Weight Loss Program for Overweight and Obese Patients with Knee Osteoarthritis: Systemic Review

Authors

  • Umaporn Hanrungcharotorn
  • Intira Pakanta
  • Worawan Tipwareerom

Keywords:

Systematic review, Weight reduction, Knee Osteoarthritis

Abstract

This study was a systematic review to summarize the knowledge of weight reduction program for overweight/obese patients with knee osteoarthritis and to assess the knowledge utilization in Thai context. The key words, for searching in CINHAL, Ovid, PubMed, Scopus, Open Grey, ThaiLis databases published between 1998-2017, were "Knee osteoarthritis" and "Weight control" and "Intervention" both in English and Thai language. Hand searching was also done. Principal investigator (PI) selected the evidence following the inclusion and exclusion criteria. Evidence extraction and appraisal were conducted by two investigators independently, following the criteria of Joanna Brigg Institution (JBI, 2014). Disagreement between the investigators were discussed, and the third investigator was asked for the appraisal. One hundred and seventy-eight research articles were found, and only 12 of them were remained after assessing the repetition, inclusion and exclusion criteria, and research quality. The results showed that all the evidences were done in foreign countries. The evidences were randomized control trials (RCT); and were classified in 1C. The periods of programs were between 2-18 months. The programs had 3 strategies which were 1) diet control only, 2) exercise only, and 3) integrated diet control and exercise. The strategies were conducted with other strategies; for example, health education, goal setting, self-regulation, counselling, etc. The integrated diet control and exercise strategies were effective in reducing body weight (BW) more than the others. The retention rate of diet control program was higher than exercise program. However, exercise program had the benefit of preventing muscle mass reduction due to prolonged diet control. Therefore, overweight/obese patients with knee osteoarthritis should receive the suggestion to control energy from food and to do exercises. If they used rigorous low-energy diet control, the side effects should be followed up.

References

Aaboe, J., Bliddal, H., Messier, S. P., Alkjaer, T.,

& Henriksen, M. (2011). Effects of an

intensive weight loss program on knee joint

loading in obese adults with knee osteoarthritis.

Osteoarthritis Cartilage, 19(7), 822-828. doi:

1016/j.joca. 2011. 03.006

Beavers, D. P., Beavers, K. M., Loeser, R. F., Walton,

N. R., Lyles, M. F., Nicklas, B. J., . . . Messier, S.

P. (2014). The independent and combined effects

of intensive weight loss and exercise training

on bone mineral density in overweight and

obese older adults with osteoarthritis. Osteoarthritis

Cartilage, 22(6), 726-733. doi: 10.1016/

j.joca.2014.04.002

Bliddal, H., Leeds, A. R., & Christensen, R. (2014).Osteoarthritis,

obesity and weight loss: Evidence,

hypotheses and horizons-a scoping review.

Obesity Reviews, 15(7), 578-586. doi: 10.1111/obr.12173

Cheung, C., Wyman, J. F., Resnick, B., & Savik, K.

(2014). Yoga for managing knee osteoarthritis

in older women: A pilot randomized controlled

trial. BMC Complement Altern Med, 14, 160. doi:

1186/1471-2474-15-40510.1186/1472-6882-

-160

Christensen, R., Astrup, A., & Bliddal, H. (2005).

Weight loss: The treatment of choice for knee

osteoarthritis? A randomized trial. Osteoarthritis

Cartilage, 13(1), 20-27. doi: http://dx.doi.org/ 10.

/j.joca.2004.10.008

Christensen, R., Henriksen, M., Leeds, A. R.,

Gudbergsen, H., Christensen, P., Sorensen, T.

J., . . .Bliddal, H. (2015). Effect of weight

maintenance on symptoms of knee osteoarthritis

in obese patients: a twelve-month randomized

controlled trial. Arthritis Care & Research

(Hoboken), 67(5), 640-650. doi: 10.1002/acr.

