Association of Obesity with the Lower Limb Osteoarthritis in a Community of Women from El Jadida Province, Morocco

Houda  Elfane; Mohamed  Mziwira; Khadija  Sahel; Sanaa  El Jamal; Nadia Elmahri; Loubna  Arkoubi Idrissi; Adil  Kalili; Naima  Errabahi; Rachida  Moustakim; Rachida  Elouafi; Kaoutar  Naciri; Azz El Arab  Ahaji; Mohammed  El Ayachi; Rekia  Belahsen

doi:10.51745/najfnr.3.5.156-163

Association of Obesity with the Lower Limb Osteoarthritis in a Community of Women from El Jadida Province, Morocco

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Nutrition, Metabolism, and Prevention of NCDs

DOI https://doi.org/10.51745/najfnr.3.5.156-163

Issue Vol. 3 No. 5 (2019): January - June: 2019

Submitted 2019-05-27

Published 2019-07-03

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Background: In the last years, obesity became of interest because of its association with osteoarthritis (OA) which is increasing with the increase of both life expectancy and the prevalence of obesity.

Aims: The objective was to assess the association of obesity with the susceptibility of the lower limbs OA (LLOA) occurrence in women.

Subjects and Methods: The symptomatic susceptibility of the onset of LLOA was evaluated on a sample of women from El Jadida (Morocco) using the Moroccan version of the Western Ontario and McMaster Universities osteoarthritis index (WOMAC) for the lower limbs. Sociodemographic and anthropometric data were collected too using a questionnaire.

Results: The surveyed female population was 45±13 years old mostly obese (77%) with an average BMI: 29.18 ± 5.29 and a WHR: 0.93 ± 0.9. The susceptibility of the LLOA in both forms (knee and coccyx osteoarthritis) was highly prevalent in women older than 50 years (22%). The three dimensions of WOMAC (pain, stiffness and functional impairment) are felt much more among postmenopausal 44.37±26.67 (with a rate of 49%) than procreating women 29.58±22.44 (with a rate of 51%) among women with morbid obesity (69.40±8.27) than normal weight (31.67±4.40) and in women with android (86.13%) than those with a gynoid obesity morphotype (5.10%).

Conclusions: The results report an association of obesity with the risk of osteoarthritis occurrence varying with age and OA location hence the importance of preventing osteoarthritis issues through the management of obesity.

Keywords

Knee Osteoarthritis Coccyx Osteoarthritis WOMAC Obesity Body Mass Index (BMI) Waist-to-Hip Ratio (WHR)

Houda Elfane

Laboratory of Biotechnology, Biochemistry, and Nutrition. Training and Research Unit on Nutrition & Food Sciences. Department of Biology. Faculty of Sciences. Chouaib Doukkali University. El Jadida, 24000
Mohamed Mziwira

Ecole Normale Supérieure, Université Hassan II, Casablanca
Khadija Sahel

Laboratory of Biotechnology, Biochemistry, and Nutrition. Training and Research Unit on Nutrition & Food Sciences. Department of Biology. Faculty of Sciences. Chouaib Doukkali University. El Jadida, 24000
Sanaa El Jamal

Laboratory of Biotechnology, Biochemistry, and Nutrition. Training and Research Unit on Nutrition & Food Sciences. Department of Biology. Faculty of Sciences. Chouaib Doukkali University. El Jadida, 24000
Nadia Elmahri

Laboratory of Biotechnology, Biochemistry, and Nutrition. Training and Research Unit on Nutrition & Food Sciences. Department of Biology. Faculty of Sciences. Chouaib Doukkali University. El Jadida, 24000
Loubna Arkoubi Idrissi

Laboratory of Biotechnology, Biochemistry, and Nutrition. Training and Research Unit on Nutrition & Food Sciences. Department of Biology. Faculty of Sciences. Chouaib Doukkali University. El Jadida, 24000
Adil Kalili

