Is body mass index associated with patellofemoral pain and patellofemoral osteoarthritis? A systematic review and meta-regression and analysis

@article{Hart2016IsBM,
  title={Is body mass index associated with patellofemoral pain and patellofemoral osteoarthritis? A systematic review and meta-regression and analysis},
  author={H. Hart and C. Barton and K. Khan and Henrik Riel and K. Crossley},
  journal={British Journal of Sports Medicine},
  year={2016},
  volume={51},
  pages={781 - 790}
}
Background Patellofemoral pain (PFP) occurs frequently, and may be related to patellofemoral osteoarthritis (PFOA). Obesity is associated with increased risk of knee OA. This systematic review involves a meta-regression and analysis to determine the relationship between body mass index (BMI) and PFP and PFOA, and to determine the link between BMI and interventional outcomes. Methods We searched seven electronic databases and reference lists of relevant papers and systematic reviews, for cross… Expand
Risk factors for patellofemoral pain: a systematic review and meta-analysis
TLDR
This review identified multiple variables that did not predict future PFP, but quadriceps weakness in military recruits and higher hip strength in adolescents were risk factors for PFP. Expand
Obesity is related to incidence of patellofemoral osteoarthritis: the Cohort Hip and Cohort Knee (CHECK) study
TLDR
There were no significant associations observed between body mass index change over 8 years and incidence of radiographic patellofemoral osteoarthritis in overweight and obese individuals. Expand
Association between Patellofemoral and medial Tibiofemoral compartment osteoarthritis progression: exploring the effect of body weight using longitudinal data from osteoarthritis initiative (OAI)
TLDR
The overweight status may also play an effect modifier role in the association between baseline medial PF-OA and MTFC-OA progression, which is amenable to secondary prevention, in addition to the known confounding effect of BMI. Expand
Is quality of life reduced in people with patellofemoral osteoarthritis and does it improve with treatment? A systematic review, meta-analysis and regression
TLDR
Non-surgical and surgical interventions may be effective in improving knee-related quality of life in individuals with patellofemoral osteoarthritis, but the intervention results are based on limited studies, and further research is needed to determine optimal strategies. Expand
High prevalence of patellofemoral osteoarthritis in China: a multi-center population-based osteoarthritis study
TLDR
The multi-center population-based osteoarthritis study shows the prevalence of radiographic PFOA was high among Chinese population, and older age, female gender, obesity, and few years of education were associated with a high risk of P FOA. Expand
Influence of body mass index on patellofemoral pain
TLDR
The relationship between overweight, pain and function in women with Patellofemoral Pain Syndrome (PFPS) was evaluated in a cross-sectional observational study in the physiotherapy outpatient clinic of a tertiary hospital in the city of São Paulo. Expand
Obesity Is Preferentially Associated With Patellofemoral Compartment Wear: A Magnetic Resonance Imaging Assessment.
TLDR
Obesity is preferentially associated with increasing cartilage wear in the PF compartment in comparison to the tibiofemoral compartment, and physical therapy and exercise programs that promote weight loss should be modified to decrease forces on the PF joint. Expand
Can radiographic patellofemoral osteoarthritis be diagnosed using clinical assessments?
TLDR
In individuals over 50 years of age with a clinical diagnosis of PFOA, higher BMI, longer pain duration, and fewer repeated single step-ups to pain onset increased the likelihood of radiographic PFOE, but overall diagnostic accuracy was modest, suggesting that radiographicPFOA cannot be confidently identified using these tests. Expand
Overweight and obesity in young adults with patellofemoral pain: Impact on functional capacity and strength.
TLDR
BMI, body fat, and lean mass should be considered in the assessment and management of young people with PFP because it may be detrimental to function and strength. Expand
A 6-week hip muscle strengthening and lumbopelvic-hip core stabilization program to improve pain, function, and quality of life in persons with patellofemoral osteoarthritis: a feasibility pilot study
TLDR
The findings suggest that a hip strengthening and core stabilization program may be beneficial to improve symptoms, function, and physical performance in persons with PFJ OA. Expand
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Improved understanding of the neuromotor and biomechanical links between PF pain and PF OA may highlight potential targets for new rehabilitation strategies and highlight similarities and differences that may evolve along the continuum. Expand
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