Role of body mass reduction and physical exercises in treatment of gonarthrosis
https://doi.org/10.17238/ISSN2223-2524.2018.4.71
Abstract
The analysis of literature data on modern methods of gonarthrosis treatment based on a decrease in the body weight of patients was conducted. The pathogenetic relationship between obesity and osteoarthritis, in particular, the role of adipokines, was considered. It was shown that a decrease in body weight contributed to a positive dynamics of the functional state of joints affected by osteoarthritis. At the same time, there was a complex system of physical, personal, psychological and social barriers and incentives to keep these patients at the proper level of physical activity. It was indicated that one of the ways to improve the effectiveness of treatment should be the use of methods that activate patients with osteoarthritis. The need to develop and approbate methods based on programs to increase the level of physical activity of patients, including the use of methods of therapeutic physical training was noted.
About the Authors
A. N. Shkrebko
ФГБОУ ВО ЯГМУ Минздрава России
Russian Federation
Russian Federation
A. N. Glushakov
ФГБОУ ВО ЯГМУ Минздрава России
Russian Federation
Russian Federation
References
1. Лапшина С.А., Мухина Р.Г., Мясоутова Л.И. Остеоартроз: современные проблемы терапии // РМЖ. 2016. Т.24, № 2. С. 95-101.
2. Шостак H.A., Правдюк Н.Г. Остеоартроз: детерминанты боли, подходы к лечению // РМЖ. 2016. Т.24, № 22. С. 1476-80.
3. NICE. Osteoarthritis care and management in adults. NICE clinical guideline. 2014. 177 p. PMID: 25340227.
4. Вакуленко О.Ю., Жиляев Е.В. Остеоартроз: современные подходы к лечению // РМЖ. 2016. Т.24, № 22. С. 1494-8.
5. Jiang L., Tian W., Wang Y., Rong J., Bao C., Liu Y., Zhao Y., Wang C., Jiang L., Tian W., Wang Y. et al. Body mass index and susceptibility to knee osteoarthritis: a systematic review and metaanalysis // Joint Bone Spine. 2012. Vol. 79, № 3. P. 291-7. DOI: 10.1016/j.jbspin.2011.05.015.
6. Davis M.A., Ettinger W.H., Neuhaus J.M. Obesity and osteoarthritis of the knee: evidence from the National Health and Nutrition Examination Survey (NHANES I) // Semin Arthritis Rheum. 1990. Vol. 20, № 3. P. 34-41. DOI: 10.1016/0049-0172(90)90045-H.
7. Гайфутдинов И.М. Лечебная физическая культура (ЛФК) при артрозе // Сборник материалов XXXIX Международной научно-практической конференции «Приоритетные научные направления: от теории к практике». М., 2017. С. 29-32.
8. Anwer S., Alghadir A., Brismée J.M. Effect of home exercise program in patients with knee osteoarthritis: a systematic review and meta-analysis // J. Geriatr Phys Ther. 2016. Vol. 39. P. 38-48. DOI: 10.1519/JPT.0000000000000045.
9. Duivenvoorden T., Brouwer R.W., Van Raaij T.M. Braces and orthoses for treating osteoarthritis of the knee // Cochrane Database Syst. Rev. 2005. DOI: 10.1002/14651858.CD004020.pub2.
10. Parkes M.J., Maricar N., Lunt M., LaValley M.P., Jones R.K., Segal N. A., Takahashi-Narita K., Felson D.T. Lateral wedge insoles as a conservative treatment for pain in patients with medial knee osteoarthritis: a meta-analysis // JAMA. 2013. Vol. 310. P. 722-30. DOI: 10.1001/jama.2013.243229.
11. Crossley K.M., Marino G.P., Madlquham M.D., Schache A.G., Hinman R.S. Can patellar tape reduce the patellar malalignment and pain associated with patellofemoral osteoar-thritis? // Arthritis Rheum. 2009. Vol. 61. P. 1719-25. DOI: 10.1002/art.24872.
