Effectiveness of Weight-Loss Interventions for Reducing Pain and Disability in People With Common Musculoskeletal Disorders: A Systematic Review With Meta-Analysis
| Autor: | Amanda C de C Williams, Emma K Robson, Steven J. Kamper, Kate O'Brien, Serene Yoong, Hopin Lee, John Wiggers, Luke Wolfenden, Rebecca K Hodder, Christopher M. Williams, Chris Barnett |
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| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Diet Reducing Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Osteoarthritis Hip 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Weight Loss medicine Hip osteoarthritis Humans Evidence-Based Medicine business.industry 030229 sport sciences General Medicine Osteoarthritis Knee medicine.disease Obesity Spinal pain Exercise Therapy Weight loss interventions Back Pain Meta-analysis Physical therapy Chronic Pain business 030217 neurology & neurosurgery |
| Zdroj: | The Journal of orthopaedic and sports physical therapy. 50(6) |
| ISSN: | 1938-1344 |
| Popis: | To assess the effectiveness of weight-loss interventions on pain and disability in people with knee and hip osteoarthritis (OA) and spinal pain.Intervention systematic review.Twelve online databases and clinical trial registries.Randomized controlled trials of any weight-loss intervention (eg, diet, physical activity, surgical, pharmaceutical) that reported pain or disability outcomes in people with knee or hip OA or spinal pain.We calculated mean differences or standardized mean differences (SMDs) and 95% confidence intervals (CIs). We used the Cochrane risk of bias tool to assess risk of bias and the Grading of Recommendations Assessment, Development, and Evaluation tool to judge credibility of evidence.Twenty-two trials with 3602 participants were included. There was very low- to very low-credibility evidence for a moderate effect of weight-loss interventions on pain intensity (10 trials, n = 1806; SMD, -0.54; 95% CI: -0.86, -0.22; IWeight-loss interventions may provide small to moderate improvements in pain and disability for OA compared to minimal care. There was limited and inconclusive evidence for weight-loss interventions targeting spinal pain. |
| Databáze: | OpenAIRE |
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