Effectiveness of Exercise in Patients with Overweight or Obesity Suffering from Knee Osteoarthritis: A Systematic Review and Meta-Analysis

Int J Environ Res Public Health. 2022 Aug 24;19(17):10510. doi: 10.3390/ijerph191710510.

Abstract

Objectives: The main purpose of this study was to review the evidence about the effectiveness of exercise in patients with overweight or obesity suffering from knee osteoarthritis.

Methods: Randomized clinical trials (RCTs) published between January 2002 and May 2022 were included.

Results: A total of 64 articles were identified, of which six met the criteria for meta-analysis. The pain scale score was higher in the control group (mean difference 0.95; confidence interval 0.42-1.47; p < 0.001; I2 = 44%). The physical function scale (lower scores indicate lower levels of symptoms or physical disability) presented a higher score in the control group (mean difference 3.74; confidence interval 0.85-6.53; p < 0.05; I2 = 56%). Moreover, the intervention group achieved a greater distance (meters) walking in a 6 min interval (mean difference 38.18; confidence interval 20.01-56.35; p < 0.001; I2 = 0%).

Conclusions: Exercise interventions seem effective in improving quality of life in people with overweight or obesity suffering from knee osteoarthritis, reducing pain and improving physical function.

Keywords: exercise; fall prevention; obesity; osteoarthritis; physical function.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Exercise
  • Humans
  • Obesity / therapy
  • Osteoarthritis, Knee* / therapy
  • Overweight* / therapy
  • Pain

Grants and funding

The publication of this paper has been supported by “Instituto de Seguridad y Bienestar Laboral”, Cordoba, Spain.