Laboratory of Biotechnology, Biochemistry, and Nutrition. Training and Research Unit on Nutrition & Food Sciences. Department of Biology. Faculty of Sciences. Chouaib Doukkali University. El Jadida, 24000
Naima Errabahi

Laboratory of Biotechnology, Biochemistry, and Nutrition. Training and Research Unit on Nutrition & Food Sciences. Department of Biology. Faculty of Sciences. Chouaib Doukkali University. El Jadida, 24000
Rachida Moustakim

Laboratory of Biotechnology, Biochemistry, and Nutrition. Training and Research Unit on Nutrition & Food Sciences. Department of Biology. Faculty of Sciences. Chouaib Doukkali University. El Jadida, 24000
Rachida Elouafi

Laboratory of Biotechnology, Biochemistry, and Nutrition. Training and Research Unit on Nutrition & Food Sciences. Department of Biology. Faculty of Sciences. Chouaib Doukkali University. El Jadida, 24000
Kaoutar Naciri

Laboratory of Biotechnology, Biochemistry, and Nutrition. Training and Research Unit on Nutrition & Food Sciences. Department of Biology. Faculty of Sciences. Chouaib Doukkali University. El Jadida, 24000
Azz El Arab Ahaji

Laboratory of Biotechnology, Biochemistry, and Nutrition. Training and Research Unit on Nutrition & Food Sciences. Department of Biology. Faculty of Sciences. Chouaib Doukkali University. El Jadida, 24000
Mohammed El Ayachi

Laboratory of Biotechnology, Biochemistry, and Nutrition. Training and Research Unit on Nutrition & Food Sciences. Department of Biology. Faculty of Sciences. Chouaib Doukkali University. El Jadida, 24000
Rekia Belahsen

Laboratory of Biotechnology, Biochemistry, and Nutrition. Training and Research Unit on Nutrition & Food Sciences. Department of Biology. Faculty of Sciences. Chouaib Doukkali University. El Jadida, 24000

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Elfane, H. ., Mziwira, M. ., Sahel, K. ., El Jamal, S. ., Elmahri , N., Arkoubi Idrissi, L. ., Kalili, A. ., Errabahi, N. ., Moustakim, R. ., Elouafi, R. ., Naciri, K. ., Ahaji, A. E. A. ., El Ayachi, M. ., & Belahsen, R. . (2019). Association of Obesity with the Lower Limb Osteoarthritis in a Community of Women from El Jadida Province, Morocco. The North African Journal of Food and Nutrition Research, 3(5), 156-163. https://doi.org/10.51745/najfnr.3.5.156-163

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1. World Health Organization. (2017, October 18). Obesity and overweight (Fact sheet). http://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight

2. Haut-Commissariat au Plan. (2011). Modèle de prévision et de simulation des politiques économiques de l'économie marocaine [Forecasting and simulation model of economic policies of the Moroccan economy] (Les Cahiers des Plans, No. 35). Haut-Commissariat au Plan.

3. Ministère de la Santé. (2010). National cancer prevention and control plan 2010–2019: Strategic axes and measures. Ministère de la Santé.

4. Janani, S., Nassar, K., Rachidi, W., & Mkinsi, O. (2013). Physiopathologie de l'arthrose [Pathophysiology of osteoarthritis]. Journal de Pharmacie Clinique, 32(4), 227–231. https://doi.org/10.1684/jpc.2013.0262

5. Turkiewicz, A., Petersson, I. F., Björk, J., Hawker, G., Dahlberg, L. E., Lohmander, L. S., & Englund, M. (2014). Current and future impact of osteoarthritis on health care: A population-based study with projections to year 2032. Osteoarthritis and Cartilage, 22(11), 1826–1832. https://doi.org/10.1016/j.joca.2014.07.015

