International Journal of Orthopaedics Sciences

International Journal of Orthopaedics Sciences

2021, Volume 7 Issue 4

The association of lumbar intervertebral disc degeneration and lumbar spinal stenosis on magnetic resonance imaging with body mass index in overweight and obese adults in Indian population

Author(s): Shobhit G Taneja, Nadeem A Lil, Vaibhav V Pathria, Viren A Umrethiya, Tirthraj Dave, Kishor Chaudhary and Nihar Parmar
Abstract: 
Aims: To investigate the association of being overweight or obese with the presence, extent, and severity of lumbar disc degeneration and lumbar spinal stenosis on magnetic resonance imaging (MRI) in adults in the Indian population.
Study Design: Level 4, Cross-sectional study
Place and duration of study: Department of Orthopaedics, SVP Hospital, Ahmedabad between February 2019 and October 2019.
Methodology: A population-based cross-sectional study of 500 Indian volunteers was conducted. Subjects underwent radiographic and clinical assessment, and weight and height were measured. T2-weighted MRIs of the lumbar spine were obtained. The presence, extent, and severity of disc degeneration and additional radiographic and clinical parameters were assessed. Asian-modified body mass index (BMI) (kg/m2) categories were used.
Results: The study included 305 men and 195 women (mean age 50.59 years). Disc degeneration was noted in 450 (90%) subjects. BMI was significantly higher in subjects with disc degeneration (mean 29.18 kg/m2) than in subjects without degeneration (mean 23.66 kg/m2). A significant increase in the number of degenerated levels, global severity of disc degeneration, and end-stage disc degeneration with lumbar spinal stenosis was noted with elevated BMI, in particular in overweight and obese subjects. End-stage disc degeneration with disc space narrowing was significantly more pronounced in obese subject.
Conclusion: Our findings, to systematically assess lumbar disc degeneration and lumbar spinal stenosis on MRI, indicated a significant association between the presence, extent, and global severity of disc degeneration and lumbar spinal stenosis with BMI (>23 kg/m2) in overweight and obese adults.
Pages: 71-78  |  36 Views  1 Downloads
How to cite this article:
Shobhit G Taneja, Nadeem A Lil, Vaibhav V Pathria, Viren A Umrethiya, Tirthraj Dave, Kishor Chaudhary, Nihar Parmar. The association of lumbar intervertebral disc degeneration and lumbar spinal stenosis on magnetic resonance imaging with body mass index in overweight and obese adults in Indian population. Int J Orthop Sci 2021;7(4):71-78. DOI: 10.22271/ortho.2021.v7.i4a.2866
International Journal of Orthopaedics Sciences