Impact of weight loss on arthritic knee pain

  • Research type

    Research Study

  • Full title

    Anti-gravity simulated weight reduction: a study to assess the impact upon pain for knee arthritis

  • IRAS ID

    256479

  • Contact name

    Adrian Harvey

  • Contact email

    adrian.harvey@uhd.nhs.uk

  • Sponsor organisation

    University Hospitals Dorset NHS Foundation Trust

  • Duration of Study in the UK

    1 years, 0 months, 2 days

  • Research summary

    Joint arthritis is the result of loss of joint lining or cartilage and results in pain, disability and reduced quality of life. Arthritis is associated with elevated body weight or body mass index (BMI). Body mass index is used as a surrogate for weight as this takes into account the patients height. Patients presenting with arthritis are advised to lose weight, take pain killers (analgesia) and use walking aids such as walking sticks. Little is known of the impact of weight loss on knee arthritis pain. After conservative treatment, symptomatic arthritis of the knee may require joint replacement surgery.

    Joint replacement surgery, in patients who are overweight, carries with it increased surgical risks. A raised BMI increases the risk of infection and potentially fatal blood clots. It is therefore important to explore the option of weight loss in such patients prior to surgery. Weight reduction may be aspirational but it is unknown if weight loss reduces arthritis pain.

    A previous study at Royal Bournemouth Hospital evaluated how weight loss effects arthritis pain in the foot and ankle. The (currently unpublished) results show a reduction in foot and ankle pain of 43% in those patients who returned to a normal weight or BMI.

    The purchase and installation of the AlterG antigravity machine in February 2015 at Bournemouth Hospital provides the opportunity to simulate weight loss in patients with knee arthritis. Currently there are no similar studies evaluating the impact of weight loss with knee arthritis.

  • REC name

    HSC REC A

  • REC reference

    19/NI/0210

  • Date of REC Opinion

    11 Nov 2019

  • REC opinion

    Further Information Favourable Opinion