4.6 Article

A multidisciplinary lifestyle program for metabolic syndrome-associated osteoarthritis: the Plants for Joints randomized controlled trial

Journal

OSTEOARTHRITIS AND CARTILAGE
Volume 31, Issue 11, Pages 1491-1500

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.joca.2023.05.014

Keywords

Osteoarthritis; Diet; Physical activity; Stress management; Metabolic syndrome

Ask authors/readers for more resources

In patients with metabolic syndrome-associated osteoarthritis (MSOA), the Plants for Joints multidisciplinary lifestyle program has shown effectiveness in improving symptoms and physical function, especially in reducing joint pain and stiffness.
Objective: To determine the effectiveness of the Plants for Joints multidisciplinary lifestyle program in patients with metabolic syndrome-associated osteoarthritis (MSOA).Design: Patients with hip or knee MSOA were randomized to the intervention or control group. The intervention group followed a 16-week program in addition to usual care based on a whole food plant-based diet, physical activity, and stress management. The control group received usual care. The patient-reported Western Ontario and McMasters Universities Osteoarthritis Index (WOMAC) total score (range 0-96) was the primary outcome. Secondary outcomes included other patient-reported, anthropometric, and metabolic measures. An intention-to-treat analysis with a linear-mixed model adjusted for baseline values was used to analyze between-group differences.Results: Of the 66 people randomized, 64 completed the study. Participants (84% female) had a mean (SD) age of 63 (6) years and body mass index of 33 (5) kg/m2. After 16 weeks, the intervention group (n = 32) had a mean 11-point larger improvement in WOMAC-score (95% CI 6-16; p = 0.0001) compared to the control group. The intervention group also lost more weight (-5 kg), fat mass (-4 kg), and waist circumference (-6 cm) compared to the control group. Patient-Reported Outcomes Measurement Information System (PROMIS) fatigue, pain interference, C-reactive protein, hemoglobin A1c, fasting glucose, and low-density lipoproteins improved in the intervention versus the control group, while other PROMIS measures, blood pressure, high-density lipoproteins, and triglycerides did not differ significantly between the groups.Conclusion: The Plants for Joints lifestyle program reduced stiffness, relieved pain, and improved physical function in people with hip or knee MSOA compared to usual care.(c) 2023 The Authors. Published by Elsevier Ltd on behalf of Osteoarthritis Research Society International. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available