Overweight adults with osteoarthritis who lose just
five percent of their body weight can reduce the amount
of physical disability associated with this most common
form of inflammatory joint disease, results of several
studies suggest.
"It is more or less proven now that the most effective
thing, if you have osteoarthritis of the knee, is
weight loss," study co-author Henning Bliddal, of
HS Frederiksberg Hospital in Copenhagen stated.
"As such, weight reduction therapy in overweight
osteoarthritic patients is a very appealing goal,
both with regards to disease-specific pain and disability
reduction as well as for overall health benefits such
as cardiovascular risk reduction," co-author Robin
Christensen, also of HS Frederiksberg Hospital, said
in a statement.
To explore the association, Bliddal, Christensen,
and their colleagues searched various databases to
identify studies involving patients with knee osteoarthritis
who experienced a change in weight.
Of the 23 studies that met their criteria, found
that study participants experienced less pain and
disability upon losing weight. Those three studies
included more than 500 individuals.
The association between the study participants' weight
loss and their reduced physical disability "seemed
convincing," based on those findings, the researchers
report.
In fact, computer models predicted that a weight
loss of at least 5.02 percent, within a set time period,
would significantly reduce physical disability in
overweight individuals with osteoarthritis, study
findings indicate.
A weight loss of 10 percent, however, "results in
moderate -to-large improvement in self-reported physical
disability," Christensen noted.
In light of these findings, Bliddal advises overweight
individuals "to lose 10 percent of their weight within
two months."
The best way to lose the weight is not by simply
increasing their level of physical activity, however.
"You can't exercise your weight down, you have to
do something about your food," Bliddal said, adding
that these patients should "start losing the weight
first, and then exercise."
In so doing, "your knees will last longer," he said.
The findings were presented last week during the
7th Annual European Congress of Rheumatology in Amsterdam.