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Research ArticleORIGINAL RESEARCH
Open Access

Differential Impact of Body Mass Index in Hip Arthroscopy: Obesity Does Not Impact Outcomes

Misty Suri, Arjun Verma, Mohammed Asad Khalid, Michael Nammour, Deryk Jones and Brian Godshaw
Ochsner Journal January 2023, DOI: https://doi.org/10.31486/toj.22.0077
Misty Suri
1Ochsner Sports Medicine Institute, Jefferson, LA
MD, MS
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  • For correspondence: msuri@ochsner.org
Arjun Verma
1Ochsner Sports Medicine Institute, Jefferson, LA
BS, BA
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Mohammed Asad Khalid
1Ochsner Sports Medicine Institute, Jefferson, LA
MD
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Michael Nammour
1Ochsner Sports Medicine Institute, Jefferson, LA
MD
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Deryk Jones
1Ochsner Sports Medicine Institute, Jefferson, LA
MD
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Brian Godshaw
1Ochsner Sports Medicine Institute, Jefferson, LA
2The University of Queensland Medical School, Ochsner Clinical School, New Orleans, LA
MD
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  • Figure 1.
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    Figure 1.

    Mean scores for the Harris Hip Score (HHS) from baseline (preoperatively) to 36 months postoperatively stratified by body mass index cohort. The HHS, which is used to measure hip functionality and pain, has a maximum score of 100, with higher scores indicating better outcomes.

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    Figure 2.

    Mean scores for the physical component score (PCS-12) from baseline (preoperatively) to 36 months postoperatively stratified by body mass index cohort. The PCS-12, which is the physical health subcomponent of the 12-Item Short Form Survey, has a maximum score of 100, with higher scores indicating better outcomes.

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    Figure 3.

    Mean scores for the mental component score (MCS-12) from baseline (preoperatively) to 36 months postoperatively stratified by body mass index cohort. The MCS-12, which is the mental health subcomponent of the 12-Item Short Form Survey, has a maximum score of 100, with higher scores indicating better outcomes.

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    Table 1.

    Demographic Information, n=459

    VariableValue
    Age, years, mean35.6
    Sex
     Female272 (59.3)
     Male187 (40.7)
    Body mass index, kg/m2, mean25.7
    Body mass index cohorts
     Underweight16 (3.5)
     Normal weight213 (46.4)
     Overweight147 (32.0)
     Obese83 (18.1)
    • Notes: Data are presented as n (%) unless otherwise indicated. Body mass index cohorts were defined as follows: underweight, <18.5 kg/m2; normal weight, 18.5 to 24.9 kg/m2; overweight, 25.0 to 29.9 kg/m2; obese, ≥30.0 kg/m2.

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    Table 2.

    Average Preoperative and Postoperative Scores Stratified by Body Mass Index Cohort

    Postoperative Follow-Up Time Point
    Outcome Measure/Body Mass Index CohortPreoperative Baseline6 weeks3 months6 months1 year2 years3 years
    Harris Hip Score
    Underweight58.078.1 (0.020)80.2 (0.001)85.9 (0.076)81.0 (0.011)73.2 (0.008)68.2 (0.046)
    Normal weight56.376.7 (<0.001)74.0 (<0.001)92.5 (<0.001)88.5 (<0.001)86.3 (<0.001)73.9 (<0.001)
    Overweight50.680.5 (<0.001)77.9 (<0.001)89.8 (<0.001)87.4 (<0.001)82.0 (<0.001)75.9 (<0.001)
    Obese54.775.9 (<0.001)79.5 (<0.001)90.2 (<0.001)91.7 (<0.001)87.8 (<0.001)82.2 (<0.001)
     Intercohort P valuea0.2450.9140.9890.5760.8840.4440.448
    Physical Component Score of 12-Item Short Form Survey
    Underweight37.138.0 (0.494)44.2 (0.008)43.7 (0.016)46.9 (0.024)48.4 (0.022)49.0 (0.061)
    Normal weight35.638.2 (0.002)44.9 (<0.001)49.4 (0.001)49.6 (<0.001)50.1 (<0.001)51.4 (<0.001)
    Overweight34.638.4 (0.001)43.4 (<0.001)46.7 (<0.001)48.3 (<0.001)49.1 (<0.001)51.8 (<0.001)
    Obese34.247.5 (0.079)42.9 (<0.001)46.7 (<0.001)49.2 (<0.001)51.1 (<0.001)53.6 (<0.001)
     Intercohort P valuea0.5420.1860.6390.7960.7580.7650.661
    Mental Component Score of 12-Item Short Form Survey
    Underweight48.052.4 (0.049)53.4 (0.059)47.7 (0.353)58.0 (0.026)57.2 (0.022)55.5 (0.056)
    Normal weight49.553.4 (0.001)55.1 (<0.001)54.6 (<0.001)54.9 (<0.001)54.5 (<0.001)55.4 (<0.001)
    Overweight51.253.3 (0.004)55.0 (<0.001)54.3 (0.010)54.9 (0.049)55.4 (0.071)56.3 (0.119)
    Obese50.953.7 (0.017)54.9 (0.030)54.9 (0.027)55.9 (0.010)56.4 (0.079)59.0 (0.095)
     Intercohort P valuea0.5190.9840.9270.2690.6690.6710.318
    • ↵aIntercohort P values calculated by analysis of variance to compare the mean values of the 4 body mass index cohorts.

    • Notes: Data are presented as mean score (P value compared to preoperative score) unless otherwise indicated. The Harris Hip Score, the physical component score of the 12-Item Short Form Survey, and the mental component score of the 12-Item Short Form Survey each has a maximum score of 100, with higher values indicating better outcomes. Body mass index cohorts were defined as follows: underweight, <18.5 kg/m2; normal weight, 18.5 to 24.9 kg/m2; overweight, 25.0 to 29.9 kg/m2; obese, ≥30.0 kg/m2.

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Differential Impact of Body Mass Index in Hip Arthroscopy: Obesity Does Not Impact Outcomes
Misty Suri, Arjun Verma, Mohammed Asad Khalid, Michael Nammour, Deryk Jones, Brian Godshaw
Ochsner Journal Jan 2023, DOI: 10.31486/toj.22.0077

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Differential Impact of Body Mass Index in Hip Arthroscopy: Obesity Does Not Impact Outcomes
Misty Suri, Arjun Verma, Mohammed Asad Khalid, Michael Nammour, Deryk Jones, Brian Godshaw
Ochsner Journal Jan 2023, DOI: 10.31486/toj.22.0077
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