TOTAL DİZ PROTEZİ AMELİYATI OLAN HASTALARDA YEME DAVRANIŞI İLE ERKEN DÖNEM FONKSİYONEL KLİNİK SONUÇLAR ARASINDAKİ İLİŞKİNİN DEĞERLENDİRİLMESİ

Abstract

The aim of this study was to evaluate the relationship between eating behavior and functional clinical outcomes in patients who underwent total knee arthroplasty. The study population consisted of patients who underwent total knee arthroplasty. All patients were provided with general information and a questionnaire form including the Adult Eating Behavior Questionnaire (AEBQ) before surgery. In addition, anthropometric measurements (height and body weight) and Oxford Knee Score were evaluated for each patient. Anthropometric measurements (height and body weight) and Oxford knee score were repeated at the 2nd month postoperative follow-up. Preoperative body mass index (BMI) and postoperative BMI values were compared. Patients were classified according to BMI classification and their AEBQ scores were compared. Patients were grouped according to their Oxford scores and their AEBQ scores were also compared. At the same time, the relationship between BMI and AEBQ and the relationship between Oxford score and AEBQ were evaluated by correlation analysis. The mean preoperative BMI of 106 patients (95 female, 11 male) with a mean age of 60.2±3.9 years (range 48-65 years) who participated in the study was calculated as 31.5±5.3 kg/m² while the mean postoperative BMI was 30.7±5.1 kg/m² (p=<0.001). While the mean preoperative Oxford knee score was 14.9±6.5 points, the mean postoperative score increased to 30.8±6.9 points (p<0.001). When the patients were classified according to BMI classification, no difference was found between the groups in terms of AEBQ points. When the patients were grouped according to Oxford score, no difference was found between the groups in terms of AEBQ points. According to the correlation analysis results, a significant relationship was found between preoperative BMI values and emotional overeating scores (p=0.042, r=0.198). A negative significant relationship was found between the participants' postoperative BMI values and their slowness in eating scores (p=0.041, r=-0.199). When the participants' postoperative Oxford scores and the AEBQ relationship were evaluated, a significant relationship was found between the postoperative Oxford scores and food fussiness (p=0.035, r=0.205). As a result; according to the findings obtained from the study, no significant difference was found between the clinical outcome groups according to the Oxford scores of the patients after total knee replacement surgery in terms of AEBQ points. At the same time, no significant difference was found between the groups in terms of AEBQ points according to the BMI classification. In addition, a significant relationship was found between the preoperative BMI values and emotional overeating and between the postoperative BMI values and slowness in eating. In addition, a significant relationship was observed between the Oxford score and food fussiness.