The Osteoarthritis Prevention Study

Description

The goal of this study is to establish the efficacy of an intervention of dietary weight loss, exercise, and weight-loss maintenance for knee Osteoarthritis (OA) prevention in adult females aged ≥ 50 years with obesity and no or infrequent knee pain. The primary aim is to compare the effects of a dietary weight loss, exercise, and weight-loss maintenance to an attention control group in preventing the development of structural Magnetic Resonance Imaging (MRI) knee OA. Secondary aims will determine the intervention effects on pain, mobility, health-related quality of life, knee joint compressive forces, inflammatory measures, weight loss, exercise self-efficacy, and cost-effectiveness of this intervention.

Conditions

Osteoarthritis, Knee

Study Overview

Study Details

Study overview

The goal of this study is to establish the efficacy of an intervention of dietary weight loss, exercise, and weight-loss maintenance for knee Osteoarthritis (OA) prevention in adult females aged ≥ 50 years with obesity and no or infrequent knee pain. The primary aim is to compare the effects of a dietary weight loss, exercise, and weight-loss maintenance to an attention control group in preventing the development of structural Magnetic Resonance Imaging (MRI) knee OA. Secondary aims will determine the intervention effects on pain, mobility, health-related quality of life, knee joint compressive forces, inflammatory measures, weight loss, exercise self-efficacy, and cost-effectiveness of this intervention.

The Osteoarthritis Prevention Study

The Osteoarthritis Prevention Study

Condition
Osteoarthritis, Knee
Intervention / Treatment

-

Contacts and Locations

Boston

Brigham and Women's Hospital, Boston, Massachusetts, United States, 02115

Chapel Hill

University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States, 27516

Winston-Salem

Wake Forest University, Winston-Salem, North Carolina, United States, 27109

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Female
  • * BMI ≥ 30 kg/m2
  • * An eligible knee will have no OA by xray and MRI
  • * No or infrequent knee pain (\< 15 days/month) in the same knee
  • * symptomatic or severe coronary artery disease
  • * unable to walk without a device
  • * blindness
  • * type 1 diabetes
  • * active treatment for cancer
  • * during the past 12 months knee fracture, anterior cruciate ligament (ACL), medial collateral ligament (MCL), or meniscus injury with or without surgical repair
  • * knee injection during the past 6 months
  • * bilateral knee OA by x-ray Kellgren-Lawrence (KL) ≥ 2
  • * bilateral knee OA by MRI
  • * bilateral symptomatic knee OA (frequent bilateral knee pain \> 15 days per month)
  • * BMI\< 30.0 kg/m2
  • * male sex
  • * claustrophobia
  • * contraindication to MRI including body weight \> 300 lbs or knee coil does not fit
  • * unwillingness or inability to change eating and physical activity habits due to environment
  • * cannot speak and read English
  • * planning to leave area \> 2 months during the 48-month intervention period

Ages Eligible for Study

50 Years to

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

Wake Forest University,

Stephen P Messier, Ph.D., PRINCIPAL_INVESTIGATOR, Wake Forest University

Study Record Dates

2028-07-31