A pilot study investigating dietetic weight loss interventions and 12 month functional outcomes of patients undergoing total joint replacement
| Autor: | Jane Keenan, Natalie Simmance, Naomi Gandler, Peter F. M. Choong, Michelle M. Dowsey |
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| Rok vydání: | 2016 |
| Předmět: |
Male
0301 basic medicine medicine.medical_specialty Diet Reducing Dietetics Joint replacement Health Status Endocrinology Diabetes and Metabolism medicine.medical_treatment Pilot Projects 030209 endocrinology & metabolism Body Mass Index law.invention Treatment and control groups 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Weight loss law Weight Loss Humans Medicine Nutritionists Obesity Arthroplasty Replacement Aged 030109 nutrition & dietetics Nutrition and Dietetics business.industry Body Weight Weight change Middle Aged medicine.disease Arthroplasty Treatment Outcome Physical therapy Female Joint Diseases medicine.symptom business Body mass index |
| Zdroj: | Obesity Research & Clinical Practice. 10:220-223 |
| ISSN: | 1871-403X |
| DOI: | 10.1016/j.orcp.2016.03.006 |
| Popis: | We conducted a pilot randomised controlled trial comparing the effects of a dietetic intervention to usual care, in 40 individuals with a body mass index >30kg/m(2) undergoing total joint replacement (TJR). The dietetic weight loss intervention comprised at least four sessions with an Accredited Practising Dietitian. At 12 months, the usual care group gained weight, +2.01kg (6.45), whereas the treatment group lost weight, -3.38kg (6.62), (p=0.015). Percentage weight change in the treatment group was -3.20% (5.24), compared to +1.67% (6.16) for the usual care group (p=0.015) and more participants in the intervention group (45%) lost ≥5% of their baseline weight (13%), (p=0.057). Physical health scores were also better for the intervention group [42.2 (11.80); 32.86 (9.91), p=0.014]. Findings suggest that a structured dietitian-led weight loss intervention in patients undergoing TJR is more effective in achieving weight loss than usual care, and can result in improved physical health scores at 12 months post-TJR. |
| Databáze: | OpenAIRE |
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