Overweight and obesity in young adults with patellofemoral pain: Impact on functional capacity and strength

Author(s)

Ferreira, Amanda Schenatto ; Mentiplay, Benjamin F. ; Taborda, Bianca ; Pazzinatto, Marcella Ferraz ; de Azevedo, Fabio Micolis ; Silva, Danilo de Oliveira

• Document type: Journal article
• Source: JOURNAL OF SPORT AND HEALTH SCIENCE; v. 12, n. 2, p. 10-pg., 2023-03-01.

Abstract

Purpose: This study aimed to (a) investigate the proportion of overweight/obesity in a cohort of young adults with patellofemoral pain (PFP) and (b) explore the association of body mass index (BMI), body fat, and lean mass with functional capacity and hip and knee strength in people with PFP.Methods: We included a mixed-sex sample of young adults (18-35 years old) with PFP (n = 100). Measurements for BMI, percentage of body fat, and lean mass (assessed by bioelectrical impedance) were obtained. Functional capacity was assessed by the Anterior Knee Pain Scale, plank test, and single-leg hop test. Strength of the knee extensors, knee flexors, and hip abductors was evaluated isometrically using an isokinetic dynamometer. The proportion of overweight/obesity was calculated based on BMI. The association between BMI, body fat, and lean mass and functional capacity and strength was investigated using partial correlations, followed by hierarchical regression analysis, adjusted for covariates (sex, bilateral pain, and current pain level).Results: A total of 38% of our cohort had their BMI categorized as overweight/obese. Higher BMI was associated with poor functional capacity (aR2 = 0.06-0.12, p < 0.001) and with knee flexion strength only (aR2= 0.04, p = 0.030). Higher body fat was associated with poor functional capacity (aR2= 0.05-0.15, p < 0.015) and reduced strength (aR2= 0.15-0.23, p < 0.001). Lower lean mass was associated with poor func-tional capacity (aR2 = 0.04-0.13, p < 0.032) and reduced strength (aR2= 0.29- 0.31, p < 0.001).Conclusion: 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. (AU)

• FAPESP's process: 18/17106-0 - What is the importance of body mass index for individuals with patellofemoral pain? An investigation of movement pattern, aspects of muscular function and psychological factors
• Grantee: Amanda Schenatto Ferreira
• Support Opportunities: Scholarships in Brazil - Doctorate