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Bilateral aggravation of CEAP score associated with obesity

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-ﬁ ve patients with varicose vein in the lower limbs and a BMI higher than 40 kg/m 2 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/m 2 were divided into three groups: Group I – BMI >50 kg/m 2 ; Group II – BMI 45 to 50 kg/m 2 ; and Group III – BMI 40 to 45 kg/m 2 . After inclusion into the study, patients with bilateral varicose veins equal to or higher than C3 of the CEAP classiﬁ cation 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.