6. Roux, C. (2014). Arthrose des membres inférieurs : Aspects épidémiologiques, cliniques et fondamentaux [Osteoarthritis of the lower limbs: Epidemiological, clinical and fundamental aspects] [Doctoral thesis, Université Nice Sophia Antipolis]. https://tel.archives-ouvertes.fr/tel-01249544

7. Kopec, J. A., Rahman, M. M., Berthelot, J. M., Le Petit, C., Aghajanian, J., Sayre, E. C., Cibere, J., Anis, A. H., & Badley, E. M. (2007). Descriptive epidemiology of osteoarthritis in British Columbia, Canada. The Journal of Rheumatology, 34(2), 386–393.

8. Guilak, F. (2011). Biomechanical factors in osteoarthritis. Best Practice & Research Clinical Rheumatology, 25(6), 815–823. https://doi.org/10.1016/j.berh.2011.11.013

9. Messier, S. P., Beavers, D. P., Herman, C., Hunter, D. J., & DeVita, P. (2016). Are unilateral and bilateral knee osteoarthritis patients unique subsets of knee osteoarthritis? A biomechanical perspective. Osteoarthritis and Cartilage, 24(5), 807–813. https://doi.org/10.1016/j.joca.2015.12.005

10. Mobasheri, A., & Batt, M. A. (2016). An update on the pathophysiology of osteoarthritis. Annals of Physical and Rehabilitation Medicine, 59(5–6), 333–339. https://doi.org/10.1016/j.rehab.2016.07.004

11. Muthuri, S. G., Hui, M., Doherty, M., & Zhang, W. (2011). What if we prevent obesity? Risk reduction in knee osteoarthritis estimated through a meta-analysis of observational studies. Arthritis Care & Research, 63(7), 982–990. https://doi.org/10.1002/acr.20464

12. Ministère de la Santé et des Solidarités. (2007). Plan pour l'amélioration de la qualité de vie des personnes atteintes de maladies chroniques, 2007–2011 [Plan for improving the quality of life of people with chronic diseases, 2007–2011]. Ministère de la Santé et des Solidarités. https://solidarites-sante.gouv.fr/IMG/pdf/plan2007_2011.pdf

13. Breville, P., Le Quintrec, J. L., Cadet, C., Verlhac, B., Vetel, J. M., Levy-Raynaud, O., Jeandel, C., & Maheu, E. (2015). Le fardeau de l'arthrose [The burden of osteoarthritis]. Cahiers de l'Année Gérontologique, 7(2), 45–51. https://doi.org/10.1007/s12612-015-0448-4

14. Wang, Y., Simpson, J. A., Wluka, A. E., Teichtahl, A. J., English, D. R., Giles, G. G., Graves, S., & Cicuttini, F. M. (2009). Relationship between body adiposity measures and risk of primary knee and hip replacement for osteoarthritis: A prospective cohort study. Arthritis Research & Therapy, 11(2), Article R31. https://doi.org/10.1186/ar2636

15. Kulkarni, K., Karssiens, T., Kumar, V., & Pandit, H. (2016). Obesity and osteoarthritis. Maturitas, 89, 22–28. https://doi.org/10.1016/j.maturitas.2016.04.006

16. Berenbaum, F., & Sellam, J. (2008). Obesity and osteoarthritis: What are the links? Joint Bone Spine, 75(6), 667–668. https://doi.org/10.1016/j.jbspin.2008.07.006

17. Faik, A., Benbouazza, K., Amine, B., Maaroufi, H., Bahiri, R., Lazrak, N., Aboukal, R., & Hajjaj-Hassouni, N. (2008). Translation and validation of Moroccan Western Ontario and McMaster Universities (WOMAC) osteoarthritis index in knee osteoarthritis. Rheumatology International, 28(7), 677–683. https://doi.org/10.1007/s00296-007-0498-z

18. El Jamili, M. (2011). Adaptation transculturelle et validation d'une version arabe dialectale de l'Indice AlgoFonctionnel de Lequesne Genou (IAFLG) [Cross-cultural adaptation and validation of a dialectal Arabic version of the Lequesne Algo-Functional Index for the Knee] [Medical thesis, Université Hassan II].

