Influence of a Meal-Replacement Diet on Quality of Life in Women With Obesity and Knee Osteoarthritis Before Orthopedic Surgery

Gómez, Juan José López; Izaola-Jáuregui, Olatz; Torres-Torres, Beatriz; Gómez-Hoyos, Emilia; Lozano, María Ángeles Castro; Ortolá-Buigues, Ana; Ferrero, Miguel Ángel Martín; Luis-Román, Daniel Antonio De

doi:10.20960/nh.1148

Cited by 8 publications

(29 citation statements)

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“…In terms of quality rating (Table 1), nine of the nineteen included studies received a neutral rating due to Physical function in osteoarthritis non-comparable study groups at baseline (n 1) (16) or having no comparison group (n 8) (17)(18)(19)(20)(21)(22)(23)(24) . The remaining ten studies received a positive quality rating (9,(25)(26)(27)(28)(29)(30)(31)(32)(33) , of which five were lifestyle studies (27)(28)(29)32,33) , two were DMR studies (9,30) and three were VLED studies (25,26,31) .…”

Section: Study Qualitymentioning

confidence: 99%

“…These studies all specified clear inclusion criteria, had comparable study group characteristics at baseline and provided detailed information related to intervention components and outcome measures. Patient compliance was measured in eleven studies, via food diaries, exercise logs, pedometers and attendance at nutrition and exercise programmes (9,20,(22)(23)(24)(27)(28)(29)(30)32,33) . Due to the nature of the interventions and study design, blinding of participants was not always possible; however, outcome assessment was blinded in all studies.…”

Section: Study Qualitymentioning

confidence: 99%

“…Of the nineteen studies included in the review, eight were lifestyle studies of which five were RCT (16,27,28,32,33) , five were DMR studies of which two were RCT (9,30) , and six were VLED studies of which two were RCT (25,26) . The remaining ten studies were uncontrolled clinical trials (17)(18)(19)(20)(21)(22)(23)(24)29,31) . A description of study characteristics including study sample and intervention details is provided in Table 2.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…For the sixteen studies that included both male and female participants, the proportion of female participants ranged from 57 to 89 %. Two lifestyle studies and one VLED study included only female participants (22,24,27) . Seven studies included only obese participants (BMI ≥ 30 kg/m 2 ) (17,(19)(20)(21)24,30,31) , and the average BMI of all study samples ranged from 31•7 to 40•8 kg/m 2 .…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Two lifestyle studies and one VLED study included only female participants (22,24,27) . Seven studies included only obese participants (BMI ≥ 30 kg/m 2 ) (17,(19)(20)(21)24,30,31) , and the average BMI of all study samples ranged from 31•7 to 40•8 kg/m 2 . Seventeen studies included participants who had knee OA (9,(16)(17)(18)(19)21,22,(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) ; however, one VLED study included patients with hip or knee OA (20) , and another lifestyle study included patients with hip OA only (23) .…”

Section: Study Characteristicsmentioning

confidence: 99%

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Physical function after dietary weight loss in overweight and obese adults with osteoarthritis: a systematic review and meta-analysis

Webb

Osmotherly

Baines

2020

Public Health Nutr.

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Objective: Osteoarthritis (OA) is associated with functional limitations that can impair mobility and reduce quality of life in affected individuals. Excess body weight in OA can exacerbate impaired physical function, highlighting the importance of weight management in this population. The aim of this systematic review was to compare the effects of different dietary interventions for weight loss on physical function in overweight and obese individuals with OA. Design: A comprehensive search of five databases was conducted to identify relevant articles for inclusion. Studies were included that examined the effect of dietary weight loss interventions, with or without exercise, on physical function in adults with OA who were overweight or obese. Quality and risk of bias were assessed using the Quality Criteria Checklist for primary research. Primary and secondary outcomes were extracted, including change in weight and physical function which included performance-based and self-report measures. Results: Nineteen relevant studies were included, which incorporated lifestyle interventions (n 8), diet in combination with meal replacements (DMR; n 5) and very low-energy diets (VLED; n 6) using meal replacements only. Pooled data for eight RCT indicated a mean difference in Western Ontario and McMaster Universities Arthritis Index (WOMAC) physical function of 12·4 and 12·5 % following DMR or VLED interventions, respectively; however, no statistically significant change was detected for lifestyle interventions. Conclusions: Our findings suggest that partial use of meal replacements is as effective as their sole use in the more restrictive VLED. Both dietary interventions are more effective than lifestyle programmes to induce significant weight loss and improvements in physical function.