12. Warden S.J., Hinman R.S., Watson M.A. Jr., Avin K.G., Bialocerkowski A.E., Crossley K.M. Patellar taping and bracing for the treatment of chronic knee pain: a systematic review and metaanalysis // Arthritis Rheum. 2008. Vol. 59. P. 73-83. DOI: 10.1002/ art.23242.
13. Handbook of Non-Drug Intervention (HANDI) Project Team. Taping for knee osteoarthritis // Aust. Fam. Physician. 2013. Vol. 42. P. 725-6. DOI: 10.1016/j.ctcp.2015.10.001.
14. Jones A., Silva P.G., Silva A.C., Colucci M., Tuffanin A., Jardim J.R., Natour J. Impact of cane use on pain, function, general health and energy expenditure during gait in patients with knee osteoarthritis: a randomised controlled trial // Ann. Rheum. Dis. 2012. Vol. 71. P. 172-9. DOI: 10.1136/ard.2010.140178.
15. Lin X., Huang K., Zhu G., Huang Z., Qin A., Fan S. The effects of acupuncture on chronic knee pain due to osteoarthritis: a meta-analysis // J. Bone Joint Surg. Am. 2016. Vol. 98. P. 1578-85. DOI: 10.2106/JBJS.15.00620.
16. Cherian J.J., Harrison P.E., Benjamin S.A., Bhave A., Harwin S.F., Mont M.A. Do the effects of transcutaneous electrical nerve stimulation on knee osteoarthritis pain and function last? // J. Knee Surg. 2016. Vol. 29. P. 497-501. DOI: 10.1055/s-0035-1566735.
17. Chen L.X., Zhou Z.R. Transcutaneous electrical nerve stimulation in patients with knee osteoarthritis: evidence from randomized-controlled trials // Clin. J. Pain. 2016. Vol. 32. P. 146-54. DOI: 10.1097/AJP.0000000000000233.
18. Sharma L., Cahue S., Song J., Hayes K., Pai Y.C., Dunlop D. Physical functioning over three years in knee osteoarthritis: role of psychosocial, local mechanical, and neuromuscular factors // Arthritis Rheum. 2003. Vol. 48. P. 3359-70. DOI: 10.1002/art.11420.
19. De Boer T.N., Van Spil W.E., Huisman A.M., Polak A.A., Bijlsma J.W., Lafeber F.P., Mastbergen S.C. Serum adipokines in osteoarthritis; comparison with controls and relationship with local parameters of synovial inflammation and cartilage damage // Osteoarthr. Cartilage. 2012. Vol. 20, № 8. P.846-53. DOI: 10.1016/j.joca.2012.05.002.
20. Brennan S.L., Cicuttini F.M., Pasco J.A., Henry M.J., Wang Y., Kotowicz M.A., Nicholson G.C., Wluka A.E. Does an increase in body mass index over 10 years affect knee structure in a population-based cohort study of adult women? // Arthritis Res. Ther. 2010. Vol. 12, № 4. P. 139. DOI: 10.1186/ar3078.
21. Laberge M.A., Baum T., Virayavanich W., Nardo L., Nevitt M.C., Lynch J., McCulloch C.E., Link T.M. Obesity increases the prevalence and severity of focal knee abnormalities diagnosed using 3T MRI in middle-aged subjects - data from the Osteoarthritis Initiative // Skeletal Radiol. 2012. Vol. 41, № 6. R 633-41. DOI: 10.1007/s00256-011-1259-3.
22. Fantuzzi G., Mazzone T.Nutrition and Health: Adipose Tissue and Adipokines. Health and Disease. New York: SpringerVerlag, 2007. 279 p.
23. McNulty A.L., Miller M.R., O'Connor S.K., Guilak F. The effects of adipokines on cartilage and meniscus catabolism // Connect Tissue Res. 2011. Vol. 52, № 6. P. 523-33. DOI: 10.3109/03008207.2011.597902.
24. Santos M.J., Fonseca J.E. Metabolic syndrome, Inflammation and atherosclerosis - the role of adipokinesin health and in systemic inflammatory rheumatic diseaseas // Acta Reumatol. Port. 2009. Vol. 34, № 4. P. 590-8. PMID: 20852572.