Claes, B. E. A., Leung, H. W. C., Matters, K., Williams,

M. J., & Hunter, D. J. (2015). Interim analysis:

An interdisciplinary team approach in facilitating

weight reduction and improving function for people

with knee or hip osteoarthritis. The Osteoarthritis

Chronic Care Program at Royal North Shore

Hospital. Nutrition and Dietetics, 72(3), 232-239.

doi: 10.1111/1747-0080.12166

Gay, C., Chabaud, A., Guilley, E.,& Coudeyre, E.

(2016). Educating patients about the benefits

of physical activity and exercise for their hip

and knee osteoarthritis.Systematic literature

review. Annals of Physical and Rehabilitation

Medicine, 59(3), 174 - 183.

Gomes-Neto, M., Araujo, A. D., Junqueira, I. D., Oliveira,

D., Brasileiro, A., &Arcanjo, F. L. (2016).

Comparative study of functional capacity and

quality of life among obese and non-obese

elderly people with knee osteoarthritis.

Rev Bras ReumatolEngl Ed, 56(2), 126-130.

doi: 10.1016/j.rbre.2015. 08.014

Gudbergsen, H., Boesen, M., Christensen, R., Astrup,

A., &Bliddal, H. (2011). Radiographs and low

field MRI (0.2T) as predictors of efficacy in a

weight loss trial in obese women with knee osteoarthritis.

BMC MusculoskeletDisord, 12, 56.

doi: 10.1186/1471-2474-12-56

Hofstede, S. N., VlietVlieland, T. P. M., van den Ende,

C. H. M., Nelissen, R. G. H. H., Marang-van de

Mheen, P. J., & van Bodegom-Vos, L. (2015).

Variation in use of non-surgical treatments among

osteoarthritis patients in orthopaedic practice in

the Netherlands. BMJ Open, 5(9), e009117. http:/

/doi.org/10.1136/bmjopen-2015-009117

Kanavaki, A. M., Rushton, A., Efstathiou, N., Alrushud,

A., Klocke, R., Abhishek, A., & Duda, J. L.

(2017).Barriers and facilitators of physical

activity in knee and hip osteoarthritis: a Systematic

review of qualitative evidence. BMJ Open,

(12).doi: 10.1136/bmjopen-2017-017042

Kearns, K., Dee, A., Fitzgerald, A. P., Doherty, E., &

Perry, I. J. (2014).Chronic disease burden

associated with overweight and obesity in

Ireland: The effects of a small BMI reduction

at population level. BMC Public Health, 14,

-143.doi: 10.1186/1471-2458-14-143

Litwic, A., Edwards, M., Dennison, E., & Cooper,

C. (2013).Epidemiology and Burden of

Osteoarthritis. British medical bulletin, 105,

-199.doi: 10.1093/bmb/lds038

Messier, S. P. (2010).Diet and exercise for obese adults

with knee osteoarthritis. Clinical in Geriatric

Medicine, 26(3), 461-477.doi:10.1016.j.cger.

05.001

Messier, S. P., Callahan, L. F., Beavers, D. P., Queen,

K., Mihalko, S. L., Miller, G. D., … Jordan, J.

M. (2017). Weight-loss and exercise for

communities with arthritis in North Carolina

(we-can): Design and rationale of a pragmatic,

assessor-blinded, randomized controlled trial.

BMC Musculoskeletal Disorders, 18, 91.http://

doi.org/10.1186/s12891-017-1441-4

Messier, S. P., Legault, C., Mihalko, S., Miller, G. D.,

Loeser, R. F., DeVita, P., . . .Hunter, D. J. (2009).

The Intensive Diet and Exercise for Arthritis

(IDEA) trial: Design and rationale. BMC

MusculoskeletDisord, 10, 93-93. doi: 10.1186/

-2474-10-93

Messier, S. P., Loeser, R. F., Miller, G. D., Morgan, T.

