Document Detail

Effect of Exercise and Weight Loss in Patients With Hip Osteoarthritis Who Are Overweight or Obese: A Prospective Cohort Study.
MedLine Citation:
PMID:  23023813     Owner:  NLM     Status:  Publisher    
BackgroundOsteoarthritis (OA) is the most common joint disorder in the world and is recognized as a substantial source of disability. For patients with OA of the knee, exercise in combination with weight loss is a proven effective conservative treatment option, yet evidence is lacking for patients with hip OA.ObjectiveTo obtain preliminary evidence of the effect on physical function of a combined exercise and weight-loss program in patients with hip OA who are overweight/obese.DesignProspective cohort study. METHODS:/b>Thirty-five patients aged 25 years or older, with clinical and radiological evidence of hip OA who were overweight/obese (BMI > 25 kg/m(2)) were included. The patients participated in an 8-month exercise and weight-loss combination program. A BMI of 40 kg/m(2) was used as upper limit. Primary outcome was self-reported physical functioning, as measured with a subscale of the WOMAC. Secondary outcome measures included pain and walking tests as objective measurements of function. RESULTS: /b>Participation in the combination program resulted in a 32.6% improvement of self-reported physical function after 8 months, which can be considered clinically relevant. Significant improvements were also seen in pain and on walking tests.LimitationsLack of control group. CONCLUSIONS:/b>To our knowledge, this is the first study investigating the effect of exercise and weight loss as a combination treatment in hip OA patients. The results provide preliminary evidence that this combination is effective in hip OA patients.
Nienke Paans; Inge van den Akker-Scheek; Roelien G Dilling; Martine Bos; Klaas van der Meer; Sjoerd K Bulstra; Martin Stevens
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-27
Journal Detail:
Title:  Physical therapy     Volume:  -     ISSN:  1538-6724     ISO Abbreviation:  Phys Ther     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-10-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0022623     Medline TA:  Phys Ther     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
N. Paans, MSc, Department of Orthopedic Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001 BB51, 9700 RB, Groningen, the Netherlands.
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