Babu Suresh, Vaish Abhishek, Vaishya Raju, Agarwal Arun
Department of Orthopaedics and Joint Replacement Surgery, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, 110076, India.
Orthopaedics and Adult Reconstruction, Department of Orthopaedics and Joint Replacement Surgery, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, 110076, India.
J Clin Orthop Trauma. 2021 Jan 23;16:70-74. doi: 10.1016/j.jcot.2020.12.020. eCollection 2021 May.
Obesity and Knee Osteoarthritis (KOA) has a proven association. The obese individuals are likely to have early and more severe KOA, and the complications and overall results of surgery are also inferior. Hence, weight reduction is of paramount importance for these individuals. Due to the inability to do intense physical activities, these individuals cannot lose weight and instead perpetually kept gaining weight. Hence, intermittent fasting as a non-operative means of weight reduction is an attractive and viable option. This review article would help sensitize the Orthopaedic Surgeons about fasting in weight reduction and assisting the KOA. Hence, the choice of intermittent fasting should be offered to obese patients with KOA for weight reduction.
肥胖与膝关节骨关节炎（KOA）之间的关联已得到证实。肥胖个体更易患早期且更严重的KOA，手术并发症及总体效果也较差。因此，减轻体重对这些个体至关重要。由于无法进行高强度体育活动，这些个体无法减重，反而体重持续增加。因此，间歇性禁食作为一种非手术减重方法是一个有吸引力且可行的选择。这篇综述文章将有助于提高骨科医生对禁食在减重及辅助治疗KOA方面的认识。因此，对于患有KOA的肥胖患者，应提供间歇性禁食用于减重的选择。
