Article

Osteoarthritis (OA) is the most common joint disorder in the world
and is recognized as a substantial source of disability. For people with OA of
the knee, exercise in combination with weight loss is a proven, effective,
conservative treatment option, yet evidence is lacking for people with hip OA.
The aim of this study was to obtain preliminary evidence of the effect
of a program of exercise in combination with weight loss on physical function in
people who have hip OA and are overweight or obese. This investigation
was a prospective cohort study. METHODS: Thirty-five people who were 25 years or
older, had clinical and radiological evidence of hip OA, and were overweight or
obese (body mass index of >25 kg/m(2)) were included. They participated in an
8-month program of exercise in combination with weight loss. A body mass index of
40 kg/m(2) was used as the upper limit. The primary outcome was self-reported
physical function, as measured with a subscale of the Western Ontario and
McMaster Universities Osteoarthritis Index. Secondary outcome measures included
pain and walking tests as quantitative measures of function. RESULTS:
Participation in the combination program resulted in a 32.6% improvement in
self-reported physical function after 8 months, a finding that could be
considered clinically relevant. Significant improvements also were seen in pain
and on walking tests. LIMITATIONS: The lack of a control group was a limitation
of this study. CONCLUSIONS: This appears to be the first study investigating the
effect of exercise and weight loss as a combination treatment in people with hip OA. The results provide preliminary evidence that this combination treatment is
effective in people with hip OA.

Langue : ANGLAIS