Effect of exercise and weight loss in people who have hip osteoarthritis and are overweight or obese: a prospective cohort study.
| Autor: | Paans N; Department of Orthopedic Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001 BB51, 9700 RB Groningen, the Netherlands. n.paans@umcg.nl, van den Akker-Scheek I, Dilling RG, Bos M, van der Meer K, Bulstra SK, Stevens M |
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| Jazyk: | angličtina |
| Zdroj: | Physical therapy [Phys Ther] 2013 Feb; Vol. 93 (2), pp. 137-46. Date of Electronic Publication: 2012 Sep 27. |
| DOI: | 10.2522/ptj.20110418 |
| Abstrakt: | Background: Osteoarthritis (OA) is the most common joint disorder in the world and is recognized as a substantial source of disability. For people with OA of the knee, exercise in combination with weight loss is a proven, effective, conservative treatment option, yet evidence is lacking for people with hip OA. Objective: The aim of this study was to obtain preliminary evidence of the effect of a program of exercise in combination with weight loss on physical function in people who have hip OA and are overweight or obese. Design: This investigation was a prospective cohort study. Methods: Thirty-five people who were 25 years or older, had clinical and radiological evidence of hip OA, and were overweight or obese (body mass index of >25 kg/m(2)) were included. They participated in an 8-month program of exercise in combination with weight loss. A body mass index of 40 kg/m(2) was used as the upper limit. The primary outcome was self-reported physical function, as measured with a subscale of the Western Ontario and McMaster Universities Osteoarthritis Index. Secondary outcome measures included pain and walking tests as quantitative measures of function. Results: Participation in the combination program resulted in a 32.6% improvement in self-reported physical function after 8 months, a finding that could be considered clinically relevant. Significant improvements also were seen in pain and on walking tests. Limitations: The lack of a control group was a limitation of this study. Conclusions: This appears to be the first study investigating the effect of exercise and weight loss as a combination treatment in people with hip OA. The results provide preliminary evidence that this combination treatment is effective in people with hip OA. |
| Databáze: | MEDLINE |
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