Weight Loss The Treatment Of Choice For Knee Osteoarthritis A Randomized Trial

As the patients show a corresponding reduction in their risk of other health problems as well weight loss is proposed as a first choice therapy for knee oa.

Weight loss the treatment of choice for knee osteoarthritis a randomized trial. To determine the effects of weight loss on patients with knee osteoarthritis messier and coauthors conducted a 18 month randomized clinical trial comparing 3 interventions intensive diet induced weight loss plus exercise intensive diet induced weight loss and exercise among 454 overweight and. Significant weight loss is frequently recommended for the treatment of knee oa 11 an option recently supported by a meta regression analysis showing that disability in obese patients with knee oa is significantly improved when weight is reduced by more than 5 at a rate of 0 25 per week 12 as a consequence it is recommended that patients. The association between osteoarthritis oa and obesity is well established.

Patients were randomized to either a low energy diet led 3 4mj day or a control diet 5mj day. A randomized trial previous article total joint replacement of hip or knee as an outcome measure for structure modifying trials in osteoarthritis. Eighty patients with knee oa 89 women n 71 were recruited.

The treatment of choice for knee osteoarthritis. Widely acknowledged as a risk factor for both the incidence and progression of oa 1 obesity also has a negative influence on disease outcomes such as the need for surgery 2 hence weight loss coupled with exercise is recognized as an important approach in the management of obese patients with oa 3. This and other studies provided additional evidence for nih s 1998 guidelines recommending 10 weight loss to improve the symptoms of a number of obesity.

The treatment of choice for knee osteoarthritis. Mean sd body mass index bmi was 35 9 5 1 kg m 2 and age 62 6 11 1 years. It has been reported that weight reduction of 10 results in improved function by 28 in patients with knee oa 49.

Weight loss can be considered beneficial in the treatment of knee oa. In their randomized controlled clinical trial conducted from 2006 to 2011 weight loss from diet and exercise reduced pain and inflammation and helped adults walk faster and function better. 7 christensen r astrup a bliddal h.

8 ettinger wh burns r messier sp applegate w rejeski wj morgan t shumaker s berry mj o toole m monu j craven t. We conducted a randomized controlled trial to quantify how much pain relief and increased physical function elderly obese patients with knee oa would have following an intensive 8 week dietary weight loss intervention.