Osteoarthritis

A diet and exercise program delivered in community settings may improve some clinical outcomes for people with knee osteoarthritis and overweight or obesity, suggest findings from the WE-CAN pragmatic randomized controlled trial.

People with knee osteoarthritis may experience modest improvements in physical function while following a 12-week self-guided online yoga program, but the benefits are not sustained when the exercise is stopped, researchers report.

Results from a post-hoc analysis suggest that increased dietary vitamin K intake is associated with greater improvement in symptoms among patients with knee osteoarthritis, warranting further examination in clinical trials.

Findings from an observational study suggest that walking for exercise is associated with a reduced risk for developing frequent knee pain among people aged 50 years and older with knee osteoarthritis.

Overweight or obese people with knee osteoarthritis may benefit from a diet- and exercise-focused telehealth intervention, which researchers have shown can improve pain and function over 6 months.

A web-based exercise intervention combined with text messaging support for people with knee osteoarthritis leads to greater improvements in pain and function at 6 months than web-based information alone, Australian research shows.

People with knee osteoarthritis taking part in an internet-based exercise program experience significant improvements in pain and function compared with those given usual care, suggest findings from a randomized controlled trial published in JAMA Network Open.

High-intensity strength training does not significantly reduce pain or knee joint compressive forces among people with knee osteoarthritis, suggest findings from the START trial.

Findings from a randomized trial show that the STEP-KOA exercise program, with intensification of the intervention for participants not meeting response criteria, may improve the symptoms of knee osteoarthritis.

Outpatient therapist-led rehabilitation offers no clinical benefit over a home-based exercise regimen in patients with knee osteoarthritis at risk for poor outcomes after total knee arthroplasty, shows the TRIO trial.

Vitamin D and marine omega-3 fatty acid supplements are unlikely to improve chronic knee pain associated with osteoarthritis, suggests an analysis of the randomized VITAL trial.

Doing regular vigorous exercise is not associated with an elevated long-term risk for developing radiographic knee osteoarthritis among people at high risk for the disease, suggests an analysis of data from the Osteoarthritis Initiative.

Wearing individually calibrated biomechanical footwear for 24 weeks results in a statistically significant reduction in knee pain among people with osteoarthritis, suggest results from the BIOTOK trial published in JAMA.

People with symptomatic knee osteoarthritis who undergo physical therapy have greater reductions in pain and functional disability over 1 year than those given intra-articular glucocorticoid injections, randomized trial results suggest.

Findings from the TARGET trial suggest that weight-bearing and non-weight-bearing exercise result in similar improvements in pain and function among obese people with medial knee osteoarthritis, but the latter is associated with better quality of life and fewer adverse events.

Sharon Kolasinski talks about what’s new in the latest ACR–Arthritis Foundation recommendations for the management of osteoarthritis, and highlights the key take-home messages for healthcare providers.