19. Bellamy, N., Buchanan, W. W., Goldsmith, C. H., Campbell, J., & Stitt, L. W. (1988). Validation study of WOMAC: A health status instrument for measuring clinically important patient relevant outcomes following total hip or knee arthroplasty. The Journal of Rheumatology, 15(12), 1833–1840.

20. Purnell, J. Q. (2018). Definitions, classification, and epidemiology of obesity. In K. R. Feingold, B. Anawalt, A. Boyce, et al. (Eds.), Endotext. MDText.com. https://www.ncbi.nlm.nih.gov/books/NBK279167

21. Han, T. S., Williams, K., Sattar, N., Hunt, K. J., Lean, M. E., & Haffner, S. M. (2002). Analysis of obesity and hyperinsulinemia in the development of metabolic syndrome: San Antonio Heart Study. Obesity Research, 10(9), 923–931. https://doi.org/10.1038/oby.2002.126

22. World Health Organization. (n.d.). International classification of adult underweight, overweight and obesity according to BMI. https://bartoc.org/en/node/224

23. Abhishek, A., & Doherty, M. (2013). Diagnosis and clinical presentation of osteoarthritis. Rheumatic Disease Clinics of North America, 39(1), 45–66. https://doi.org/10.1016/j.rdc.2012.10.007

24. Ma, V. Y., Chan, L., & Carruthers, K. J. (2014). Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: Stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Archives of Physical Medicine and Rehabilitation, 95(5), 986–995. https://doi.org/10.1016/j.apmr.2013.10.032

25. Nappi, R. E., & Kokot-Kierepa, M. (2012). Vaginal health: Insights, views & attitudes (VIVA)—Results from an international survey. Climacteric, 15(1), 36–44. https://doi.org/10.3109/13697137.2011.647840

26. Davis, S. R., Castelo-Branco, C., Chedraui, P., Lumsden, M. A., Nappi, R. E., Shah, D., & Villaseca, P. (2012). Understanding weight gain at menopause. Climacteric, 15(5), 419–429. https://doi.org/10.3109/13697137.2012.707385

27. Srikanth, V. K., Fryer, J. L., Zhai, G., Winzenberg, T. M., Hosmer, D., & Jones, G. (2005). A meta-analysis of sex differences prevalence, incidence, and severity of osteoarthritis. Osteoarthritis and Cartilage, 13(9), 769–781. https://doi.org/10.1016/j.joca.2005.04.014

28. Zhang, Y., Niu, J., Felson, D. T., Choi, H. K., Nevitt, M., & Neogi, T. (2010). Methodologic challenges in studying risk factors for progression of knee osteoarthritis. Arthritis Care & Research, 62(11), 1527–1532. https://doi.org/10.1002/acr.20287

29. Leung, Y. Y., Allen, J. C., Noviani, M., Ang, L. W., Wang, R., Yuan, J. M., & Koh, W. P. (2015). Association between body mass index and risk of total knee replacement, the Singapore Chinese Health Study. Osteoarthritis and Cartilage, 23(1), 41–47. https://doi.org/10.1016/j.joca.2014.10.011

30. Muthuri, S. G., Hui, M., Doherty, M., & Zhang, W. (2011). What if we prevent obesity? Risk reduction in knee osteoarthritis estimated through a meta-analysis of observational studies. Arthritis Care & Research, 63(7), 982–990. https://doi.org/10.1002/acr.20464

31. Jiang, L., Tian, W., Wang, Y., Rong, J., Bao, C., Liu, Y., Zhao, Y., & Wang, C. (2012). Body mass index and susceptibility to knee osteoarthritis: A systematic review and meta-analysis. Joint Bone Spine, 79(3), 291–297. https://doi.org/10.1016/j.jbspin.2011.05.015

