Abstract
ABSTRACTIntroduction: Tendinopathies and tendon tears account for over 30% of all musculoskeletal consultations. Obesity, which is becoming one of the world´s most prevalent public health issues, may be associated with this condition.Objective: To review the literature about tendinopathies and obesity association.Methods: This is a descriptive exploratory study using the portal Medline. Literature in English language from 2006 to 2014 were reviewed.Results: The pathogenesis of tendinopathies includes inflammatory, regenerative and degenerative processes that happen simultaneously from early to late phases of the disease. Mechanical stress upon tendons seems to be one of the most important factors to initiate the inflammatory response, but it´s not the only one that can deflagrate it: there are other extrinsic, genetic and metabolic factors that may be involved. Therefore, tendinopathies in obese patients can be due to tendon overload because of the excess of weight, but also because of increased production of pro-inflammatory mediators related to fat tissue such as adipokines. This pro-inflammatory state that obese people can suffer is known as adiposopathy, or sick fat syndrome. Weight loss is associated with decrease in adipokines and improvement of musculoskeletal symptoms.Conclusion: The relation of obesity and tendinopathies is supported by evidences of recent studies, exemplified in this review of literature.
Highlights
Tendinopathies and tendon tears are very common in medical practice, accounting for over 30% of all musculoskeletal consultations[6]
It has been shown that obesity may be associated with tendinopathies
Obesity is becoming one of the most prevalent public health issues in the whole world . 3,8,14,16,17,19,20,32,39,46,47,50-53 The 2015 World Health Organization projection showed that 2.3 billion adults are overweight and more than 700 million are obese[52]
Summary
Tendinopathies and tendon tears are very common in medical practice, accounting for over 30% of all musculoskeletal consultations[6]. Tendinopathies affect the physical functioning; cause pain and suffering They may have economic implications for the patients with a negative impact in their quality of life4,12,30,. The inflammatory and mechanical injuries occur at the junction of tendon with the bone; in the second in the tendon midportion. These two types must be differentiated as they may have different etiologies[4].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
