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Adipositas - Ursachen, Folgeerkrankungen, Therapie 2010; 04(01): 26-35
DOI: 10.1055/s-0037-1618692
Adipositas und orthopädische Aspekte
Schattauer GmbH

Einfluss von Übergewicht und Adipositas auf den wachsenden und adulten Bewegungsapparat

Influence of overweight and obesity on the musculoskeletal system in children and adults
F. Thielemann
1   Klinik und Poliklinik für Orthopädie, Universitätsklinikum Carl Gustav Carus, Dresden
,
K. P. Günther
1   Klinik und Poliklinik für Orthopädie, Universitätsklinikum Carl Gustav Carus, Dresden
,
M. Stiehler
1   Klinik und Poliklinik für Orthopädie, Universitätsklinikum Carl Gustav Carus, Dresden
› Author Affiliations
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Publication History

Publication Date:
22 December 2017 (online)

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Zusammenfassung

Belastungsabhängige Beschwerden des Haltungs- und Bewegungsapparates werden von übergewichtigen Patienten häufig beklagt. Neben funktionellen Behinderungen stellen strukturelle Veränderungen und Gelenkfehlstellungen, insbesondere der unteren Extremitäten und der Wirbelsäule, die häufigste Ursache der Beschwerden dar. Übergewicht ist ein wissenschaftlich klar belegter Risikofaktor zur Manifestation von Gelenkarthrosen im Erwachsenenalter. Aber bereits im Kindes- und Jugendalter bestehen klar belegte Zusammenhänge zwischen der Entwicklung pathologischer Fuß-, Beinachsen- und Hüftfehlstellungen und frühzeitig manifestem Übergewicht oder gar Adipositas. Selbst eine erhöhte Gefahr dieser Patientengruppe, sich im Alltag oder bei sportlichen Aktivitäten akut zu verletzen oder sich eine Fraktur zuzuziehen, konnte belegt werden. Der Einfluss von Adipositas auf das klinisch-funktionelle Ergebnis nach endoprothetischer Versorgung wird kontrovers diskutiert. Für die im Beitrag dargestellten Erkrankungen am wachsenden und adulten Skelett konnten Stammfettsucht und Übergewicht als Risikofaktoren identifiziert werden.

Summary

Obese adolescent patients freqently complain about load-dependend pain in the joints of the lower extremity or low back pain corresponding to functional disorders, malalignment and early structural changes. There is evidence of various structural and functional disorders of the lower extremities in case of early onset of obesity in the childhood. Furthermore, the prevalence of sport injuries and fractures is significantly increased in obese individuals compared with their normal-weight peers. In adults obesity is a known risk factor for early osteoarthritis in the knee and forefood deformities. There exists controversy on the effect of body mass index on clinical outcome after joint replacement procedures. This article gives an overview over muskuloskeletal disorders with known association to obesity on paediatric and adult patients.

Schlüsselwörter

Übergewicht - Adipositas - Bewegungsapparat

Keywords

Overweight - obesity - muskuloskeletal system
 

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