Health and weight loss beliefs in patients with knee ...

Health and weight loss beliefs in patients with knee ...

Gender-based health and weight loss beliefs in knee osteoarthritis patients Osteoarthritis: A chronic joint condition Affects 12.5% of the Australian population > 45 yrs Cost approximately $1.2 billion in 2001 Knee OA, Obesity & Women Effects women > men Obesity main modifiable risk factor Weight loss improved symptoms BMI symptom severity, particularly in women Despite this, those with OA still gain weight ! Study aims

Thus this study aims to investigate gender-based health and weight loss beliefs of those with knee osteoarthritis in order to develop a more effective weight loss intervention strategy for female sufferers Methods Participants: 100 patients attending a rheumatology or orthopedic clinic with symptomatic knee OA Aged 50 70 years Data collection: Two part questionnaire: 1. Health and weight loss beliefs 2. Knee symptoms (pain, stiffness and function) Data Analysis Data examined separately for men and women

Analysed using SPSS Statistically significance: p<0.05 Characteristics of Study Population Body Weight Satisfaction* 70 Level of body weight satisfaction (%) 60 50 40 Men Women 30 20 10 0 Not satisfied Quite Satisfied Satisfied

* Not significantly different Body Shape Satisfaction* 80 Level of body shape satisfaction (%) 70 60 50 Men Women 40 30 20 10 0 Not Satisfied Quite satisfied Satisfied *P=0.008 for trend Weight Change in the Last 6 Months* 70 60

50 40 % Men Women 30 20 10 0 Gained weight Lost weight Stayed at the same weight Dont know *P=0.008 for trend Desired Weight* 40 35 30 % 25

Men Women 20 15 10 5 0 Happy as I am 1 5 kg more Over 5kg more 1-5 kg less 6-10kg less Over 10 kg less * Not significantly different Dieting Frequency* 70 60 50 40 30 % 20 Men Women 10 0

N er ev e or M an th 10 tim es 4 1- tim m Ia es w al s ay on a to

et i d se lo w t gh i e 10 5- tim es *P=0.013 for trend Factors Causing Weight Gain 60 * 50 40 30 ** % 20 Men

Women 10 0 e n m se te ak is ci l a t r o n e e d li ab ex t o o / h o e ity m ff co l v

o i & A t t s ac un ic l t o e ca m si en la y G a h t fp To o nt ou Am Sm i ok ng t

Fa e ak t in r ga u S e ak t in d en t t n o Id to tw pu on t gh ei er th O

N e on w no k t on D *P=0.013; **P=0.031 Reasons to Exercise 60 * 50 40 30 % 20 Men Women 10 0 t t t

t s e n er ny ve lth or pl io gh en en t fi tt a o a i t o o i e e b e m m t d e b in a he rg

ve pe ite e lw e e of d rp o t t e c o h e o t i l m r a t x h ra ns go ch ip ou nt co ee ot

of nt re f c te a o i n e e e o c e e c b rt ai of ith th To re o or on as on w nt e pa y u T

i e N c t s e t o l a e j / s n n re m l is lo er en on se ve o a d d o i o d r a T

T I c T To ,a ha in so n a k g fu To or e w To v To ha o T l /re n io ax *P=0.0004 Level of agreement with the statement: A campaign in my locality aimed at

increasing participation in physical activity/exercise would be effective in encouraging me to do more. Level of Agreement* 70 60 50 40 % Men Women 30 20 10 0 Disagree Neutral Agree *P=0.009 across trend Limitations Cross-sectional designed study

Use of questionnaire English participants only Conclusions Women: Diet more yet frequently gain weight Believe in exercise to control weight Would be receptive to targeted intervention Therefore A targeted intervention campaign focused on dietary education and exercise participation may be effective in preventing weight gain and promoting weight loss among women with knee OA

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