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Santos ACG, Caiado VDS, Moreira-Marconi E, Teixeira-Silva Y, De Meirelles AG, Seixas A, Lacerda ACR, Sonza A, Mendonça VA, Bernardo-Filho M, De Sá-Caputo DDC. The Influence of Physical Exercises on the Flexibility of Older Individuals with Knee Osteoarthritis: A Systematic Review. IRANIAN JOURNAL OF PUBLIC HEALTH 2024; 53:255-267. [PMID: 38894836 PMCID: PMC11182472 DOI: 10.18502/ijph.v53i2.14911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 08/11/2023] [Indexed: 06/21/2024]
Abstract
Background Flexibility is a component of functional capacity and is relevant in maintaining the musculature and structures adjacent to the joints. Then, the improvement of the flexibility must be a critical goal in the rehabilitation programs. By improving flexibility in knee osteoarthritis (KOA) individuals, the pain is relieved, the risk of injury is reduced, and the need for surgical interventions is delayed. We aimed to summarize the available literature on the influence of different physical exercise modalities on flexibility in older KOA individuals. Methods This study followed the PRISMA statement and registered in PROSPERO (CRD42020195786). Seven databases (MEDLINE/PubMed; PEDro; CINAHL; Scopus; Web of Science; Embase; and SPORTDiscus) were screened for papers published prior to Sep 6, 2022. The PEDro scale, Cochrane collaborations, and ROBINS-I tools were used to evaluate the methodological quality and risk of bias. Results Ten studies (including 438 participants diagnosed with KOA) fulfilled the eligibility criteria, and nine concluded that flexibility was improved after a physical exercise program. Conclusion Despite the modality, physical exercise improves flexibility in older KOA individuals, improving the functional capacity. Health professionals engaged in KOA rehabilitation should use physical exercise as a strategy to improve the flexibility of this population.
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Affiliation(s)
- Aline Cristina Gomes Santos
- Postgraduate Program in Clinical and Experimental Pathophysiology, State University of Rio de Janeiro, Rio de Janeiro, Brazil
- Laboratory of Mechanical Vibrations and Integrative Practices-LAVIMPI, Department of Biophysics and Biometry, Institute of Biology Roberto Alcântara Gomes and Polyclinic Piquet Carneiro, State University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Vanessa Da Silva Caiado
- Postgraduate Program in Clinical and Experimental Pathophysiology, State University of Rio de Janeiro, Rio de Janeiro, Brazil
- Laboratory of Mechanical Vibrations and Integrative Practices-LAVIMPI, Department of Biophysics and Biometry, Institute of Biology Roberto Alcântara Gomes and Polyclinic Piquet Carneiro, State University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Eloá Moreira-Marconi
- Postgraduate Program in Clinical and Experimental Pathophysiology, State University of Rio de Janeiro, Rio de Janeiro, Brazil
- Laboratory of Mechanical Vibrations and Integrative Practices-LAVIMPI, Department of Biophysics and Biometry, Institute of Biology Roberto Alcântara Gomes and Polyclinic Piquet Carneiro, State University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Ygor Teixeira-Silva
- Laboratory of Mechanical Vibrations and Integrative Practices-LAVIMPI, Department of Biophysics and Biometry, Institute of Biology Roberto Alcântara Gomes and Polyclinic Piquet Carneiro, State University of Rio de Janeiro, Rio de Janeiro, Brazil
- Postgraduate Program in Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Alexandre Gonçalves De Meirelles
- Laboratory of Mechanical Vibrations and Integrative Practices-LAVIMPI, Department of Biophysics and Biometry, Institute of Biology Roberto Alcântara Gomes and Polyclinic Piquet Carneiro, State University of Rio de Janeiro, Rio de Janeiro, Brazil
- Master Program in Health, Laboratory Medicine and Forensic Technology, State University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Adérito Seixas
- Higher School of Health Fernando Pessoa, University Fernando Pessoa, Porto, Portugal
| | - Ana Cristina Rodrigues Lacerda
- School of Biological and Health Sciences, Federal University of the Jequitinhonha and Mucuri, Diamantina, Minas Gerais, Brazil
| | - Anelise Sonza
- State University of Santa Catarina, Santa Catarina, Brazil
| | - Vanessa Amaral Mendonça
- School of Biological and Health Sciences, Federal University of the Jequitinhonha and Mucuri, Diamantina, Minas Gerais, Brazil
| | - Mario Bernardo-Filho
- Laboratory of Mechanical Vibrations and Integrative Practices-LAVIMPI, Department of Biophysics and Biometry, Institute of Biology Roberto Alcântara Gomes and Polyclinic Piquet Carneiro, State University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Danúbia Da Cunha De Sá-Caputo
- Postgraduate Program in Clinical and Experimental Pathophysiology, State University of Rio de Janeiro, Rio de Janeiro, Brazil
- Laboratory of Mechanical Vibrations and Integrative Practices-LAVIMPI, Department of Biophysics and Biometry, Institute of Biology Roberto Alcântara Gomes and Polyclinic Piquet Carneiro, State University of Rio de Janeiro, Rio de Janeiro, Brazil
- Postgraduate Program in Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil
- Master Program in Health, Laboratory Medicine and Forensic Technology, State University of Rio de Janeiro, Rio de Janeiro, Brazil
