{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:09Z","timestamp":1740148629755,"version":"3.37.3"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T00:00:00Z","timestamp":1643241600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Analisar a rela\u00e7\u00e3o da presen\u00e7a e da gravidade da les\u00e3o do manguito rotador (MR) com a obesidade e o tempo de exposi\u00e7\u00e3o \u00e0 obesidade. De forma secund\u00e1ria, avaliar a rela\u00e7\u00e3o e a preval\u00eancia de fatores demogr\u00e1ficos e metab\u00f3licos em indiv\u00edduos obesos com les\u00e3o do MR.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Trata-se de um estudo transversal, com 235 pacientes obesos (\u00edndice de massa corporal [IMC]\u2009\u2265\u200930\u2009kg\/m2). Dados demogr\u00e1ficos (idade e g\u00eanero), metab\u00f3licos (hipertens\u00e3o, diabetes mellitus, perfil lip\u00eddico, e tempo de exposi\u00e7\u00e3o \u00e0 obesidade), exame f\u00edsico (peso, estatura, circunfer\u00eancia abdominal, e testes cl\u00ednicos), e exame ultrassonogr\u00e1fico musculoesquel\u00e9tico foram utilizados para a an\u00e1lise dos resultados.<\/jats:p><jats:p>\n          Resultados\u2003N\u00e3o foi evidenciada associa\u00e7\u00e3o da les\u00e3o do MR com IMC (p\u2009=\u20090,82), tempo de exposi\u00e7\u00e3o \u00e0 obesidade (p\u2009=\u20090,29), ou circunfer\u00eancia abdominal (p\u2009=\u20090,52). No subgrupo com les\u00e3o, a idade (p\u2009&lt;\u20090,001), a presen\u00e7a de diabetes melito (p\u2009=\u20090,013), a hipertens\u00e3o (p\u2009&lt;\u20090,001), o n\u00edvel de lipoprote\u00edna de alta densidade (high-density lipoprotein, HDL, em ingl\u00eas) (p\u2009=\u20090,026), e o tempo de exposi\u00e7\u00e3o \u00e0 obesidade (p\u2009&lt;\u20090,001) foram significativamente maiores em compara\u00e7\u00e3o ao subgrupo sem les\u00e3o do MR. Na busca por demais par\u00e2metros associados de forma independente para les\u00e3o do MR, foram observadas associa\u00e7\u00f5es com idade (p\u2009=\u20090,0003) e hipertens\u00e3o (p =0,004).<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003N\u00e3o evidenciamos associa\u00e7\u00e3o da obesidade e do tempo de exposi\u00e7\u00e3o a ela com a ocorr\u00eancia e a gravidade da les\u00e3o do MR. Por\u00e9m, indiv\u00edduos com les\u00e3o apresentaram maior tempo de exposi\u00e7\u00e3o \u00e0 obesidade e preval\u00eancia de disfun\u00e7\u00f5es metab\u00f3licas do que indiv\u00edduos sem les\u00e3o. Al\u00e9m disso, nossos achados sugerem uma associa\u00e7\u00e3o entre hipertens\u00e3o arterial sist\u00eamica (HAS) e idade avan\u00e7ada com a les\u00e3o do MR.<\/jats:p>","DOI":"10.1055\/s-0041-1729937","type":"journal-article","created":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T01:16:47Z","timestamp":1643332607000},"page":"282-288","source":"Crossref","is-referenced-by-count":0,"title":["Les\u00e3o do manguito rotador e obesidade: Uma avalia\u00e7\u00e3o demogr\u00e1fica e metab\u00f3lica"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6128-2449","authenticated-orcid":false,"given":"Saulo Teixeira","family":"Pansiere","sequence":"additional","affiliation":[{"name":"Instituto de Pesquisa e Ensino do Hospital Ortop\u00e9dico e Medicina Especializada (IPE-HOME), Bras\u00edlia, DF, Brasil"},{"name":"Centro de Traumato-ortopedia do Esporte (Cete), Universidade Federal de S\u00e3o Paulo (Unifesp), S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1428-6332","authenticated-orcid":false,"given":"Arlane Carvalho de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Instituto de Pesquisa e Ensino do Hospital Ortop\u00e9dico e Medicina Especializada (IPE-HOME), Bras\u00edlia, DF, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3229-2063","authenticated-orcid":false,"given":"Alberto de Castro","family":"Pochini","sequence":"additional","affiliation":[{"name":"Centro de Traumato-ortopedia do Esporte (Cete), Universidade Federal de S\u00e3o Paulo (Unifesp), S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3301-1457","authenticated-orcid":false,"given":"Benno","family":"Ejnisman","sequence":"additional","affiliation":[{"name":"Centro de Traumato-ortopedia do Esporte (Cete), Universidade Federal de S\u00e3o Paulo (Unifesp), S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4441-4742","authenticated-orcid":false,"given":"Paulo Santoro","family":"Belangero","sequence":"additional","affiliation":[{"name":"Centro de Traumato-ortopedia do Esporte (Cete), Universidade Federal de S\u00e3o Paulo (Unifesp), S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3761-0745","authenticated-orcid":false,"given":"Carlos Vicente","family":"Andreoli","sequence":"additional","affiliation":[{"name":"Centro de Traumato-ortopedia do Esporte (Cete), Universidade Federal de S\u00e3o Paulo (Unifesp), S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,1,27]]},"reference":[{"issue":"17","key":"ref1","doi-asserted-by":"crossref","first-page":"350","DOI":"10.21037\/atm.2017.06.69","article-title":"Association of obesity with hypertension","volume":"5","author":"W S Aronow","year":"2017","journal-title":"Ann Transl Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"587","DOI":"10.2147\/DMSO.S67400","article-title":"Mechanism linking diabetes mellitus and obesity","volume":"7","author":"A S Al-Goblan","year":"2014","journal-title":"Diabetes Metab Syndr Obes"},{"issue":"04","key":"ref3","first-page":"400","article-title":"Evaluation of body mass index as a prognostic factor in osteoarthrosis of the knee","volume":"51","author":"F B Loures","year":"2016","journal-title":"Rev Bras Ortop"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1056\/NEJMoa1614362","article-title":"Health Effects of Overweight and Obesity in 195 Countries over 25 Years","volume":"377","author":"A Afshin","year":"2017","journal-title":"N Engl J Med"},{"volume-title":"Vigitel Brazil 2018: surveillance of risk and protective factors for chronic diseases by telephone survey: estimates of frequency and sociodemographic distribution of risk and protective factors for chronic diseases in the capitals of the 26 Brazilian states and the Federal District in 2018","year":"2018","author":"Brasil. 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