Personalized Physical Activity Programs for the Management of Knee Osteoarthritis in Individuals with Obesity: A Patient-Centered Approach
Physical activity (PA) plays a vital role in knee osteoarthritis (KOA) management. However, engaging individuals with KOA in regular exercise is challenging, especially when they are affected by obesity. The aim of the current review is to elucidate how to increase adherence to exercise in this popu...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Diseases |
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| Online Access: | https://www.mdpi.com/2079-9721/11/4/182 |
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| author | Hassan Zmerly Chiara Milanese Marwan El Ghoch Leila Itani Hana Tannir Dima Kreidieh Volkan Yumuk Massimo Pellegrini |
| author_facet | Hassan Zmerly Chiara Milanese Marwan El Ghoch Leila Itani Hana Tannir Dima Kreidieh Volkan Yumuk Massimo Pellegrini |
| author_sort | Hassan Zmerly |
| collection | DOAJ |
| description | Physical activity (PA) plays a vital role in knee osteoarthritis (KOA) management. However, engaging individuals with KOA in regular exercise is challenging, especially when they are affected by obesity. The aim of the current review is to elucidate how to increase adherence to exercise in this population. When implementing a PA program with patients with KOA and obesity, a specific multi-step approach can be adopted. In phase I (the baseline assessment), the patients’ eligibility for exercise is ascertained and a physical fitness assessment, sarcopenic obesity screening and quantification of the pain experienced are undertaken. Phase II adopts a patient-centered approach in implementing a PA program that combines an active lifestyle (>6000 steps/day) with land- or water-based exercise programs performed over eight to twelve weeks, with a frequency of three to five sessions per week, each lasting 60 min. In phase III, several strategies can be used to increase the patients’ adherence to higher levels of PA, including the following: (i) personalizing PA goal-setting and real-time monitoring; (ii) enhancing physical fitness and the management of sarcopenic obesity; (iii) building a sustainable environment and a supportive social network for an active lifestyle; and (iv) reducing pain, which can ameliorate the clinical severity of KOA and help with weight management in this population. |
| first_indexed | 2024-03-08T20:51:13Z |
| format | Article |
| id | doaj.art-ed794475f912423aa147897a164ff00d |
| institution | Directory Open Access Journal |
| issn | 2079-9721 |
| language | English |
| last_indexed | 2024-03-08T20:51:13Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diseases |
| spelling | doaj.art-ed794475f912423aa147897a164ff00d2023-12-22T14:03:39ZengMDPI AGDiseases2079-97212023-12-0111418210.3390/diseases11040182Personalized Physical Activity Programs for the Management of Knee Osteoarthritis in Individuals with Obesity: A Patient-Centered ApproachHassan Zmerly0Chiara Milanese1Marwan El Ghoch2Leila Itani3Hana Tannir4Dima Kreidieh5Volkan Yumuk6Massimo Pellegrini7Orthopaedics and Traumatology Unit, Villa Erbosa Hospital, 40129 Bologna, ItalyDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37131 Verona, ItalyCenter for the Study of Metabolism, Body Composition and Lifestyle, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, ItalyDepartment of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, Riad El Solh, Beirut P.O. Box 11-5020, LebanonDepartment of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, Riad El Solh, Beirut P.O. Box 11-5020, LebanonDepartment of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, Riad El Solh, Beirut P.O. Box 11-5020, LebanonDivision of Endocrinology, Metabolism and Diabetes, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, 34363 Istanbul, TürkiyeCenter for the Study of Metabolism, Body Composition and Lifestyle, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, ItalyPhysical activity (PA) plays a vital role in knee osteoarthritis (KOA) management. However, engaging individuals with KOA in regular exercise is challenging, especially when they are affected by obesity. The aim of the current review is to elucidate how to increase adherence to exercise in this population. When implementing a PA program with patients with KOA and obesity, a specific multi-step approach can be adopted. In phase I (the baseline assessment), the patients’ eligibility for exercise is ascertained and a physical fitness assessment, sarcopenic obesity screening and quantification of the pain experienced are undertaken. Phase II adopts a patient-centered approach in implementing a PA program that combines an active lifestyle (>6000 steps/day) with land- or water-based exercise programs performed over eight to twelve weeks, with a frequency of three to five sessions per week, each lasting 60 min. In phase III, several strategies can be used to increase the patients’ adherence to higher levels of PA, including the following: (i) personalizing PA goal-setting and real-time monitoring; (ii) enhancing physical fitness and the management of sarcopenic obesity; (iii) building a sustainable environment and a supportive social network for an active lifestyle; and (iv) reducing pain, which can ameliorate the clinical severity of KOA and help with weight management in this population.https://www.mdpi.com/2079-9721/11/4/182adherenceexerciseknee osteoarthritisnon-surgical treatmentobesitybarriers |
| spellingShingle | Hassan Zmerly Chiara Milanese Marwan El Ghoch Leila Itani Hana Tannir Dima Kreidieh Volkan Yumuk Massimo Pellegrini Personalized Physical Activity Programs for the Management of Knee Osteoarthritis in Individuals with Obesity: A Patient-Centered Approach Diseases adherence exercise knee osteoarthritis non-surgical treatment obesity barriers |
| title | Personalized Physical Activity Programs for the Management of Knee Osteoarthritis in Individuals with Obesity: A Patient-Centered Approach |
| title_full | Personalized Physical Activity Programs for the Management of Knee Osteoarthritis in Individuals with Obesity: A Patient-Centered Approach |
| title_fullStr | Personalized Physical Activity Programs for the Management of Knee Osteoarthritis in Individuals with Obesity: A Patient-Centered Approach |
| title_full_unstemmed | Personalized Physical Activity Programs for the Management of Knee Osteoarthritis in Individuals with Obesity: A Patient-Centered Approach |
| title_short | Personalized Physical Activity Programs for the Management of Knee Osteoarthritis in Individuals with Obesity: A Patient-Centered Approach |
| title_sort | personalized physical activity programs for the management of knee osteoarthritis in individuals with obesity a patient centered approach |
| topic | adherence exercise knee osteoarthritis non-surgical treatment obesity barriers |
| url | https://www.mdpi.com/2079-9721/11/4/182 |
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