Effectiveness of a telehealth physiotherapist-delivered intensive dietary weight loss program combined with exercise in people with knee osteoarthritis and overweight or obesity: study protocol for the POWER randomized controlled trial.
Diet
Exercise
Exercise Therapy
/ methods
Humans
Obesity
/ complications
Osteoarthritis, Knee
/ complications
Overweight
/ complications
Pain
/ complications
Pain Measurement
Physical Therapists
Quality of Life
Randomized Controlled Trials as Topic
Telemedicine
Treatment Outcome
Weight Loss
Weight Reduction Programs
Clinical trial
Exercise
Ketogenic diet
Knee
OA
Obesity
Osteoarthritis
Overweight
Physical activity
Physiotherapy
RCT
Telehealth
Weight management
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
30 Jul 2022
30 Jul 2022
Historique:
received:
28
06
2022
accepted:
24
07
2022
entrez:
30
7
2022
pubmed:
31
7
2022
medline:
3
8
2022
Statut:
epublish
Résumé
Obesity is associated with knee osteoarthritis (OA). Weight loss, alongside exercise, is a recommended treatment for individuals with knee OA and overweight/obesity. However, many patients cannot access weight loss specialists such as dietitians. Innovative care models expanding roles of other clinicians may increase access to weight loss support for people with knee OA. Physiotherapists may be well placed to deliver such support. This two-group parallel, superiority randomized controlled trial aims to compare a physiotherapist-delivered diet and exercise program to an exercise program alone, over 6 months. The primary hypothesis is that the physiotherapist-delivered diet plus exercise program will lead to greater weight loss than the exercise program. 88 participants with painful knee OA and body mass index (BMI) > 27 kg/m This trial will determine whether a physiotherapist-delivered diet plus exercise program is more effective for weight loss than an exercise only program. Findings will inform the development and implementation of innovative health service models addressing weight management and exercise for patients with knee OA and overweight/obesity. NIH US National Library of Medicine, Clinicaltrials.gov NCT04733053 (Feb 1 2021).
Sections du résumé
BACKGROUND
BACKGROUND
Obesity is associated with knee osteoarthritis (OA). Weight loss, alongside exercise, is a recommended treatment for individuals with knee OA and overweight/obesity. However, many patients cannot access weight loss specialists such as dietitians. Innovative care models expanding roles of other clinicians may increase access to weight loss support for people with knee OA. Physiotherapists may be well placed to deliver such support. This two-group parallel, superiority randomized controlled trial aims to compare a physiotherapist-delivered diet and exercise program to an exercise program alone, over 6 months. The primary hypothesis is that the physiotherapist-delivered diet plus exercise program will lead to greater weight loss than the exercise program.
METHODS
METHODS
88 participants with painful knee OA and body mass index (BMI) > 27 kg/m
DISCUSSION
CONCLUSIONS
This trial will determine whether a physiotherapist-delivered diet plus exercise program is more effective for weight loss than an exercise only program. Findings will inform the development and implementation of innovative health service models addressing weight management and exercise for patients with knee OA and overweight/obesity.
TRIAL REGISTRATION
BACKGROUND
NIH US National Library of Medicine, Clinicaltrials.gov NCT04733053 (Feb 1 2021).
Identifiants
pubmed: 35907828
doi: 10.1186/s12891-022-05685-z
pii: 10.1186/s12891-022-05685-z
pmc: PMC9338658
doi:
Banques de données
ClinicalTrials.gov
['NCT04733053']
Types de publication
Clinical Trial Protocol
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
733Subventions
Organisme : University of Melbourne
ID : n/a
Organisme : Physiotherapy Research Foundation
ID : PG18-004
Informations de copyright
© 2022. The Author(s).
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