32. Flego, A., Dowsey, M. M., Choong, P. F., & Moodie, M. (2016). Addressing obesity in the management of knee and hip osteoarthritis—Weighing in from an economic perspective. BMC Musculoskeletal Disorders, 17, Article 233. https://doi.org/10.1186/s12891-016-1087-7

33. Felson, D. T., Zhang, Y., Hannan, M. T., Naimark, A., Weissman, B., Aliabadi, P., & Levy, D. (1997). Risk factors for incident radiographic knee osteoarthritis in the elderly: The Framingham Study. Arthritis & Rheumatism, 40(4), 728–733. https://doi.org/10.1002/1529-0131(199704)40:4<728::AID-ART19>3.0.CO;2-D

34. Spector, T. D., Hart, D. J., & Doyle, D. V. (1994). Incidence and progression of osteoarthritis in women with unilateral knee disease in the general population: The effect of obesity. Annals of the Rheumatic Diseases, 53(9), 565–568. https://doi.org/10.1136/ard.53.9.565

35. Gelber, A. C., Hochberg, M. C., Mead, L. A., Wang, N. Y., Wigley, F. M., & Klag, M. J. (1999). Body mass index in young men and the risk of subsequent knee and hip osteoarthritis. The American Journal of Medicine, 107(6), 542–548. https://doi.org/10.1016/S0002-9343(99)00292-2

36. Felson, D. T., Zhang, Y., Anthony, J. M., Naimark, A., & Anderson, J. J. (1992). Weight loss reduces the risk for symptomatic knee osteoarthritis in women: The Framingham Study. Annals of Internal Medicine, 116(7), 535–539. https://doi.org/10.7326/0003-4819-116-7-535

37. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. (2000). Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. Arthritis & Rheumatism, 43(9), 1905–1915. https://doi.org/10.1002/1529-0131(200009)43:9<1905::AID-ANR1>3.0.CO;2-P

38. Aaboe, J., Bliddal, H., Messier, S. P., Alkjaer, T., & Henriksen, M. (2011). Effects of an intensive weight loss program on knee joint loading in obese adults with knee osteoarthritis. Osteoarthritis and Cartilage, 19(7), 822–828. https://doi.org/10.1016/j.joca.2011.03.006

39. Zhang, W., Doherty, M., Peat, G., Bierma-Zeinstra, M. A., Arden, N. K., Bresnihan, B., Herrero-Beaumont, G., Kirschner, S., Leeb, B. F., Lohmander, L. S., Mazières, B., Pavelka, K., Punzi, L., So, A. K., Tuncer, T., Watt, I., & Bijlsma, J. W. (2010). EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis. Annals of the Rheumatic Diseases, 69(3), 483–489. https://doi.org/10.1136/ard.2009.113100

40. Reijman, M., Pols, H. A., Bergink, A. P., Hazes, J. M., Belo, J. N., Lievense, A. M., & Bierma-Zeinstra, S. M. (2007). Body mass index associated with onset and progression of osteoarthritis of the knee but not of the hip: The Rotterdam Study. Annals of the Rheumatic Diseases, 66(2), 158–162. https://doi.org/10.1136/ard.2006.053538

41. Anderson, J. J., & Felson, D. T. (1988). Factors associated with osteoarthritis of the knee in the first National Health and Nutrition Examination Survey (HANES I): Evidence for an association with overweight, race, and physical demands of work. American Journal of Epidemiology, 128(1), 179–189. https://doi.org/10.1093/oxfordjournals.aje.a114939

42. Belahsen, R., Mziwira, M., & Fertat, F. (2004). Anthropometry of women of childbearing age in Morocco: Body composition and prevalence of overweight and obesity. Public Health Nutrition, 7(4), 523–530. https://doi.org/10.1079/PHN2003570

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