Cor Vasa 2022, 64(5):505-508 | DOI: 10.33678/cor.2022.061

Bilateral aggravation of CEAP score associated with obesity

Sergio Quilici Belczak^{a, b}, Rubiana Neves Ramos^a, Jose Maria Pereira de Godoy^c

^a Clinica Belczak in Maringá, Brazil

^b IAPACE and the Camillian Academic League of Vascular Surgery, Brazil

^c Department of the Medicine School in São José do Rio Preto (FAMERP), CNPq (National Council for Research and Development), Brazil

Background: Chronic venous disease is common and causes discomfort, exerting a negative impact on quality of life and obesity is associated with a reduction in joint mobility and the aggravation of chronic venous disease.

Aim: The aim of the present study was to evaluate the worsening of the CEAP score bilaterally with the increase in the body mass index (BMI).

Method: Forty-five patients with varicose vein in the lower limbs and a BMI higher than 40 kg/m² were evaluated at the Belczak Clinic in the city of Maringá, Brazil. Patients with a clinical diagnosis of varicose veins and BMI higher than 40 kg/m² were divided into three groups: Group I - BMI >50 kg/m²; Group II - BMI 45 to 50 kg/m²; and Group III - BMI 40 to 45 kg/m². After inclusion into the study, patients with bilateral varicose veins equal to or higher than C3 of the CEAP classification were evaluated.

Results: Fisher's exact test revealed that Group I had more bilateral edema than Group II (p = 0.04), Group I had more bilateral edema than Group III (p = 0.0001) and Group II had more bilateral edema than Group III (p = 0.001).

Conclusion: The present study shows that obesity is associated with the formation of bilateral edema in patients with chronic venous disease.

Keywords: Aggravation, Bilateral edema, CEAP score, Obesity

Received: November 2, 2021; Revised: November 2, 2021; Accepted: May 27, 2022; Published: November 1, 2022  Show citation