Buck Ashley N, Shultz Sarah P, Huffman Katie F, Vincent Heather K, Batsis John A, Newman Connie B, Beresic Nicholas, Abbate Lauren M, Callahan Leigh F
Kinesiology Department, Seattle University, Seattle, WA, USA.
Osteoarthritis Action Alliance, Chapel Hill, NC, USA.
Curr Dev Nutr. 2022 Apr 19;6(6):nzac084. doi: 10.1093/cdn/nzac084. eCollection 2022 Jun.
For persons with osteoarthritis (OA), nutrition education may facilitate weight and OA symptom management.
The primary aim of this study was to determine preferred OA-related nutritional and weight management topics and their preferred delivery modality. The secondary aim was to determine whether there is a disconnect between what patients want to know about nutrition and OA management and what information health-care professionals (HCPs) are providing to patients.
The Osteoarthritis Action Alliance surveyed individuals with OA to identify their preferences, categorized in 4 domains: ) strategies for weight management and a healthy lifestyle; ) vitamins, minerals, and other supplements; ) foods or nutrients that may reduce inflammation; and ) diets for weight loss. HCPs were provided these domains and asked which topics they discussed with patients with OA. Both groups were asked to select currently utilized or preferred formats of nutritional resources.
Survey responses from 338 individuals with OA and 104 HCPs were included. The highest preference rankings in each domain were: ) foods that make OA symptoms worse (65%), foods and nutrients to reduce inflammation (57%), and healthy weight loss (42%); ) glucosamine (53%), vitamin D (49%), and omega-3 fatty acids (45%); ) spices and herbs (65%), fruits and vegetables (58%), and nuts (40%); and ) Mediterranean diet (21%), low-carbohydrate diet (18%), and fasting or intermittent fasting (15%). There was greater than 20% discrepancy between interests reported by individuals with OA and discussions reported by HCPs on: weight loss strategies, general information on vitamins and minerals, special dietary considerations for other conditions, mindful eating, controlling caloric intake or portion sizes, and what foods worsen OA symptoms. Most respondents preferred to receive nutrition information in a passive format and did not want information from social media messaging.
There is disparity between the nutrition education content preferred by individuals with OA (which often lacks empirical support) and evidence-based topics being discussed by HCPs. HCPs must communicate evidence-based management of joint health and OA symptoms in patient-preferred formats. This study explored the information gap between what individuals with OA want to know and what HCPs believe they need to know.
对于骨关节炎（OA）患者而言，营养教育可能有助于体重管理和OA症状控制。
本研究的主要目的是确定与OA相关的营养和体重管理的首选主题及其首选的传递方式。次要目的是确定患者想了解的营养与OA管理信息和医疗保健专业人员（HCPs）向患者提供的信息之间是否存在脱节。
骨关节炎行动联盟对OA患者进行了调查，以确定他们的偏好，分为4个领域：）体重管理和健康生活方式的策略；）维生素、矿物质和其他补充剂；）可能减轻炎症的食物或营养素；）减肥饮食。向HCPs提供这些领域，并询问他们与OA患者讨论了哪些主题。两组都被要求选择当前使用的或首选的营养资源形式。
纳入了338名OA患者和104名HCPs的调查回复。每个领域中偏好排名最高的是：）使OA症状加重的食物（65%）、减轻炎症的食物和营养素（57%）以及健康减肥（42%）；）氨基葡萄糖（53%）、维生素D（49%）和ω-3脂肪酸（45%）；）香料和草药（65%）、水果和蔬菜（58%）以及坚果（40%）；）地中海饮食（21%）、低碳水化合物饮食（18%）以及禁食或间歇性禁食（15%）。OA患者报告的兴趣与HCPs报告的讨论在以下方面存在超过20%的差异：减肥策略、维生素和矿物质的一般信息、其他疾病的特殊饮食注意事项、正念饮食、控制热量摄入或份量大小以及哪些食物会加重OA症状。大多数受访者更喜欢以被动形式接收营养信息，不希望从社交媒体信息中获取信息。
OA患者偏好的营养教育内容（通常缺乏实证支持）与HCPs讨论的循证主题之间存在差异。HCPs必须以患者偏好的形式传达基于证据的关节健康和OA症状管理方法。本研究探讨了OA患者想了解的内容与HCPs认为他们需要了解的内容之间的信息差距。