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Carlson SR, Imam N, Seidenstein A, Klein G. Evaluation of weight loss counsel for Osteoarthritis patients: A cross-sectional analysis of NHANES 2011-2018. Osteoarthritis Cartilage 2024; 32:82-92. [PMID: 37777150 DOI: 10.1016/j.joca.2023.08.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 08/23/2023] [Accepted: 08/29/2023] [Indexed: 10/02/2023]
Abstract
OBJECTIVE Though health care providers (HCPs) know the importance of weight loss counsel for Osteoarthritis (OA), little is known about how frequently it is practiced and even less of its effectiveness. Thus, we analyzed the prevalence and effectiveness of weight counsel receipt in overweight/obese OA patients. DESIGN Using 2011-2018 National Health and Nutrition Examination Survey data, we cross-sectionally analyzed overweight/obese patients in the United States to determine the prevalence of receipt of HCP weight counsel in those with OA and among other variables. We used multivariate logistic regression models to calculate odds ratios of being counseled and of achieving ten percent weight loss in groups with and without counsel. Mean weight losses were also compared among groups. RESULTS 39,156 patients were identified, of whom 1948 met inclusion criteria. Overall, 51.89% of overweight/obese OA patients received weight counseling. The odds of receiving counsel varied with several demographic variables. The odds of achieving 10% weight loss in those counseled was 1.84 times (95% confidence interval: 1.028, 3.299) that of those not counseled (p = 0.04). In contrast, patients counseled lost a mean of 0.49 pounds while those not counseled gained a mean of 0.03 pounds, a difference which was not statistically significant (p = 0.59). CONCLUSION Prevalence of weight counsel receipt for OA has not changed significantly between 2011 and 2018. Though counsel for weight more frequently leads to adequate weight loss in those with OA, the average weight loss is minimal regardless of counsel. Thus, refinement of this intervention may be needed to bolster weight loss.
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Affiliation(s)
- Steven R Carlson
- Hackensack Meridian School of Medicine, United States; Hackensack Meridian Health, Department of Orthopedics, United States.
| | - Nareena Imam
- Rutgers Robert Wood Johnson Medical School, United States.
| | - Ari Seidenstein
- Hackensack Meridian School of Medicine, United States; Hackensack Meridian Health, Department of Orthopedics, United States; Holy Name Medical Center, United States.
| | - Gregg Klein
- Hackensack Meridian School of Medicine, United States; Hackensack Meridian Health, Department of Orthopedics, United States; Holy Name Medical Center, United States.
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Caiado VS, Santos ACG, Moreira-Marconi E, Moura-Fernandes MC, Seixas A, Taiar R, Lacerda ACR, Sonza A, Mendonça VA, Sá-Caputo DC, Bernardo-Filho M. Effects of Physical Exercises Alone on the Functional Capacity of Individuals with Obesity and Knee Osteoarthritis: A Systematic Review. BIOLOGY 2022; 11:biology11101391. [PMID: 36290296 PMCID: PMC9598071 DOI: 10.3390/biology11101391] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 09/16/2022] [Accepted: 09/20/2022] [Indexed: 11/16/2022]
Abstract
Simple Summary Osteoarthritis is a degenerative joint disease that affects millions of people around the world. Knee osteoarthritis is one of the causes of more significant functional disability among people with it. Currently, obesity is identified as one of the main risk factors for the onset of the disease due to excess load on the joints of the lower limbs, especially the knees. The association of measures, such as weight reduction through diets and exercise, can alleviate symptoms and increase the physical condition of people affected by these clinical conditions. However, many individuals with obesity have difficulty adhering to diet programs and need to improve in order to perform their functional activities. The aim of this systematic review was to evaluate the results of several physical exercise programs conducted without the association of diet, demonstrating the improvement of the functional capacity of individuals with these concomitant clinical conditions, presenting another proposal to reduce the symptoms of the disease in this population. Abstract The association between obesity and knee osteoarthritis (KOA) is reported in the literature. The inflammatory factors described in obesity associated with mechanical overload on the knee joint lead to KOA development and reduced functional capacity in these individuals. Most physical exercise (PE) protocols associate a diet program to improve the functional capacity of individuals with concomitant KOA and obesity. There is a lack of published protocols performing PE alone, which would be without an associated diet program in individuals with both clinical conditions. In this systematic review, the authors summarize the effects of the application of PE alone, describing each protocol and reporting the improvement in the function of people with these clinical conditions. This investigation was conducted according to the PRISMA guidelines and registered in PROSPERO. Five databases (MEDLINE/PubMed, PEDro, Scopus, CINAHL and Web of Science) were used up to July 2022 and ten studies, including 534 participants, met the inclusion criteria. The PEDro scale, Cochrane collaborations and ROBINS-I tools were used to evaluate the methodological quality and risk of bias. It was concluded that PE performed alone seems to provide an improvement in the functional capacity of these individuals even without an associated diet plan in the condition of obesity.
