Osteoarthritis

A multidisciplinary lifestyle program for metabolic syndrome-associated osteoarthritis: the "Plants for Joints" randomized controlled trial

Osteoarthritis CartilagePublished Randomised controlled trial

Primary result · WOMAC total score improvementResult — go to the resultMean larger improvement 11 point 95% CI 6–16

Authors' conclusion

The "Plants for Joints" lifestyle program reduced stiffness, relieved pain, and improved physical function in people with hip or knee MSOA compared to usual care.

Study context

Population
Patients with hip or knee metabolic syndrome-associated OA (MSOA); 84% female, mean (SD) age 63 (6) years, BMI 33 (5) kg/m²64 completed
Participants
66 patients
Comparison
16-week multidisciplinary lifestyle program (whole food plant-based diet, physical activity, stress management) plus usual care vs usual care
  • Interventionn = 32
Primary endpoint
WOMAC total score (range 0-96)
Follow-up
16 weeks

Primary result

WOMAC total score improvement

Mean larger improvement

11 point

95% CI 6–16

P = 0.0001

As reported in the abstract

Secondary outcomes

OutcomeEstimate
Weight, fat mass and waist circumference · 16 weeksIntervention vs Controlweight −5 kg
Weight, fat mass and waist circumference · 16 weeksIntervention vs Controlfat mass −4 kg
Weight, fat mass and waist circumference · 16 weeksIntervention vs Controlwaist circumference −6 cm

Other PROs and metabolic measures · 16 weeks

Patient-Reported Outcomes Measurement Information System (PROMIS) fatigue, pain interference, CRP, hemoglobin A1c, fasting glucose and LDL improved in intervention vs control
Other PROMIS measures, blood pressure, HDL and triglycerides did not differ significantly between groups

Original publication

A multidisciplinary lifestyle program for metabolic syndrome-associated osteoarthritis: the "Plants for Joints" randomized controlled trial. Osteoarthritis Cartilage. Published 14 June 2023. doi:10.1016/j.joca.2023.05.014

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