Physical Exercise and Weight Loss for Hip and Knee Osteoarthritis in Very Old Patients: A Systematic Review of the Literature

Quintrec, Jean-Laurent Le; Verlhac, B.; Cadet, C.; Breville, P.; Vetel, J. M.; Gauvain, J. B.; Jeandel, Claude; Maheu, E.

doi:10.2174/1874312901408010089

Cited by 33 publications

(21 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Multiple reports show that weight management programs involving diet and exercise help OA patients lose weight and improve their symptoms, 121 – 123 even for people with advanced age (≥75 years old). 124 Similarly, weight loss appears to help people with diffuse, generalized pain as well. Several cases of improvement in fibromyalgia symptoms following weight loss have been reported.…”

Section: Discussionmentioning

confidence: 99%

The association between chronic pain and obesity

Okifuji¹,

Hare²

2015

JPR

451

337

View full text Add to dashboard Cite

Obesity and pain present serious public health concerns in our society. Evidence strongly suggests that comorbid obesity is common in chronic pain conditions, and pain complaints are common in obese individuals. In this paper, we review the association between obesity and pain in the general population as well as chronic pain patients. We also review the relationship between obesity and pain response to noxious stimulation in animals and humans. Based upon the existing research, we present several potential mechanisms that may link the two phenomena, including mechanical/structural factors, chemical mediators, depression, sleep, and lifestyle. We discuss the clinical implications of obesity and pain, focusing on the effect of weight loss, both surgical and noninvasive, on pain. The literature suggests that the two conditions are significant comorbidities, adversely impacting each other. The nature of the relationship however is not likely to be direct, but many interacting factors appear to contribute. Weight loss for obese pain patients appears to be an important aspect of overall pain rehabilitation, although more efforts are needed to determine strategies to maintain long-term benefit.

show abstract

Section: Discussionmentioning

confidence: 99%

The association between chronic pain and obesity

Okifuji¹,

Hare²

2015

JPR

451

337

View full text Add to dashboard Cite

show abstract

“…After 6 months, the study showed a significant improvement of physical function and reduced symptoms. Furthermore, in a systematic review on the tolerance and effectiveness of physical exercise and weight loss for hip and knee osteoarthritis in elderly patients, Le Quintrec et al[45] reported that land-based and/or aquatic exercise resulted in reduced pain and improved function in terms of walking speed and/or distance, a result which was more substantial with combined diet and exercise interventions. The importance of exercise as part of any weight loss program in the elderly was highlighted by Villareal et al[46].…”

Section: Discussionmentioning

confidence: 99%

Effects of an Intensive Inpatient Rehabilitation Program in Elderly Patients with Obesity

et al. 2019

View full text Add to dashboard Cite

Objective: The aim of this study was to assess the short-term effectiveness of an intensive inpatient multidimensional rehabilitation program (MRP), including diet, exercise, and behavioral therapy, in elderly patients with severe obesity. Methods: Forty-four elderly patients (old; age 69.3 ± 3.5 years, BMI 41.9 ± 14.9) were analyzed against 215 younger patients (young; age 48.2 ± 18.5 years, BMI 43.9 ± 9.4), who were used as controls. All patients underwent MRP, based on group therapy guided by a multidisciplinary team (physicians, dietitians, exercise trainers, psychologists). We evaluated changes in anthropometry, cardiovascular risk factors, physical fitness, quality of life, and eating behavior. Results: After 3 weeks of MRP, we observed a reduction in body weight (old –3.8%, young –4.3%), BMI (old –3.9%, young –4.4%), waist circumference (old –3.4%, young –4.1%), total cholesterol (old –14.0%, young –15.0%), and fasting glucose (old –8.3%, young –8.1%), as well as improved performance in the Six-Minute-Walk Test (old +28.7%, young +15.3%), chair-stand test (old +24.8%, young +26.9%), and arm-curl test (old +15.2%, young +27.3%). Significant improvement was registered in all other analyzed domains. Conclusion: Our 3-week MRP provided significant clinical and functional improvement, which was similar between elderly and younger patients with severe obesity. In the long-term, this may be translated into better quality of life, through better management of obesity-associated morbidities and reduced frailty.

show abstract

“…There is a clear plausible mechanism, whereby the reduced load through the joint reduces stress on it, reducing pain, and there may be a cumulative effect where some weight loss allows better function for exercise, which allows further weight loss and subsequent improvements. However, one systematic review found too few studies on hip OA to make any firm conclusions, while another highlighted the need for more highquality studies into the effect of weight loss for hip OA [35,36]. Nonetheless, it remains a key recommendation in the OARSI guidelines for OA of the hip based largely on expert opinion and evidence from case-control studies [5].…”

Section: Weight Lossmentioning

confidence: 99%

Modern Non-Pharmacological and Non-Surgical Treatments for Hip Pain

Lee¹,

Rozewicz²,

Chandrappa³

et al. 2018

J Arthritis

View full text Add to dashboard Cite

Osteoarthritis of the hip describes a clinical syndrome of joint pain accompanied by varying degrees of functional limitation and reduced quality of life. Osteoarthritis may not be progressive and most patients will not need surgery, with their symptoms adequately controlled by non-surgical measures. The treatment of hip osteoarthritis is aimed at reducing pain and stiffness and improving joint mobility. Total hip replacement remains the most effective treatment option but it is a major surgery with potential serious complications. NICE guideline has suggested a holistic approach to management of hip osteoarthritis which includes both nonpharmacological and pharmacological treatments. The non-pharmacological treatments range from education ,physical therapy and behavioral changes ,walking aids .The ESCAPE( Enabling Self-Management and Coping of Arthritic Pain Through Exercise) rehabilitation programme for hip and knee osteoarthritis which integrates simple education, self-management and coping strategies, with an exercise regimen has shown to be more cost-effective than usual care. There is a choice of reviewed pharmacological treatments available, but there are few current reviews of possible nonpharmacological methods. This review will focus on the non-pharmacological and non-surgical methods.

show abstract

Physical Exercise and Weight Loss for Hip and Knee Osteoarthritis in Very Old Patients: A Systematic Review of the Literature

Cited by 33 publications

References 40 publications

The association between chronic pain and obesity

The association between chronic pain and obesity

Effects of an Intensive Inpatient Rehabilitation Program in Elderly Patients with Obesity

Modern Non-Pharmacological and Non-Surgical Treatments for Hip Pain

Contact Info

Product

Resources

About