Exercise prescription for weight management in obese adults at risk for osteoarthritis: synthesis from a systematic review
Abstract Background The aim of this systematic review was to identify principles of exercise interventions associated with improved physical function, weight management or musculoskeletal pain relief among young and middle-aged adults with obesity and propose an evidence-based exercise prescription...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-019-3004-3 |
| _version_ | 1818844626302271488 |
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| author | Dylan R. Barrow Lauren M. Abbate Max R. Paquette Jeffrey B. Driban Heather K. Vincent Connie Newman Stephen P. Messier Kirsten R. Ambrose Sarah P. Shultz |
| author_facet | Dylan R. Barrow Lauren M. Abbate Max R. Paquette Jeffrey B. Driban Heather K. Vincent Connie Newman Stephen P. Messier Kirsten R. Ambrose Sarah P. Shultz |
| author_sort | Dylan R. Barrow |
| collection | DOAJ |
| description | Abstract Background The aim of this systematic review was to identify principles of exercise interventions associated with improved physical function, weight management or musculoskeletal pain relief among young and middle-aged adults with obesity and propose an evidence-based exercise prescription that could assist in secondary prevention of osteoarthritis. Methods A structured electronic review was conducted using MEDLINE, PubMed, and SPORTDiscus. The search string included 1) “obes*” AND “exercise” AND “interven*” AND “musculoskeletal pain OR knee pain OR hip pain”. Studies 1) were randomized controlled trials of humans, with a non-exercise control, 2) included participants aged 18–50 years, and 3) had outcomes that included physical function, musculoskeletal pain, and/or body composition. Studies were excluded if participants had peri-menopausal status, cancer, or obesity-related co-morbidities. A recommended exercise prescription was developed based on common principles used in the included exercise interventions with greatest change in function or pain. Results Seven studies were included. Similarities in exercise intensity (40–80% VO2max), frequency (three times per week), duration (30–60 min), and exercise mode (treadmill, cross-trainer, stationary bike, aquatic exercise) were observed in exercise interventions that resulted in improved physical function and/or pain, compared to non-exercise control groups. Conclusion Common principles in exercise prescription for improvements in weight management, physical function and pain relief among otherwise healthy people with obesity. Exercise prescription including moderate intensity exercise for 30–60 min, three times per week can be considered an effective treatment for weight management and obesity-related musculoskeletal symptoms. Exercise should be recommended to at-risk individuals as part of secondary prevention of osteoarthritis. |
| first_indexed | 2024-12-19T05:16:45Z |
| format | Article |
| id | doaj.art-3ef07acd51b041838db46f2c3ee3cd81 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-19T05:16:45Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-3ef07acd51b041838db46f2c3ee3cd812022-12-21T20:34:37ZengBMCBMC Musculoskeletal Disorders1471-24742019-12-012011910.1186/s12891-019-3004-3Exercise prescription for weight management in obese adults at risk for osteoarthritis: synthesis from a systematic reviewDylan R. Barrow0Lauren M. Abbate1Max R. Paquette2Jeffrey B. Driban3Heather K. Vincent4Connie Newman5Stephen P. Messier6Kirsten R. Ambrose7Sarah P. Shultz8School of Sport, Exercise and Nutrition, Massey UniversityGeriatric Research, Education, and Clinical Center, Rocky Mountain Regional VA Medical CenterSchool of Health Studies, University of MemphisDivision of Rheumatology, Allergy & Immunology, Tufts Medical CenterUF Health Sports Performance Center, Department of Orthopedics and Rehabilitation, University of FloridaDepartment of Medicine, Division of Endocrinology, Diabetes, and Metabolism, New York University School of MedicineDepartment of Health and Exercise Science, Wake Forest UniversityOsteoarthritis Action Alliance, Thurston Arthritis Research Center, University of North CarolinaSchool of Sport, Exercise and Nutrition, Massey UniversityAbstract Background The aim of this systematic review was to identify principles of exercise interventions associated with improved physical function, weight management or musculoskeletal pain relief among young and middle-aged adults with obesity and propose an evidence-based exercise prescription that could assist in secondary prevention of osteoarthritis. Methods A structured electronic review was conducted using MEDLINE, PubMed, and SPORTDiscus. The search string included 1) “obes*” AND “exercise” AND “interven*” AND “musculoskeletal pain OR knee pain OR hip pain”. Studies 1) were randomized controlled trials of humans, with a non-exercise control, 2) included participants aged 18–50 years, and 3) had outcomes that included physical function, musculoskeletal pain, and/or body composition. Studies were excluded if participants had peri-menopausal status, cancer, or obesity-related co-morbidities. A recommended exercise prescription was developed based on common principles used in the included exercise interventions with greatest change in function or pain. Results Seven studies were included. Similarities in exercise intensity (40–80% VO2max), frequency (three times per week), duration (30–60 min), and exercise mode (treadmill, cross-trainer, stationary bike, aquatic exercise) were observed in exercise interventions that resulted in improved physical function and/or pain, compared to non-exercise control groups. Conclusion Common principles in exercise prescription for improvements in weight management, physical function and pain relief among otherwise healthy people with obesity. Exercise prescription including moderate intensity exercise for 30–60 min, three times per week can be considered an effective treatment for weight management and obesity-related musculoskeletal symptoms. Exercise should be recommended to at-risk individuals as part of secondary prevention of osteoarthritis.https://doi.org/10.1186/s12891-019-3004-3ObesityMusculoskeletal painPhysical functionPhysical activity |
| spellingShingle | Dylan R. Barrow Lauren M. Abbate Max R. Paquette Jeffrey B. Driban Heather K. Vincent Connie Newman Stephen P. Messier Kirsten R. Ambrose Sarah P. Shultz Exercise prescription for weight management in obese adults at risk for osteoarthritis: synthesis from a systematic review BMC Musculoskeletal Disorders Obesity Musculoskeletal pain Physical function Physical activity |
| title | Exercise prescription for weight management in obese adults at risk for osteoarthritis: synthesis from a systematic review |
| title_full | Exercise prescription for weight management in obese adults at risk for osteoarthritis: synthesis from a systematic review |
| title_fullStr | Exercise prescription for weight management in obese adults at risk for osteoarthritis: synthesis from a systematic review |
| title_full_unstemmed | Exercise prescription for weight management in obese adults at risk for osteoarthritis: synthesis from a systematic review |
| title_short | Exercise prescription for weight management in obese adults at risk for osteoarthritis: synthesis from a systematic review |
| title_sort | exercise prescription for weight management in obese adults at risk for osteoarthritis synthesis from a systematic review |
| topic | Obesity Musculoskeletal pain Physical function Physical activity |
| url | https://doi.org/10.1186/s12891-019-3004-3 |
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