Inam Syed Hashim Ali, Riaz Bismah, Jamil Hamza, Rafique Daneyal, Siddiqi Umair Asif, Iqbal Mishal, Sherwani Nawabzada Zeerak Farhat, Khan Waqas
Internal Medicine, Army Medical College, National University of Medical Sciences (NUMS), Rawalpindi, PAK.
Internal Medicine, CMH Lahore Medical and Dental College, Lahore, PAK.
Cureus. 2020 Nov 16;12(11):e11502. doi: 10.7759/cureus.11502.
Osteoarthritis (OA) is a degenerative disease of joints which if untreated can lead to a permanent disability of joints. Obesity plays an important role in the morbidity of OA. Since there is no curative treatment for OA, several researches focusing on nonpharmacological intervention for OA have come forth. Triad of education, exercise, and weight loss has been gaining popularity as a first-line nonpharmacological treatment for OA. This article measures the number of OA patients, irrespective of age and gender, who have received weight-loss counseling from their physicians and it also studies patients' willingness to lose weight after being counseled.
A cross-sectional study was conducted from 10th June 2020 to 10th July 2020. Diagnosed cases of OA were included and their consent was taken. A self-administered questionnaire was used which included questions asking if they have ever received weight-loss counseling and if they will try to lose weight on being advised by their physician. Data were collected from the participants using google forms and analyzed using SPSS-22.
Out of 199 OA patients included in our study, only 28 (14%) participants received weight loss and exercise counseling from their physicians. A positive response was observed in 175 (87.9%) participants out of 199 who reported that they would exercise and practice a healthy lifestyle to lose weight if they were advised properly.
Results of our study showed that the total number of OA patients receiving advice from their treating physician regarding weight loss is less. However, the majority of the patients were willing to exercise and control their weight if advised properly by their physician.
骨关节炎（OA）是一种关节退行性疾病，若不治疗会导致关节永久性残疾。肥胖在骨关节炎的发病中起重要作用。由于骨关节炎尚无治愈性疗法，因此出现了几项针对骨关节炎非药物干预的研究。教育、运动和减肥三位一体作为骨关节炎的一线非药物治疗方法越来越受欢迎。本文统计了接受医生减肥咨询的骨关节炎患者数量，无论其年龄和性别如何，同时还研究了患者在接受咨询后减肥的意愿。
于2020年6月10日至2020年7月10日进行了一项横断面研究。纳入已确诊的骨关节炎病例并获得其同意。使用了一份自填式问卷，其中包括询问他们是否曾接受过减肥咨询以及是否会在医生建议下尝试减肥的问题。通过谷歌表单从参与者那里收集数据，并使用SPSS - 22进行分析。
在我们研究纳入的199例骨关节炎患者中，只有28名（14%）参与者接受了医生的减肥和运动咨询。在199名参与者中，有175名（87.9%）给出了肯定答复，他们表示如果得到适当建议，会通过运动和保持健康生活方式来减肥。
我们的研究结果表明，接受治疗医生关于减肥建议的骨关节炎患者总数较少。然而，如果医生给予适当建议，大多数患者愿意运动并控制体重。
