoarthritis: comparison with controls and relationship with local parameters of synovial inflammation and cartilage damage. Osteoarthritis Cartilage. 2012;20(8):846-53.
• 9. Fantuzzi G. Adiposetissue, adipokines, and inflammation. J Allergy Clin Immunol. 2005;115(5):911-9.
• 10. Ackerman IN, Osborne RH. Obesity and increased burden of hip and knee joint disease in Australia: results from a national survey. BMC Musculoskelet Disord. 2012;13:254.
• 11. Zhou ZY, Liu YK, Chen HL, Liu F. Body mass index and knee osteoarthritis risk: a dose-response meta-analysis. Obesity. 2014;22(10):2180-5.
• 12. Irving DB, Cook JL, Young MA, Menz HB. Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study. BMC Musculoskelet Disord. 2007;17:8:41.
• 13. Grotle M, Hagen KB, Natvig B, Dahl FA, Kvien TK. Obesity and osteoarthritis in knee, hip and/or hand: an epidemiological study in the general population with 10 years followup. BMC Musculoskelet Disord. 2008;9:132.
• 14. Franklin BA, Whaley MH, Howley ET, Balady GJ. ACSM’s guidelines for exercises testing and prescription. American College of Sports Medicine. 6th ed. Philadelphia. Lippincott Williams &Wilkins, 2000.
• 15. Sloan AW, Weir JB. Nomograms for prediction of body density and total body fat from skinfold measurements. J Appl Physiol. 1970;28(2):221-2.
• 16. Mukaka MM. A guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012;24(3):69-71.
• 17. Peltonen M, Lindroos AK, Torgerson JS. Musculoskeletal pain in the obese: a comparison with a general population and long-term change safter conventional and surgical obesity treatment. Pain. 2003;104(3):549-57.
• 18. Bingefors K, Isacson D. Epidemiology, co-morbidity, and impact on health-related quality of life of self-reported headache and musculoskeletal pain–a gender perspective. Eur J Pain. 2004;8(5):435-50.
• 19. Menz HB, Zammit GV, Landorf KB. Plantar calcaneal spurs in older people: longitudinal traction or vertical compression? J Foot Ankle Res. 2008;1(1):1-7.
• 20. Smith S, Tinley P, Gilheany M. The inferior calcaneal spur-Anatomical and histological considerations. Foot. 2007;17(1):25-31.
• 21. Kirkpatrick J, Yassaie O, Mirjalili SA. The plantar calcanealspur: a review of anatomy, histology, etiology and key associations. J Anat. 2017;230(6):743-51.
• 22. Cicuttini FM, Baker JR, Spector TD. The association of obesity with osteoarthritis of the hand and knee in women: a twin study. J Rheumatol. 1996;23(7):1221-6.
• 23. Yoo JJ, Cho NH, Lim SH, Kim HA. Relationships between body mass index, fat mass, muscle mass, and musculoskeletal pain in community residents. Arthritis & Rheumatology. 2014;66(12):3511-20.
• 24. Walsh TP, Arnold JB, Gill TK, Evans AM, Yaxley A, Hill CL et al. Foot pain severity is associated with the ratio of visceral to subcutaneous fat mass, fat‑mass index and depressionin women. Rheumatol Int. 2017;37(7):1175-82.
• 25. Walsh TP, Gill TK, Evans AM, Yaxley A, Shanahan EM, Hill CL. Association of fat mass and adipokines with foot pain in a community cohort. Arthritis Care & Research. 2016;68(4):526-33.
• 26. Pan F, Laslett L, Blizzard L, Cicuttini F, Winzenberg T, Ding C et al. Associations between fat mass and multisite pain: A five-year longitudinal study. Arthritis Care & Research. 2017;69(4):509-16.
• 27. Khaodhiar L, McCowen KC, Blackburn GL. Obesity and its comorbid conditions. Clinical Cornerstone. 1999;2(3):17-31.
• 28. Okumus M, Demir G, Borman P, Kultur T, Yorubulut S. Reliability and validity of the Turkish version of the foot function index in patients with calcaneal heel spur. J Surg Med 2018;2(2):118-22.