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Affiliation(s)
- Vanessa Silva Caiado
- Programa de Pós-Graduação em Fisiopatologia Clínica e Experimental, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, Brazil
- Laboratório de Vibrações Mecânicas e Práticas Integrativas-LAVIMPI, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, Brazil
| | - Aline Cristina Gomes Santos
- Programa de Pós-Graduação em Fisiopatologia Clínica e Experimental, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, Brazil
- Laboratório de Vibrações Mecânicas e Práticas Integrativas-LAVIMPI, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, Brazil
| | - Eloá Moreira-Marconi
- Programa de Pós-Graduação em Fisiopatologia Clínica e Experimental, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, Brazil
- Laboratório de Vibrações Mecânicas e Práticas Integrativas-LAVIMPI, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, Brazil
| | - Marcia Cristina Moura-Fernandes
- Programa de Pós-Graduação em Fisiopatologia Clínica e Experimental, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, Brazil
- Programa de Pós-Graduação em Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, Brazil
| | - Adérito Seixas
- Escola Superior de Saúde, Universidade Fernando Pessoa, 4249-004 Porto, Portugal
| | - Redha Taiar
- MATériaux et Ingénierie Mécanique (MATIM), Université de Reims Champagne-Ardenne, 51100 Reims, France
- Correspondence:
| | - Ana Cristina Rodrigues Lacerda
- Faculdade de Ciências Biológicas e da Saúde, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina 39100-000, Brazil
| | - Anelise Sonza
- Programa de Pós-Graduação em Fisioterapia, Programa de Pós-Graduação em Ciências do Movimento Humano, Residência Multiprofissional em Saúde da Família e Comunidade, Universidade do Estado de Santa Catarina, Florianópolis 88035-901, Brazil
| | - Vanessa Amaral Mendonça
- Faculdade de Ciências Biológicas e da Saúde, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina 39100-000, Brazil
| | - Danúbia Cunha Sá-Caputo
- Laboratório de Vibrações Mecânicas e Práticas Integrativas-LAVIMPI, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, Brazil
- Programa de Pós-Graduação em Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, Brazil
- Departamento de Fisioterapia, Faculdade Bezerra de Araújo, Rio de Janeiro 23052-180, Brazil
| | - Mario Bernardo-Filho
- Laboratório de Vibrações Mecânicas e Práticas Integrativas-LAVIMPI, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, Brazil
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Oo WM, Mobasheri A, Hunter DJ. A narrative review of anti-obesity medications for obese patients with osteoarthritis. Expert Opin Pharmacother 2022; 23:1381-1395. [PMID: 35855642 DOI: 10.1080/14656566.2022.2104636] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
INTRODUCTION : The prevalence of both obesity and osteoarthritis (OA) are increasing worldwide (twindemic), and the association between the two chronic diseases is also well-established. AREAS COVERED : In this narrative review, we will briefly describe the double burdens of both diseases, the impact of weight loss or gain on OA incidence and structural progression and discuss the biomechanical and anti-inflammatory mechanisms mediating these effects. FDA-approved anti-obesity drugs are summarized in terms of their clinical efficacy and safety profile, and the completed or ongoing phase 2/3 clinical trials of such drugs in OA patients with obesity are examined. EXPERT OPINION : We will discuss the perspectives related to principles of prescription of anti-obesity drugs, the potential role of phenotype-guided approach, time to drug effects in clinical trials, sustainability of weight loss based on the real-world studies, the importance of concomitant therapies such as dieting and exercises, and the role of weight loss on non-weight bearing OA joints. Although obesity is the major risk factor for OA pathogenesis and progression, and there are a variety of anti-obesity medications on the market, research on the use of these disease-modifying drugs in OA (DMOAD) is still sparse..
