
"Joint and Spinal Problems
Obesity accelerates the wear on the joints and spine. In
particular, osteoarthritis (wear-and-tear arthritis) of the knees is
increased. Obese people have difficulty squatting (getting on
and off the toilet, getting out of a car), running and climbing stairs.
Biomechanically this is explained because the force on one’s
knees between the patella (kneecap) and its articulation with
the rest of the knee is about three times your body weight with
walking. When these other activities are undertaken, the forces
can reach six to 10 times body weight. That is, the force on a 200-
pound person’s knees while walking is 600 pounds, and when
they are climbing, running, squatting, etc. the force approaches
1200-2000 pounds. Multiply that by the number of years people
are overweight and you get excessive wear and thus arthritis.
The corollary is true as well, and this provides a nice
incentive to lose weight. The bang for the buck for the knees is 3-
10 pounds of wear reduction for every pound lost! Simply losing
10-20 pounds can make a real difference in one’s activity level.
Moderate exercise and leg-strengthening exercises can reduce
the effective joint forces as well.
Obesity also affects spinal mechanics. Truncal obesity with
a panniculus (doctor-speak for a big gut) causes an anterior
bending force and a compressive force on the spinal column,
thus leading to disc pathology and back pain. Imagine wearing
a backpack backwards with 50-75 pounds in it for a day and you
get the idea."
Obesity accelerates the wear on the joints and spine. In
particular, osteoarthritis (wear-and-tear arthritis) of the knees is
increased. Obese people have difficulty squatting (getting on
and off the toilet, getting out of a car), running and climbing stairs.
Biomechanically this is explained because the force on one’s
knees between the patella (kneecap) and its articulation with
the rest of the knee is about three times your body weight with
walking. When these other activities are undertaken, the forces
can reach six to 10 times body weight. That is, the force on a 200-
pound person’s knees while walking is 600 pounds, and when
they are climbing, running, squatting, etc. the force approaches
1200-2000 pounds. Multiply that by the number of years people
are overweight and you get excessive wear and thus arthritis.
The corollary is true as well, and this provides a nice
incentive to lose weight. The bang for the buck for the knees is 3-
10 pounds of wear reduction for every pound lost! Simply losing
10-20 pounds can make a real difference in one’s activity level.
Moderate exercise and leg-strengthening exercises can reduce
the effective joint forces as well.
Obesity also affects spinal mechanics. Truncal obesity with
a panniculus (doctor-speak for a big gut) causes an anterior
bending force and a compressive force on the spinal column,
thus leading to disc pathology and back pain. Imagine wearing
a backpack backwards with 50-75 pounds in it for a day and you
get the idea."
You have honestly inspired me to dump 20 pounds. Thanks for the information.
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