M., Rejeski, W. J., Sevick, M. A., . . . Williamson,

J. D. (2004). Exercise and dietary weight loss in

overweight and obese older adults with knee

osteoarthritis: The Arthritis, Diet, and Activity

Promotion Trial. Arthritis Rheum, 50(5), 1501-

doi: 10.1002/art.20256

Messier, S. P., Loeser, R. F., Mitchell, M. N., Valle, G.,

Morgan, T. P., Rejeski, W. J., &Ettinger, W. H.

(2000). Exercise and weight loss in obese older

adults with knee osteoarthritis: A preliminary

study. J Am GeriatrSoc, 48(9), 1062-1072.

Messier, S. P., Mihalko, S. L., Legault, C., Miller, G. D.,

Nicklas, B. J., DeVita, P., . . . Loeser, R. F. (2013).

Effects of intensive diet and exercise on knee

joint loads, inflammation, and clinical outcomes

among overweight and obese adults with knee

osteoarthritis: The IDEA randomized clinical

trial. JAMA, 310(12), 1263-1273. doi: 10.1001/

jama.2013.277669

Miller, G. D., Nicklas, B. J., Davis, C., Loeser, R. F.,

Lenchik, L., & Messier, S. P. (2006).Intensive

weight loss program improves physical function

in older obese adults with knee osteoarthritis.

Obesity (Silver Spring), 14(7), 1219-1230. doi:

1038/oby.2006.139

Muraki, S., Akune, T., Ishimoto, Y., Nagata, K., Yoshida,

M., Tanaka, S., . . . Yoshimura, N. (2013). Risk

factors for falls in a longitudinal population-based

cohort study of Japanese men and women:

The ROAD Study. Bone, 52(1), 516-523. doi: http:/

/dx.doi.org/10.1016/j.bone.2012.10.020

Nicolai, S. P., Kruidenier, L. M., Leffers, P., Hardeman,

R., Hidding, A., Teijink, J. A. (2009). Supervised

exercise versus non-supervised exercise for

reducing weight in obeseadults. The Journal of

Sports Medicine and Physical Fitness, 49(1), 85-90.

North American Association for the Study of Obesity;

National Heart, Lung, and Blood Institution;

National Institutes of Health (U.S.); NHLBI

Obesity Education Initiative. (2000). The practical

guide: Identification, evaluation, and treatment of

overweight and obesity in adults. Retrieve from

https://www.nhlbi.nih.gov/files/docs/guidelines/

prctgd_c.pdf

Pancharoen, S. (2007).The development of a clinical

practice guideline for weight control in order to

increase the physical functions of the knee in

overweight older adults with knee osteoarthritis

persons (Unpublished master's thesis). Thammasat

University, Bangkok. [In Thai]

Piansriwatchara, E., Banpuarn, W., Doungthipsirikul, S.,

Sirimutr, T., Tantipisitkul, K., Ingsrisawang, L.,

et al. (2013).The report of health status of Thai

elderly people 2013: Health promotion plan for

elderly and disable people. Nonthaburi: Elderly

age health promotion, Bureau of health

promotion, Department of health, Ministry of

public health.

Ravaud, P., Flipo, R. M., Boutron, I., Roy, C., Mahmoudi,

A., Giraudeau, B., & Pham, T. (2009).ARTIST

(osteoarthritis intervention standardized) study of

standardised consultation versus usual care for

patients with osteoarthritis of the knee in primary

care in France: Pragmatic randomised controlled

trial. Bmj, 338, b421.doi: 10.1136/bmj.b421

Riecke, B. F., Christensen, R., Christensen, P., Leeds, A.

R., Boesen, M., Lohmander, L. S., . . .Bliddal, H.

(2010). Comparing two low-energy diets for the

treatment of knee osteoarthritis symptoms in

obese patients: A pragmatic randomized clinical

trial.Osteoarthritis Cartilage, 18(6), 746-754. doi:

http://dx.doi.org/10.1016/j.joca.2010.02.012

Riecke, B. F., Christensen, R., Christensen, P., Leeds, A.