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Affiliation(s)
- Win Min Oo
- Rheumatology Department, Royal North Shore Hospital, and Institute of Bone and Joint Research, Kolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.,Department of Physical Medicine and Rehabilitation, Mandalay General Hospital, University of Medicine, Mandalay, Mandalay, Myanmar
| | - Ali Mobasheri
- Research Unit of Medical Imaging, Physics and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland.,Department of Regenerative Medicine, State Research Institute Centre for Innovative Medicine, Vilnius, Lithuania.,Department of Joint Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.,World Health Organization Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Aging, Liege, Belgium
| | - David J Hunter
- Rheumatology Department, Royal North Shore Hospital, and Institute of Bone and Joint Research, Kolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.,Clinical Research Centre, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China
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Ginnerup-Nielsen E, Christensen R, Heitmann BL, Altman RD, March L, Woolf A, Bliddal H, Henriksen M. Estimating the Prevalence of Knee Pain and the Association between Illness Perception Profiles and Self-Management Strategies in the Frederiksberg Cohort of Elderly Individuals with Knee Pain: A Cross-Sectional Study. J Clin Med 2021; 10:668. [PMID: 33572381 PMCID: PMC7916203 DOI: 10.3390/jcm10040668] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2020] [Revised: 02/01/2021] [Accepted: 02/05/2021] [Indexed: 12/18/2022] Open
Abstract
Knee pain is an early sign of later incident radiographic knee osteoarthritis (OA). However, the prevalence of knee pain in the general population is unknown. Additionally, it is unknown how people with knee pain choose to self-manage the condition and if the perception of the illness affects these choices. In this study, 9086 citizens between 60-69 years old in the municipality of Frederiksberg, Copenhagen, Denmark, were surveyed, of which 4292 responded. The prevalence of knee pain was estimated, and associations between illness perceptions (brief illness perception questionnaire [B-IPQ]), self-management strategies, and knee symptoms were assessed. The prevalence of knee pain was 21.4% of which 40.5% reported to use no self-management strategies (non-users). These non-users perceived their knee pain as less threatening and reported less severe symptoms than users of self-management strategies. Further, we found that a more positive illness perception was associated with less severe knee symptoms. In conclusion, among Danes aged 60-69 years, the knee pain prevalence is 21.4%, of which 40.5% use no treatment and perceive the condition as non-threatening. These non-users with knee pain represent a subpopulation being at increased risk of developing knee OA later in life, and there is a potential preventive gain in identifying these persons.
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Affiliation(s)
- Elisabeth Ginnerup-Nielsen
- The Parker Institute, Bispebjerg and Frederiksberg Hospital, 2000 Frederiksberg, Denmark; (E.G.-N.); (R.C.); (B.L.H.); (H.B.)
| | - Robin Christensen
- The Parker Institute, Bispebjerg and Frederiksberg Hospital, 2000 Frederiksberg, Denmark; (E.G.-N.); (R.C.); (B.L.H.); (H.B.)
- Research Unit of Rheumatology, Department of Clinical Research, University of Southern Denmark, University Hospital, 5000 Odense, Denmark
| | - Berit L Heitmann
- The Parker Institute, Bispebjerg and Frederiksberg Hospital, 2000 Frederiksberg, Denmark; (E.G.-N.); (R.C.); (B.L.H.); (H.B.)
- Department of Public Health, Section for General Practice, Copenhagen University, 1014 Copenhagen, Denmark
| | - Roy D. Altman
- Division of Rheumatology and Immunology, University of California, Los Angeles, CA 90095, USA;
| | - Lyn March
- Department of Rheumatology, Royal North Shore Hospital, Institute of Bone and Joint Research, University of Sydney, St Leonards, NSW 2065, Australia;
| | - Anthony Woolf
- Bone and Joint Research Group, Royal Cornwall Hospital, Truro TR1 3HD, UK;
| | - Henning Bliddal
- The Parker Institute, Bispebjerg and Frederiksberg Hospital, 2000 Frederiksberg, Denmark; (E.G.-N.); (R.C.); (B.L.H.); (H.B.)
| | - Marius Henriksen
- The Parker Institute, Bispebjerg and Frederiksberg Hospital, 2000 Frederiksberg, Denmark; (E.G.-N.); (R.C.); (B.L.H.); (H.B.)
- Department of Physical and Occupational Therapy, Copenhagen University Hospital, Bispebjerg and Frederiksberg, 2400 Copenhagen, Denmark
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