Abstract
ObjectiveDetermine the feasibility of a 6-month exercise and weight management intervention for people with hip osteoarthritis (OA). Design18 participants with clinical and radiographic hip OA with a body mass index ≥28 kg/m2 and <41 kg/m2 participated. Six consultations with a physiotherapist and six consultations with a dietitian via videoconferencing over six months to deliver, and support, an exercise program and a ketogenic very low-calorie diet with meal replacements. Recruitment rate and retention rate, adherence, adverse events and intervention acceptability were assessed. Overall hip pain, physical function and body weight were assessed via numeric rating scale (NRS, 0–10), Western Ontario and McMaster Universities Osteoarthritis Index physical function subscale (WOMAC, 0–68) and home-scales respectively, at baseline, 3 and 6 months. ResultsEighteen (11% of 157 people screened) participants were enrolled and 16 (89%) completed 6-month assessments. Participants reported acceptable adherence to the intervention. Most (88%) participants were “extremely satisfied” with the intervention. Ten minor adverse events were exercise related. Overall hip pain reduced by −1.9 units (95%CI -2.8 to −0.9) at 3 months and by −3.3 (−4.3 to −2.2) at 6 months. Physical function improved by −8.5 units (95%CI -13.2 to −3.6) and −14.2 (−18.1 to −7.5) at 3 and 6 months respectively. Body weight reduced by 9.8% [95%CI -12% to −8%] and 11.3% [-13.6% to −9%] at 3 and 6 months respectively. ConclusionsThe feasibility of a large clinical trial evaluating this exercise and weight management intervention is supported.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.