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EFFECT OF PROGRAMMED WEIGHT LOSS ON CHRONIC JOINT PAIN IN OSTEOARTHRITIS- NON PHARMACOLOGICAL INTERVENTION
Author(s):
Paul, M.*
Affiliations:
University Hospital of North Tees, Anaesthesia, Stockton on Tees, United Kingdom
ESRA Academy. Paul M. Sep 13, 2017; 190766
Monojit Paul
Monojit Paul

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Abstract
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Background and Aims:

Obesity has been long recognised as risk factor for osteoarthritis. Despite the high volume of publications on the subject, there are still gaps in our understanding of the pathogenesis of OA in the obese patient. This study overviews what is already known about effects of obesity and chronic joint pain and study the effect of supervised weight loss program through a combined exercise and limited calorie intake and its effects on pain intensity and need for analgesia.

Methods:

The aim of the study was to study the effect of 14 pounds programmed weight loss with help of a combined diet and exercise on pain intensity (Visual Analogue Score) and analgesia usage.

Patients were subjected to a daily calorie intake of 1400 calories based on BMR designed by dieticians and 30 minutes of general swimming under supervision of physiotherapists.

Results:

Results analysed at the end of 14 weeks.

  • ·      11 male patients achieved target weight loss of 1 stone (14 pounds) compared to 16 female patients - percentage weight loss 6.67 of mean.
  • ·      The mean change in VAS among male patients was from 6/10 to 4/10 and female patients were from 7/10 to 6/10.
  • ·      The change in NSAID use for breakthrough pain was reduced from 4 times weekly to 3 times weekly.
    Use of weak opioid (codeine) was reduced in 21 patients.
Conclusions:

Targeted oriented programmed weight loss, even by 6.67% significantly improved patient symptoms and reduced use of NSAIDs and opioids, thereby reducing long term and short term side effects of these drugs.

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