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Section: Study Qualitymentioning

confidence: 99%

Section: Study Qualitymentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 3 more Smart Citations

Physical function after dietary weight loss in overweight and obese adults with osteoarthritis: a systematic review and meta-analysis

Webb

Osmotherly

Baines

2020

Public Health Nutr.

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Optimising body weight in people with obesity prior to knee or hip arthroplasty: A feasibility study utilising a dietitian‐led low inflammatory diet

Genel,

Pavlovic,

Gao

et al. 2024

Musculoskeletal Care

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BackgroundWeight loss is recommended for people with obesity prior to undergoing total knee or hip arthroplasty. This study aimed to determine the feasibility of implementing a dietitian‐led low‐inflammatory weight‐loss diet for people with obesity awaiting arthroplasty. Secondary aims were to report weight change, patient‐reported outcomes, diet compliance, surgery deferment and diet acceptability.MethodsEligible participants were enrolled across two sequential periods; Usual Care (UC) was recruited, followed by an intervention period with a dietitian‐led weight‐loss programme (DT). Assessments occurred at baseline, 6‐month and pre‐surgery (11–12 months from baseline). Predefined diet feasibility outcomes included: (i) recruitment rate ≥60%, (ii) ≥60% of DT group reporting ≥10% improved compliance with low‐inflammatory diet by pre‐surgery, (iii) all DT participants attending ≥60% of dietitian consultations, (iv) proportion of DT group losing ≥5% weight double that of UC by pre‐surgery.ResultsNinety‐seven people participated (UC, n = 47, DT, n = 50). Baseline variables were similar between groups. None of the diet feasibility criteria were fulfilled: 52% of eligible people consented; 57% of DT group improved diet compliance; 72% of DT Group attended ≥60% of dietitian appointments; 31.4% of DT group lost ≥5% weight (compared to 20.6% of UC). Compared to UC group at pre‐surgery, DT group demonstrated modest weight loss (−1.7 kg (95%CI ‐3.5,0.2) versus −0.4 kg (−2.5,1.6)), and decreased waist circumference (−4.8 cm (−6.9,‐2.8) versus −2.2 cm (−5.2,0.7)). Three DT participants declined surgery due to improved symptoms.ConclusionUtilisation of a dietitian‐led low‐inflammatory weight‐loss diet was not feasible in this cohort. Suboptimal diet compliance likely explains the modest weight loss results.

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Effects of diet on the outcomes of rheumatic and musculoskeletal diseases (RMDs): systematic review and meta-analyses informing the 2021 EULAR recommendations for lifestyle improvements in people with RMDs

et al. 2022

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BackgroundA EULAR taskforce was convened to develop recommendations for lifestyle behaviours in rheumatic and musculoskeletal diseases (RMDs). In this paper, the literature on the effect of diet on the progression of RMDs is reviewed.MethodsSystematic reviews and meta-analyses were performed of studies related to diet and disease outcomes in seven RMDs: osteoarthritis (OA), rheumatoid arthritis (RA), systemic lupus erythematosus, axial spondyloarthritis, psoriatic arthritis, systemic sclerosis and gout. In the first phase, existing relevant systematic reviews and meta-analyses, published from 2013 to 2018, were identified. In the second phase, the review was expanded to include published original studies on diet in RMDs, with no restriction on publication date. Systematic reviews or original studies were included if they assessed a dietary exposure in one of the above RMDs, and reported results regarding progression of disease (eg, pain, function, joint damage).ResultsIn total, 24 systematic reviews and 150 original articles were included. Many dietary exposures have been studied (n=83), although the majority of studies addressed people with OA and RA. Most dietary exposures were assessed by relatively few studies. Exposures that have been assessed by multiple, well conducted studies (eg, OA: vitamin D, chondroitin, glucosamine; RA: omega-3) were classified as moderate evidence of small effects on disease progression.ConclusionThe current literature suggests that there is moderate evidence for a small benefit for certain dietary components. High-level evidence of clinically meaningful effect sizes from individual dietary exposures on outcomes in RMDs is missing.

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Influence of a Meal-Replacement Diet on Quality of Life in Women With Obesity and Knee Osteoarthritis Before Orthopedic Surgery

Cited by 8 publications

References 0 publications

Physical function after dietary weight loss in overweight and obese adults with osteoarthritis: a systematic review and meta-analysis

Physical function after dietary weight loss in overweight and obese adults with osteoarthritis: a systematic review and meta-analysis

Optimising body weight in people with obesity prior to knee or hip arthroplasty: A feasibility study utilising a dietitian‐led low inflammatory diet

Effects of diet on the outcomes of rheumatic and musculoskeletal diseases (RMDs): systematic review and meta-analyses informing the 2021 EULAR recommendations for lifestyle improvements in people with RMDs

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