P57-T Relationship of adiposity indices with carpal tunnel syndrome: A clinical and electrophysiological evaluation

Abstract

Background Since body mass index (BMI) is a poor indicator of adiposity therefore more accurate measures of obesity such as total and segmental body composition relationships with carpal tunnel syndrome (CTS) need further studies. We aimed to study the relationship of adiposity indices with electrophysiological and clinical features of CTS. Methods We studied 103 hands in a total of 61 patients (mean age 54 ± 5 years) with clinical CTS. All patients underwent nerve conduction studies (NCS) and body composition analysis by bio-impedance analysis. Patients were grouped according to BMI, total body adiposity, visceral fat rating and segmental adiposity in the upper limbs. NCS parameters, clinical features were compared between different groups. Results CTS severity score correlated significantly with BMI (r = .343, p β = 0.613, P β = 0.317, P Conclusions Body adiposity indices are significantly related with clinical severity of CTS and electro-physiological parameters especially visceral adiposity. Large scale prospective studies are required to explore the true predictive value of body composition in CTS.