R., Boesen, M., Lohmander, L. S., . . .Bliddal, H.

(2010). Comparing two low-energy diets for the

treatment of knee osteoarthritis symptoms in

obese patients: A pragmatic randomized clinical

trial.Osteoarthritis Cartilage, 18(6), 746-754. doi:

http://dx.doi.org/10.1016/j.joca.2010.02.012

Rittiwong, T. (2010).The effect of perceived self-efficacy

promoting program in weight reduction on the

severity of knee osteoarthritis in overweight older

persons (Unpublished master's thesis). Chulalongkorn

University, Bangkok. [In Thai]

Smink, A. J., Dekker, J. , VlietVlieland, T. P., Swierstra,

B. A., Kortland, J. H., Bijlsma, J. W., Teerenstra,

S. , Voorn, T. B., BiermaZeinstra, S. M., Schers,

H. J. and Ende, C. H. (2014). Health care use

of patients with osteoarthritis of the Hip or

Knee after implementation of a stepped care

strategy: An observational study. Arthritis Care

& Research, 66,817-827. doi:10.1002/acr.22222

Smith-Ray, R. L., Fitzgibbon, M. L., Tussing-Humphreys,

L., Schiffer, L., Shah, A., Huber, G. M., …Hughes,

S. L. (2014). Fit and strong! plus: Design of a

comparative effectiveness evaluation of a

weight management program for older adults

with osteoarthritis. Contemporary Clinical

Trials, 37(2), 178-188. http://doi.org/10.1016/

j.cct.2013.11.014

Somers, T. J., Blumenthal, J. A., Guilak, F., Kraus, V. B.,

Schmitt, D. O., Babyak, M. A., . . .Keefe, F. J.

(2012). Pain coping skills training and lifestyle

behavioral weight management in patients with

knee osteoarthritis: A randomized controlled

study. Pain, 153(6), 1199-1209. doi: 10.1016/j. pain.

02.023

The Global BMI Mortality Collaboration. (2016).

Body-mass index and all-cause mortality:

Individual-participant-data meta-analysis of

prospective studies in four continents.

The Lancet, 388(10046), 776-786. doi: https://

doi.org/10.1016/S0140-6736(16)30175-1

The Joanna Briggs Institute. (2014). Joanna Briggs

Institute reviewer's manuals 2014 edition.South

Australia: Joanna Briggs Institute.

The Royal College of Orthopaedic Surgeons of Thailand,

Thai Rheumatism Association, and The Royal

College of Physiatrists of Thailand (2011). Practice

guideline of osteoarthritis for public health

service 2011. n.p.

Wallis, J. A., Webster, K. E., Levinger, P., & Taylor, N.

F. (2013).What proportion of people with hip

and knee osteoarthritis meet physical activity

guidelines? A systematic review and metaanalysis.

Osteoarthritis Cartilage, 21(11), 1648-

doi: 10.1016/j.joca.2013.08.003

WHO expert consultation. (2004). Appropriate body-mass

index for Asian populations and its implications

for policy and intervention strategies. Lancet, 363,

-163.

World Health Organization. (2010). Global recommendations

on physical activity for health.Geneva.

Yumuk, V., Tsigos, C., Fried, M., Schindler, K., Busetto,

L., Micic, D., &Toplak, H. (2015).European

guidelines for obesity management in adults.

Obesity Facts, 8(6), 402-424. http://doi.org/ 10.

/000442721

Downloads

Published

2019-05-15

How to Cite

Hanrungcharotorn, U., Pakanta, I., & Tipwareerom, W. (2019). Weight Loss Program for Overweight and Obese Patients with Knee Osteoarthritis: Systemic Review. NU Journal of Nursing and Health Sciences, 13(1), 71–88. Retrieved from https://he01.tci-thaijo.org/index.php/NurseNu/article/view/189239