25. Gualillo O., Gonzalez-Juanatey J.R., Lago F. The emerging role of adipokines as mediators of cardiovascular function: physiologic and clinical perspectives // Trends Cardiovasc. Med. 2007. Vol. 17, № 8. P. 275-83. DOI: 10,1016/j.tcm.2007.09.005.
26. McAlindon T.E., Bannuru R.R., Sullivan M.C., Arden N.K., Berenbaum F., Bierma-Zeinstra S.M., Hawker G.A., Henrotin Y., Hunter D.J., Kawaguchi H., Kwoh K., Lohmander S., Rannou F., Roos E.M., Underwood M. OARSI guidelines for the non-surgical management of knee osteoarthritis // Osteoarthritis Cartilage. 2014. Vol. 22. P. 363-88. DOI: 10.1016/j.joca.2014.01.003.
27. Caspersen C.J., Powell K.E., Christenson G.M. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research // Public Health Rep. 1985. Vol. 100. P. 126-31. PMC1424733.
28. Juhl C., Christensen R., Roos E.M. et al. Impact of exercise type and dose on pain and disability in knee osteoarthritis: a systematic review and meta-regression analysis of randomized controlled trials // Arthritis Rheumatol. 2014. Vol. 66. P. 622-36. DOI: 10.1002/art.38290.
29. Christensen R., Bartels E.M., Astrup A., Bliddal H. Effect of weight reduction in obese patients diagnosed with knee osteoarthritis: a systematic review and meta-analysis // Ann. Rheum. Dis. 2007. Vol. 66. P. 433-9. DOI: 10.1136/ard.2006.065904.
30. Messier S.P., Mihalko S.L., Legault C., Miller G.D., Nick-las B.J., DeVita P., Beavers D.P., Hunter D.J., Lyles M.F., Eckstein F., Williamson J.D., Carr J.J., Guermazi A., Loeser R.F. Effects of intensive diet and exercise on knee joint loads, inflammation, and clinical outcomes among overweight and obese adults with knee osteoarthritis: the IDEA randomized clinical trial // JAMA. 2013. Vol. 310, № 12. P. 1263-73. DOI: 10.1001/jama.2013.277669.
31. Fransen M., McConnell S., Harmer A.R., Van der Esch M., Simic M., Bennell K.L. Exercise for osteoarthritis of the knee: a Cochrane systematic review // Br. J. Sports Med. 2015. Vol. 49. P. 1554-7. DOI: 10.1136/bjsports-2015-095424.
32. Hochberg M.C., Altman R.D., April K.T., Benklialti M., Guyatt G., McGowan J., Towheed T., Welch V., Wells G., Tugwell P. American College of Rheumatology. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee // Arthritis Care Res (Hoboken). 2012. Vol. 64. P. 465-74. DOI: 10.1002/acr.21596.
33. Batsis J.A., Germain C.M., Vâsquez E., Zbehlik A.J., Bartels S.J. Physical activity predicts higher physical function in older adults: the osteoarthritis initiative // J. Phys. Act. Health. 2016. Vol. 13. P. 6-16. DOI: 10.1123/jpah.2014-0531.
34. Chmelo E., Nicklas B., Davis C., Miller G.D., Legault C., Messier S. Physical activity and physical function in older adults with knee osteoarthritis // J. Phys Act Health. 2013. Vol. 10. P. 777-83. DOI: 10.1123/jpah.10.6.777.
35. Lin W., Alizai H., Joseph G.B., Srikhum W., Nevitt M.C., Lynch J.A., McCulloch C.E., Link T.M. Physical activity in relation to knee cartilage T2 progression measured with 3 T MRI over a period of 4 years: data from the Osteoarthritis Initiative // Osteoarthritis Cartilage. 2013. Vol. 21. P. 1558-66. DOI: 10.1016/j.joca.2013.06.022.
36. Loprinzi P.D., Sheffield J., Tyo B.M., Fittipaldi-Wert J. Accelerometer-determined physical activity, mobility disability, and health // Disabil. Health J. 2014. Vol. 7. P. 419-25. DOI: 10.1016/j.dhjo.2014.05.005.
