Central and Peripheral Obesity on Severity Knee Osteoarthritis

Refangga Lova Nusantara Efendi(1), Zulfachmi Wahab(2), M. Riza Setiawan(3*)

(1) FK Universitas Muhammadiyah Semarang
(2) FK Universitas Muhammadiyah Semarang
(3) FK Universitas Muhammadiyah Semarang
(*) Corresponding Author


Background: Obesity can affect severity of knee osteoarthritis sufferers. Several studies have examined relationship between obesity and osteoarthritis, but no one has examined the different types of obesity on osteoarthritis, therefore, researchers wanted to know differences of central and peripheral obesity on severity osteoarthritis.

Methods: A retrospective studi, with cross-sectional, simple random sampling method, conducted between 1 August 2014 and 30 September 2014 in Semarang City. Samples people > 50 years old. Data were analyzed by rank Spearman and Anova correlation.

Results: In this study, 45.7% (n = 32) reported severe osteoarthritis. The results of the statistical test obtained p1 = 0,000 (reject Ho). The correlation coefficient (r) is 0.857 (strong), and the linear pattern is positive. The coefficient of determination (r2) is obtained (0.857) 2 = 0.73 = 73%. And 37.1% (N = 26) reported being obese. p2 = 0.043 (reject Ho). The mean deviation (MD) was 0.048 (not significant) between central obesity and peripheral obesity.

Conclusion: Obesity affects severity of knee osteoarthritis. The greater body mass index, greater severity of knee osteoarthritis. 73% of severity of knee osteoarthritis is influenced by obesity, but there is no significant effect between central and peripheral obesity on the occurrence of knee osteoarthritis.


obesity; knee; osteoarthritis; bmi; waist; circumference

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WHO. Obesity and overweight [serial online] 2014 may [cited 2014 jun 2014]; 1(1):[5screens]. Available from: URL: http://www.who.int/mediacentre/factsheets/fs311/en/.

Marlowe, F; Apicella, C; Reed, D. Men's preferences for women's profile waist-to-hip ratio in two societies". Evolution and Human Behavior.2005;26(6):45-68.

Sacks JJ, Luo Y-H, Helmick CG. Prevalence of specific types of arthritis and other rheumatic conditions in the ambulatory health care system in the United States, 2001–2005. Arthritis Care & Research. 2010;62 (4):460-4.

Lago F, Dieguez C, Gomez-Reino J, Gualillo O. The emerging role of adipokines as mediators of inflammation and immune responses. Cytokine Growth Factor Rev 2007; 18(3-4): 313-25

Runhaar J, Koes BW, Clockaerts S, Bierma-Zeinstra SM. A systematic review on changed biomechanics of lower extremities in obese individuals: a possible role in development of osteoarthritis. Obes Rev 2011; 12 : 1071-82.

King LK, Birmingham TB, Kean CO, Jones IC, Bryant DM, Giffin JR. Resistance training for medial compartment knee osteoarthritis and malalignment. Med Sci Sports Exerc 2008; 40 : 1376-84.

Xie, F., et al. "Cross-cultural adaptation and validation of Singapore English and Chinese versions of the Lequesne Algofunctional Index of knee in Asians with knee osteoarthritis in Singapore." Osteoarthritis and cartilage 15.1 (2007): 19-26.

Jiang L, Tian W, Wang Y, Rong J, Bao C, Liu Y, 11. et al. Body mass index and susceptibility to knee osteoarthritis: a systematic review and meta-analysis. Joint Bone Spine 2012; 79 : 291-7.

Holliday KL, McWilliams DF, Maciewicz RA, Muir KR, 12. Zhang W, Doherty M. Lifetime body mass index, other anthropometric measures of obesity and risk of knee or hip osteoarthritis in the GOAL case-control study. Osteoarthritis Cartilage 2011; 19 : 37-43.

Dillon, Charles F., Elizabeth K. Rasch, Qiuping Gu, and Rosemarie Hirsch. "Prevalence of knee osteoarthritis in the United States: arthritis data from the Third National Health and Nutrition Examination Survey 1991-94." The Journal of rheumatology 33, no. 11 (2006): 2271-9.

Marlowe, F; Apicella, C; Reed, D (2005). Men's preferences for women's profile waist-to-hip ratio in two societies. Evolution and Human Behavior.2005;26(6):45-68.

Yoshimura Noriko, Kinoshita Hirofumi, Hori Noriaki, et al. Risk factors for knee osteoarthritis in Japanese Men : A Case-Control Study.Modern Rheumatology, 2006; 16 (1) : 108 - 12.

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DOI: https://doi.org/10.26714/magnamed.1.3.2016.64-68


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