Weight satisfaction, management strategies and health beliefs in knee osteoarthritis patients attending an outpatient clinic

Ekram, Arm Saifuddin; Cicuttini, Flavia Maria; Teichtahl, Andrew; Crammond, Bradley Robert; Lombard, Catherine B; Liew, Susan; Urquhart, Donna M.; Wluka, Anita E.

doi:10.1111/imj.13007

Cited by 14 publications

(17 citation statements)

References 28 publications

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“…We also found that a barrier to weight control was difficulty controlling appetite, echoing a report that that obese knee OA patients in the UK perceived overconsuming food as a barrier to healthy eating [13]. In addition, our participants described weight loss as difficult to achieve and maintain, as reported for older adults with knee OA in Australia [10]. Another barrier to weight control described by our participants was that not eating caused discomfort, which might be due to low blood sugar.…”

Section: Discussionsupporting

confidence: 76%

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Weight control in older adults with knee osteoarthritis: a qualitative study

Yeh

Tsai

Hsu

et al. 2020

BMC Musculoskelet Disord

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Background: Knee osteoarthritis (OA) affects mostly older adults and its primary risk factor is obesity. This study sought to understand weight-control strategies, facilitators of and barriers toward weight control in older adults with knee OA who preferred not to undergo physician-recommended total knee arthroplasty. Methods: For this qualitative descriptive study, older outpatients (N = 118) were recruited from orthopedic clinics at three hospitals. Data were collected through face-to face, individual in-depth interviews using a semi-structured interview guide and analyzed using content analysis. Results: Among participants, only 25.4% had body weight in the normal range and 55.9% reported having controlled their weight. Their most common weight-control strategies were to control diet and to exercise and control diet together. Weight control was facilitated by desiring good health, wanting to improve walking or movement, perceiving that they had gained weight, wanting to look good, and advice from healthcare providers. Common barriers to participants' weight control were perceiving that dietary control was not needed, controlling appetite was difficult, dietary control was difficult, and not eating was physically uncomfortable. Conclusions: Our findings help healthcare providers understand how older adults with knee OA perceive weight control and serve as a reference for developing weight-control programs. Health care providers can integrate these identified facilitators and barriers into a weight-control intervention program. The importance of weighing oneself every day, the meaning of body mass index, consulting with a dietician regularly to control weight, and providing appropriate knowledge about aging and weight control should also be included in any weight-control intervention program.

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Section: Discussionsupporting

confidence: 76%

“…However, such people find weight loss difficult to achieve and maintain [ 10 ]. Few studies have addressed the barriers to weight control among patients with knee OA [ 11 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Weight control in older adults with knee osteoarthritis: a qualitative study

Yeh

Tsai

Hsu

et al. 2020

BMC Musculoskelet Disord

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“…Despite this, no studies identified the patient perceived need for weight loss services. It has been shown that patients with OA are aware of the need for weight loss 61 and desire information regarding lifestyle modification that may improve their OA symptoms 42 , however, they make few effective efforts to lose weight 11,61 . This need was not captured by this review.…”

Section: Discussionmentioning

confidence: 99%

Patients' perceived health service needs for osteoarthritis (OA) care: a scoping systematic review

Papandony

Chou

Seneviwickrama

et al. 2017

Osteoarthritis and Cartilage

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“…Although this research contained no direct patient or public involvement, the research question was informed by work with a consumer organisation identifying patient needs in musculoskeletal disease36 and an audit of consumer with knee and hip pain to identify health beliefs in weight management 37…”

Section: Methodsmentioning

confidence: 99%

Effect of breakfast on weight and energy intake: systematic review and meta-analysis of randomised controlled trials

Sievert

Hussain

Page

et al. 2019

BMJ

142

113

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ObjectiveTo examine the effect of regular breakfast consumption on weight change and energy intake in people living in high income countries.DesignSystematic review and meta-analysis.Data sourcesPubMed, Ovid Medline, and CINAHL were searched for randomised controlled trials published between January 1990 and January 2018 investigating the effect of breakfast on weight or energy intake. ClinicalTrials.gov and the World Health Organization’s International Clinical Trials Registry Platform search portal were also searched in October 2018 to identify any registered yet unpublished or ongoing trials.Eligibility criteria for selecting studiesRandomised controlled trials from high income countries in adults comparing breakfast consumption with no breakfast consumption that included a measure of body weight or energy intake. Two independent reviewers extracted the data and assessed the risk of bias of included studies. Random effects meta-analyses of the effect of breakfast consumption on weight and daily energy intake were performed.ResultsOf 13 included trials, seven examined the effect of eating breakfast on weight change, and 10 examined the effect on energy intake. Meta-analysis of the results found a small difference in weight favouring participants who skipped breakfast (mean difference 0.44 kg, 95% confidence interval 0.07 to 0.82), but there was some inconsistency across trial results (I2=43%). Participants assigned to breakfast had a higher total daily energy intake than those assigned to skip breakfast (mean difference 259.79 kcal/day, 78.87 to 440.71; 1 kcal=4.18 kJ), despite substantial inconsistency across trial results (I2=80%). All of the included trials were at high or unclear risk of bias in at least one domain and had only short term follow-ups (mean period seven weeks for weight, two weeks for energy intake). As the quality of the included studies was mostly low, the findings should be interpreted with caution.ConclusionThis study suggests that the addition of breakfast might not be a good strategy for weight loss, regardless of established breakfast habit. Caution is needed when recommending breakfast for weight loss in adults, as it could have the opposite effect. Further randomised controlled trials of high quality are needed to examine the role of breakfast eating in the approach to weight management.Study registrationPROSPERO registration number CRD42017057687.

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Weight satisfaction, management strategies and health beliefs in knee osteoarthritis patients attending an outpatient clinic

Cited by 14 publications

References 28 publications

Weight control in older adults with knee osteoarthritis: a qualitative study

Weight control in older adults with knee osteoarthritis: a qualitative study

Patients' perceived health service needs for osteoarthritis (OA) care: a scoping systematic review

Effect of breakfast on weight and energy intake: systematic review and meta-analysis of randomised controlled trials

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