背景:膝骨性关节炎(OA)是老年人致残的主要原因,并且通常因肥胖而加剧。研究支持减肥和运动疗法作为管理膝关节OA相关残疾的关键策略。同时,远程医疗正在成为一种流行的医疗保健方法。本研究旨在开发和评估为期8周的远程教育计划对体重控制和膝关节OA结果的影响。
方法:纳入患有膝关节OA和肥胖的参与者。疼痛基线数据(VAS指数),身体活动(GPAQ问卷),收集生活质量(EQ5D和KOOS问卷)。性能测试,包括30秒椅台测试(30CST)和定时上行测试(TUG),被记录下来。参与者被随机分为两组:对照组接受饮食和运动方面的口头建议,一个接受营养教育视频的干预小组,生活方式的改变,身体活动,个性化练习,和社会心理支持。8周后重复评估。
结果:分析了30名参与者中25名的数据。在干预组中,身体成分,腰部,腹围明显下降(p<0.05)。KOOS问卷显示疼痛有显著改善,活动,和日常任务(p=0.00)。EQ5D问卷和健康满意度在干预组(p=0.00)和组间(p=0.008)也显示出积极的结果。疼痛指数在组内(p=0.00)和组间(p=0.02)显着改善。干预组(p=0.00)和组间(30CSTp=0.017,TUGp=0.004)的功能测试结果具有显著意义。
结论:一项为期8周的远程教育计划,用于控制膝关节OA患者的体重和运动疗法,显着改善了身体成分,生活质量,和功能性能。考虑到肥胖和膝关节OA对人和卫生系统的成本,远程教育可以是一种具有成本效益的治疗策略。
BACKGROUND: Knee osteoarthritis (OA) is a leading cause of disability among the elderly and is often exacerbated by obesity. Research supports weight loss and exercise therapy as key strategies for managing knee OA-related disability. Concurrently, telemedicine is becoming a popular healthcare approach. This
study aimed to develop and evaluate an 8-week tele-education programme\'s impact on weight control and knee OA outcomes.
METHODS: Participants with knee OA and obesity were included. Baseline data on pain (VAS index), physical activity (GPAQ questionnaire), and quality of life (EQ5D and KOOS questionnaires) were collected. Performance tests, including the 30-second Chair Stand test (30CST) and the Timed Up-and-Go test (TUG), were recorded. Participants were randomly divided into two groups: a control group receiving oral advice on diet and exercise, and an intervention group receiving educational videos on nutrition, lifestyle changes, physical activity, individualised exercises, and psychosocial support. Evaluations were repeated after 8 weeks.
RESULTS: Data from 25 of 30 participants were analysed. In the intervention group, body composition, waist, and abdominal circumference decreased significantly (p < 0.05). The KOOS questionnaire showed significant improvements in pain, activity, and daily tasks (p = 0.00). The EQ5D questionnaire and health satisfaction also showed positive results within the intervention group (p = 0.00) and between groups (p = 0.008). The pain index improved significantly within (p = 0.00) and between groups (p = 0.02). Functional test results were significant within the intervention group (p = 0.00) and between groups (p = 0.017 for 30CST and p = 0.004 for TUG).
CONCLUSIONS: An 8-week tele-education programme for weight control and exercise therapy in knee OA patients significantly improved body composition, quality of life, and functional performance. Given the costs of obesity and knee OA on both people and the health system, tele-education can be a cost-effective treatment strategy.