title: Effect of exercise and weight loss in people who have hip osteoarthritis and are overweight or obese: a prospective cohort study.
abstract: BACKGROUND
  Osteoarthritis (OA) is the most common joint disorder in the world and is recognized as a substantial source of disability. For people with OA of the knee, exercise in combination with weight loss is a proven, effective, conservative treatment option, yet evidence is lacking for people with hip OA.
  
  
  OBJECTIVE
  The aim of this study was to obtain preliminary evidence of the effect of a program of exercise in combination with weight loss on physical function in people who have hip OA and are overweight or obese.
  
  
  METHODS
  This investigation was a prospective cohort study.
  
  
  METHODS
  Thirty-five people who were 25 years or older, had clinical and radiological evidence of hip OA, and were overweight or obese (body mass index of >25 kg/m(2)) were included. They participated in an 8-month program of exercise in combination with weight loss. A body mass index of 40 kg/m(2) was used as the upper limit. The primary outcome was self-reported physical function, as measured with a subscale of the Western Ontario and McMaster Universities Osteoarthritis Index. Secondary outcome measures included pain and walking tests as quantitative measures of function.
  
  
  RESULTS
  Participation in the combination program resulted in a 32.6% improvement in self-reported physical function after 8 months, a finding that could be considered clinically relevant. Significant improvements also were seen in pain and on walking tests.
  
  
  CONCLUSIONS
  The lack of a control group was a limitation of this study.
  
  
  CONCLUSIONS
  This appears to be the first study investigating the effect of exercise and weight loss as a combination treatment in people with hip OA. The results provide preliminary evidence that this combination treatment is effective in people with hip OA.
authors.affiliation: Department of Orthopedic Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001 BB51, 9700 RB Groningen, the Netherlands. n.paans@umcg.nl
authors.forename: Nienke
authors.initials: N
authors.lastname: Paans
authors.forename: Inge
authors.initials: I
authors.lastname: van den Akker-Scheek
authors.forename: Roelien G
authors.initials: RG
authors.lastname: Dilling
authors.forename: Martine
authors.initials: M
authors.lastname: Bos
authors.forename: Klaas
authors.initials: K
authors.lastname: van der Meer
authors.forename: Sjoerd K
authors.initials: SK
authors.lastname: Bulstra
authors.forename: Martin
authors.initials: M
authors.lastname: Stevens
mesh_terms: D000328:Adult; D015992:Body Mass Index; D004185:Disability Evaluation; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D009765:Obesity / Q000503:physiopathology*; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000534:rehabilitation*; D050177:Overweight / Q000503:physiopathology*; D010147:Pain Measurement; D011446:Prospective Studies; D011859:Radiography; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D016138:Walking / Q000502:physiology; D015431:Weight Loss