Budget Impact of Funding an Intensive Diet and Exercise Program for Overweight and Obese Patients With Knee Osteoarthritis

The efficacy of ear electroacupuncture on appetite and weight control was investigated in 3 separate studies. Part I: The Stomach, Hunger, or placebo ear points were stimulated in three different groups. Stimulating the Stomach, or Hunger, points was significantly more effective in appetite control than stimulating the placebo points. Part II: Stimulation of 3 pairs of ear points (Stomach, Hunger, and Shen Men) was performed on 61 obese subjects for 8 weeks. Only 43 subjects engaged, in addition, in an exercise program. 79% of the subjects succeeded to follow a low calorie diet for 8 weeks with subsequent weight reduction. Active exercises significantly increased weight loss. Part III: 19 obese patients with knee osteoarthritis participated in electroacupuncture, diet, and exercise program and 89% of them lost 5-10 kg in 8 weeks.

Download Full-text

Cost‐Effectiveness of Diet and Exercise for Overweight and Obese Patients With Knee Osteoarthritis

Arthritis Care & Research ◽

10.1002/acr.23716 ◽

2019 ◽

Vol 71 (7) ◽

pp. 855-864 ◽

Cited By ~ 12

Author(s):

Elena Losina ◽

Karen C. Smith ◽

A. David Paltiel ◽

Jamie E. Collins ◽

Lisa G. Suter ◽

...

Keyword(s):

Cost Effectiveness ◽

Knee Osteoarthritis ◽

Obese Patients ◽

Diet And Exercise

Download Full-text

The efficacy of land versus water exercise program on body composition in obese patients with knee osteoarthritis

Annals of Physical and Rehabilitation Medicine ◽

10.1016/j.rehab.2018.05.021 ◽

2018 ◽

Vol 61 ◽

pp. e9

Author(s):

T. Tamin ◽

N. Loekito

Keyword(s):

Body Composition ◽

Knee Osteoarthritis ◽

Exercise Program ◽

Obese Patients ◽

Water Exercise

Download Full-text

Multi-modal Exercise Program in Older Aduls With Knee Osteoarthritis

Case Medical Research ◽

10.31525/ct1-nct03951506 ◽

2019 ◽

Author(s):

Keyword(s):

Knee Osteoarthritis ◽

Exercise Program

Download Full-text

Incorporation of Photobiomodulation Therapy in an Exercise Program With Blood Flow Restriction for Knee Osteoarthritis

Case Medical Research ◽

10.31525/ct1-nct04247893 ◽

2020 ◽

Author(s):

Keyword(s):

Blood Flow ◽

Knee Osteoarthritis ◽

Exercise Program ◽

Photobiomodulation Therapy ◽

Blood Flow Restriction ◽

Flow Restriction

Download Full-text

POS1281 HOW DOES OBESITY INFLUENCE THE FEATURES OF KNEE OSTEOARTHRITIS?

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.3602 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 923.4-924

Author(s):

H. Hachfi ◽

D. Khalifa ◽

M. Brahem ◽

N. Ben Chekaya ◽

M. Younes

Keyword(s):

Knee Osteoarthritis ◽

Functional Impairment ◽

Statistical Significance ◽

Obese Group ◽

University Hospital ◽

Obese Patients ◽

Cross Sectional ◽

Duration Of Symptoms ◽

Lequesne Index ◽

The Mean

Background:Knee osteoarthritis and obesity are both major health problems. It is now admitted that the prevalence of knee osteoarthritis gets higher with obesity and that weight loss helps knee function and allows patients to avoid surgery.Objectives:The aim of this study was to study the influence of obesity on knee osteoarthritis features.Methods:A cross-sectional study was conducted in the university hospital Taher Sfar of Tunisia over a period of 6 months. Patients who had knee osteoarthritis confirmed by radiographs were included. Sociodemographic, clinical, radiological and therapeutic data were collected from medical records and visits. Obesity was defined by a body mass index (BMI) ≥30. Functional impairment was assessed by the Womac index and Lequesne index.Results:The study included 186 patients. There were 31 males and 155 femmes. The mean age was 60±10 years. The percentage of obese patients was 53,8%. The mean age was similar in both groups obese and non obese. There were more women in the obese group compared to the non obese group (p=0.0001), more patients who had diabetes mellitus and dyslipidemia (p=0.002). Non-obese patients had a shorter duration of symptoms with no statistical significance (p=0.151). Obese patients had more involvement of both knees (p<0.0001). Obesity did not have an impact on pain severity. Severity of radiological images (p=0,0001) were more frequent in obese patients. Functional impairment was similar in both groups. However, the percentage of patients having a very important functional impairment with Lequesne index was higher in obese patients (p<0.029). Obese patients also needed more physical therapy sessions (p=0.035).Conclusion:Knee osteoarthritis in obese patients is characterized with the femlae gender predominance, bilateral knee involvement, and a more severe images on radiographs. Thus the need for better control of weight and the importance of physical activity.References:[1]Coggon D, Reading I, Croft P, et al. Knee osteoarthritis and obesity. Int J Obes Relat Metab Disord J Int Assoc Study Obes 2001; 25: 622–627.Disclosure of Interests:None declared

Download Full-text

3D Kinematics and Decision Trees to Predict the Impact of a Physical Exercise Program on Knee Osteoarthritis Patients

Applied Sciences ◽

10.3390/app11020834 ◽

2021 ◽

Vol 11 (2) ◽

pp. 834

Author(s):

Marwa Mezghani ◽

Nicola Hagemeister ◽

Youssef Ouakrim ◽

Alix Cagnin ◽

Alexandre Fuentes ◽

...

Keyword(s):

Physical Exercise ◽

Knee Osteoarthritis ◽

Decision Trees ◽

Exercise Program ◽

Patient Specific ◽

Pain Level ◽

Knee Kinematic ◽

Kinematic Data ◽

3D Kinematics ◽

The Impact

Measuring knee biomechanics provides valuable clinical information for defining patient-specific treatment options, including patient-oriented physical exercise programs. It can be done by a knee kinesiography test measuring the three-dimensional rotation angles (3D kinematics) during walking, thus providing objective knowledge about knee function in dynamic and weight-bearing conditions. The purpose of this study was to assess whether 3D kinematics can be efficiently used to predict the impact of a physical exercise program on the condition of knee osteoarthritis (OA) patients. The prediction was based on 3D knee kinematic data, namely flexion/extension, adduction/abduction and external/internal rotation angles collected during a treadmill walking session at baseline. These measurements are quantifiable information suitable to develop automatic and objective methods for personalized computer-aided treatment systems. The dataset included 221 patients who followed a personalized therapeutic physical exercise program for 6 months and were then assigned to one of two classes, Improved condition (I) and not-Improved condition (nI). A 10% improvement in pain was needed at the 6-month follow-up compared to baseline to be in the improved group. The developed model was able to predict I and nI with 84.4% accuracy for men and 75.5% for women using a decision tree classifier trained with 3D knee kinematic data taken at baseline and a 10-fold validation procedure. The models showed that men with an impaired control of their varus thrust and a higher pain level at baseline, and women with a greater amplitude of internal tibia rotation were more likely to report improvements in their pain level after 6 months of exercises. Results support the effectiveness of decision trees and the relevance of 3D kinematic data to objectively predict knee OA patients’ response to a treatment consisting of a physical exercise program.

Download Full-text