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GENDER-BASED EFFECTS OF DIET MODIFICATION IN COMBINATION WITH AN AT-HOME EXERCISE REGIMEN ON PAIN AND JOINT MOBILITY IN KNEE OSTEOARTHRITIS

ADDO, OPPONG YAW

Abstract Details

2007, MS, University of Cincinnati, Allied Health Sciences : Nutrition.
Background: Osteoarthritis (OA) is the number one musculoskeletal disorder in the developed world and it ranks among the top problems of the health care systems in developed countries. Osteoarthritis is estimated to cost western countries such as Australia, Canada, United Kingdom and France as well as Western Europe as high as 1-2.5% of the gross national product (GNP) of their economies. This figure is much higher in the United States where the CDC puts the total direct and indirect costs of arthritis and other rheumatic conditions in the US during 1997 at $86.2 billion, or 1% of the US gross domestic product. It is projected that by the year 2020; approximately 18.2% of Americans will be affected by arthritic disorders equaling 60 million people. The current price related to OA to the US economy is sad to say even higher and growing by the minute. Methods: A total of 63 subjects were randomly assigned to either the dietary modification only group or the dietary modification and exercise regimen group for a period of three months. Subjects made two visits to the assessment laboratory where anthropometric measurements, range of motion, and pain assessment were made. Additionally, subjects completed dietary, supplement use, and physical activity questionnaires. Subjects received relevant counseling on diet modification and incorporation of an at-home exercise regimen. Results: Baseline body weight and fat mass was higher in the nutrition alone group compared to nutrition and exercise group in both genders. No changes were seen in either of the two values after treatment in the two treatment groups. There was a significant reduction (p-value > 0.029) in current pain intensity from baseline to final. There were also reductions in all pain parameters assessed across both genders. After three months of intervention, nutrition and exercise intervention had more favorable effect (an improvement in knee range of motion) on extension than nutrition alone intervention group and that the effect of the combined intervention was significant (P= 0.041). Conclusion: Our study findings indicate that improvement in range of motion along with reduction in the level of pain can be achieved by individuals with knee pain associated with OA who modify their lifestyles by incorporating exercise coupled with dietary behavioral changes.
Dr. Shanil Juma (Advisor)
96 p.

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Citations

  • ADDO, O. Y. (2007). GENDER-BASED EFFECTS OF DIET MODIFICATION IN COMBINATION WITH AN AT-HOME EXERCISE REGIMEN ON PAIN AND JOINT MOBILITY IN KNEE OSTEOARTHRITIS [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1172864715

    APA Style (7th edition)

  • ADDO, OPPONG. GENDER-BASED EFFECTS OF DIET MODIFICATION IN COMBINATION WITH AN AT-HOME EXERCISE REGIMEN ON PAIN AND JOINT MOBILITY IN KNEE OSTEOARTHRITIS. 2007. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1172864715.

    MLA Style (8th edition)

  • ADDO, OPPONG. "GENDER-BASED EFFECTS OF DIET MODIFICATION IN COMBINATION WITH AN AT-HOME EXERCISE REGIMEN ON PAIN AND JOINT MOBILITY IN KNEE OSTEOARTHRITIS." Master's thesis, University of Cincinnati, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1172864715

    Chicago Manual of Style (17th edition)