THE INFLUENCE OF BODY WEIGHT DISORDERS ON THE SEVERITY OF OSTEOCHONDROSIS MANIFESTATIONS IN PATIENTS WITH NON-ALCOHOLIC FATTY LIVER DISEASE
DOI:
https://doi.org/10.11603/1811-2471.2020.v.i4.11767Keywords:
nonalcoholic fatty liver disease, osteochondrosis, obesityAbstract
SUMMERY. Osteochondrosis (OСH) of the spine is one of the most common diseases among the adult population. Among the main causes of OCH, doctors identify metabolic disorders, low physical development, genetic predisposition, obesity, smoking.
The aim of the study – to determine the clinical features of the course of OCH of the lumbar spine (LS) in patients with nonalcoholic fatty liver disease (NAFLD) depending on the severity of the violation of body mass index (BMI) in these patients.
Materials and Methods. 46 patients with NAFLD and OCH were examined. All examined patients underwent general clinical studies. Lumbar spine osteochondrosis was diagnosed based on physical and general clinical methods, as well as the results of computed tomography of the lumbar spine.
Results and Discussion. During examination and analysis of the anthropometric study results in the vast majority of patients with nonalcoholic fatty liver disease (NAFLD) overweight or obesity of varying degrees, manifested by an increase in BMI and waist/thigh index were found. In patients with NAFLD and OCH of LS more often were diagnosed the overweight (42.9 %) and obesity of the first degree (28.6 %) and only 9.5 % of those surveyed had a normal body weight. There were also significant deterioration of mobility (flexibility) of the spine in the lumbar region during its flexion, extension and tilting to the right and left in patients with NAFLD and osteochondrosis of the lumbar spine. At the same time, the regularity of progression of motor activity indicators depending on progression of BMI disturbance was established. Maximum motor disorders were determined in patients with obesity of the second degree according to the results of the Schober test, the test "fingers-floor" and extension (2.00±0.18) cm – p<0.01; (16.71±0.32) cm – p<0.01; 7.12±0, 13 cm – p<0.05, respectively). These changes are staged – with minimal rates in patients with normal body weight and maximum in patient with obesity of the second degree.
Conclusions. In patients with NAFLD and OCH of LS with increasing BMI revealed the progression of disorders of motor activity of the lumbar spine. In patients with NAFLD and OCH of LS, obesity of severity degree and overweight are more common in people without education or with secondary special education.
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