Osteoarthritis

Efficacy of a Very-Low-Calorie Weight Loss Diet Plus Exercise Compared With Exercise Alone on Hip Osteoarthritis Pain : A Randomized Controlled Trial

Ann Intern MedPublished Randomised controlled trial

Primary result · Change in hip pain severityResult — go to the resultMean difference −0.6 units 95% CI −1.5 to 0.3

Authors' conclusion

Adding a weight loss diet to exercise did not change hip pain but improved most secondary outcomes.

Study context

Population
Adults with hip OA and overweight or obesity, community setting99 (98%) with 6-month primary outcome
Participants
101 adults
Comparison
Very-low-calorie diet (VLCD) plus exercise vs exercise only
Primary endpoint
Change in hip pain severity (11-point scale, 0 to 10, higher worse; MCID 1.8)
Follow-up
6 months
Methodological details2-group, superiority, participants unblinded
  • 2-group
  • Superiority
  • Participants unblinded

Primary result

Change in hip pain severity

Mean difference

−0.6 units

95% CI −1.5 to 0.3

VLCD plus exercisevs Exercise only
mean difference −0.6 units (95% CI −1.5 to 0.3)

As reported in the abstract

Secondary outcomes

Weight loss

VLCD plus exercise lost more weight than exercise only
8.5%

Other secondary outcomes · 6 months

Between-group differences favored VLCD plus exercise except HOOS pain and function

Secondary outcomes · 12 months

Weight, BMI, HOOS pain and function, and overall hip improvement, but not quality of life and physical activity, favored VLCD plus exercise
  • 95 (94%) provided 12-month primary outcome

Safety

Serious related adverse events

None
0

Original publication

Efficacy of a Very-Low-Calorie Weight Loss Diet Plus Exercise Compared With Exercise Alone on Hip Osteoarthritis Pain : A Randomized Controlled Trial. Ann Intern Med. Published 5 August 2025. doi:10.7326/annals-25-00045

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