37. Zhang W., Nuki G., Moskowitz R.W., Abramson S., Altman R.D., Arden N.K., Bierma-Zeinstra S., Brandt K.D., Croft P., Doherty M., Dougados M., Hochberg M., Hunter D.J., Kwoh K., Lohmander L.S., Tugwell P. OARSI recommendations for the management of hip and knee osteoarthritis: part III: Changes in evidence following systematic cumulative update of research published through January 2009 // Osteoarthritis Cartilage. 2010. Vol. 18, № 4. P. 476-99. DOI: 10.1016/j.joca.2010.01.013.
38. Richette P., Poitou C., Garnero P., Vicaut E., Bouillot J.L., Lacorte J.M., Basdevant A., Clément K., Bardin T., Chevalier X. Benefits ofmassiveweightloss on symptoms, systemic inflammation and cartilage turnover in obese patients with knee osteoarthritis // Ann. Rheum. Dis. 2011. Vol. 70, № 1. P. 139-44. DOI: 10.1136/ard.2010.134015.
39. Colbert C.J., Almagor O., Chmiel J.S., Song J., Dunlop D., Hayes K.W., Sharma L. Excess body weight and four-year function outcomes: comparison of African Americans and whites in a prospective study of osteoarthritis // Arthritis Care Res (Hoboken). 2013. Vol. 65, № 1. P. 5-14. DOI: 10.1002/acr.21811.
40. Tanamas S.K., Wluka A.E. Association of weight gain with incident knee pain, stiffness, and functional difëculties: A longitudinal study // Arthritis Care Res. 2013. Vol. 65, № 1. P. 34-43. DOI: 10.1002/acr.21745.
41. Messier S.P., Mihalko S.L., Legault C., Miller G.D., Nicklas B.J., DeVita P., Beavers D.P., Hunter D.J., Lyles M.F., Eckstein F., Williamson J.D., Carr J.J., Guermazi A., Loeser R.F. Effects of intensive diet and exercise on knee joint loads, inflammation, and clinical outcomes among overweight and obese adults with knee osteoarthritis: the IDEA randomized clinical trial // JAMA. 2013. Vol. 310. P. 1263-73. DOI: 10.1001/Jama.2013.277669.
42. Riddleand D.L., Stratford P.W. Body weight changes and corresponding changes in pain and function in persons with symptomatic knee osteoarthritis: A cohort study // Arthritis Care Res. 2013. Vol. 65, № 1. P. 15-22. DOI: 10.1002/acr.21692.
43. Rai M.F., Sandeil L.J. Inflammatory mediators: tracing links between obesity and osteoarthritis // Crit. Rev. Eukaryot Gene Expr. 2011. Vol. 21, № 2. P. 131-42. DOI: 10.1615/CritRevEukarGeneExpr.v21.i2.30.
44. Савельева Л.В. Современная концепция лечения ожирения: клинические рекомендации для практикующих врачей // Фарматека. 2007. № 12. С. 33-8.
45. Finer N., James W.P., Kopelman P.G., Lean M.E., Williams G. One-year treatment of obesity: a randomized, double-blind, placebo-controlled, multicenter study of orlistat, a gastrointestinal lipase inhibitor // Int. J. Obesity. 2000. Vol. 24. P. 306-13. DOI: 10.1038/sj.ijo.0801128.
46. Toplak H., Ziegler O., Keller U., Hamann A., Godin C., Wittert G., Zanella M.T., Züniga-Guajardo S., Van Gaal L. X-PERT: weight reduction with orlistat in obese subjects receiving a mildly or moderately reduced-energy diet. Early response to treatment predicts weight maintenance // Diabet. Obes. Metabol. 2005. Vol. 7. P. 699-708. DOI: 10.1111/j.l463-1326.2005.00483.x.
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Shkrebko A.N., Glushakov A.N. Role of body mass reduction and physical exercises in treatment of gonarthrosis. Sports medicine: research and practice. 2018;8(4):71-79. (In Russ.) https://doi.org/10.17238/ISSN2223-2524.2018.4.71
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