Exercise prescription for weight management in obese adults at risk for osteoarthritis: synthesis from a systematic review.
Musculoskeletal pain
Obesity
Physical activity
Physical function
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
20 Dec 2019
20 Dec 2019
Historique:
received:
03
06
2019
accepted:
12
12
2019
entrez:
22
12
2019
pubmed:
22
12
2019
medline:
13
5
2020
Statut:
epublish
Résumé
The aim of this systematic review was to identify principles of exercise interventions associated with improved physical function, weight management or musculoskeletal pain relief among young and middle-aged adults with obesity and propose an evidence-based exercise prescription that could assist in secondary prevention of osteoarthritis. A structured electronic review was conducted using MEDLINE, PubMed, and SPORTDiscus. The search string included 1) "obes*" AND "exercise" AND "interven*" AND "musculoskeletal pain OR knee pain OR hip pain". Studies 1) were randomized controlled trials of humans, with a non-exercise control, 2) included participants aged 18-50 years, and 3) had outcomes that included physical function, musculoskeletal pain, and/or body composition. Studies were excluded if participants had peri-menopausal status, cancer, or obesity-related co-morbidities. A recommended exercise prescription was developed based on common principles used in the included exercise interventions with greatest change in function or pain. Seven studies were included. Similarities in exercise intensity (40-80% VO Common principles in exercise prescription for improvements in weight management, physical function and pain relief among otherwise healthy people with obesity. Exercise prescription including moderate intensity exercise for 30-60 min, three times per week can be considered an effective treatment for weight management and obesity-related musculoskeletal symptoms. Exercise should be recommended to at-risk individuals as part of secondary prevention of osteoarthritis.
Sections du résumé
BACKGROUND
BACKGROUND
The aim of this systematic review was to identify principles of exercise interventions associated with improved physical function, weight management or musculoskeletal pain relief among young and middle-aged adults with obesity and propose an evidence-based exercise prescription that could assist in secondary prevention of osteoarthritis.
METHODS
METHODS
A structured electronic review was conducted using MEDLINE, PubMed, and SPORTDiscus. The search string included 1) "obes*" AND "exercise" AND "interven*" AND "musculoskeletal pain OR knee pain OR hip pain". Studies 1) were randomized controlled trials of humans, with a non-exercise control, 2) included participants aged 18-50 years, and 3) had outcomes that included physical function, musculoskeletal pain, and/or body composition. Studies were excluded if participants had peri-menopausal status, cancer, or obesity-related co-morbidities. A recommended exercise prescription was developed based on common principles used in the included exercise interventions with greatest change in function or pain.
RESULTS
RESULTS
Seven studies were included. Similarities in exercise intensity (40-80% VO
CONCLUSION
CONCLUSIONS
Common principles in exercise prescription for improvements in weight management, physical function and pain relief among otherwise healthy people with obesity. Exercise prescription including moderate intensity exercise for 30-60 min, three times per week can be considered an effective treatment for weight management and obesity-related musculoskeletal symptoms. Exercise should be recommended to at-risk individuals as part of secondary prevention of osteoarthritis.
Identifiants
pubmed: 31861990
doi: 10.1186/s12891-019-3004-3
pii: 10.1186/s12891-019-3004-3
pmc: PMC6925458
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
610Subventions
Organisme : CDC HHS
ID : NU58 DP006262-02
Pays : United States
Références
Osteoarthritis Cartilage. 2016 Jan;24(1):82-90
pubmed: 26254237
Proc Natl Acad Sci U S A. 2017 Aug 29;114(35):9332-9336
pubmed: 28808025
Can J Ophthalmol. 2008 Apr;43(2):180-7
pubmed: 18347620
Public Health Nutr. 2009 Mar;12(3):359-68
pubmed: 18426630
Arthritis Care Res (Hoboken). 2016 Apr;68(4):511-6
pubmed: 26359653
Med Sci Sports Exerc. 2009 Feb;41(2):459-71
pubmed: 19127177
Int J Environ Res Public Health. 2017 Apr 19;14(4):
pubmed: 28422077
Health Qual Life Outcomes. 2017 Aug 24;15(1):168
pubmed: 28836987
MMWR Morb Mortal Wkly Rep. 2017 Mar 10;66(9):246-253
pubmed: 28278145
NCHS Data Brief. 2015 Nov;(219):1-8
pubmed: 26633046
Am J Public Health. 2009 Jan;99(1):76-80
pubmed: 18556608
Arthritis Care Res (Hoboken). 2017 Jun;69(6):807-816
pubmed: 27563831
Nat Rev Rheumatol. 2016 Feb;12(2):92-101
pubmed: 26439406
Clin Obes. 2014 Aug;4(4):220-7
pubmed: 25826793
J Sci Med Sport. 2018 Feb;21(2):207-212
pubmed: 28647284
Med Sci Sports Exerc. 2002 Jan;34(1):92-7
pubmed: 11782653
Int J Sport Nutr. 1998 Sep;8(3):213-22
pubmed: 9738131
Med Sci Sports Exerc. 2001 Jun;33(6 Suppl):S351-8
pubmed: 11427759
Curr Opin Rheumatol. 2015 May;27(3):276-83
pubmed: 25775186
J Sports Sci. 2016 Aug;34(15):1396-404
pubmed: 26571136
J Appl Physiol (1985). 2015 Aug 15;119(4):352-62
pubmed: 26112241
PM R. 2010 Aug;2(8):723-31; quiz 793
pubmed: 20709301
J Rehabil Res Dev. 2015;52(3):309-22
pubmed: 26237073
Ann Intern Med. 2000 Jul 18;133(2):92-103
pubmed: 10896648