Resumen
Este estudio cualitativo examinó las experiencias de los participantes con osteoartritis de rodilla en el mantenimiento de la pérdida de peso seis meses después de haber completado un programa integral para la pérdida de peso.
El programa incluyó una dieta muy baja en calorías cetogénica, ejercicio, consultas con un dietista y fisioterapeuta, recursos de educación y cambio de comportamiento y productos de reemplazo de comidas.
Los resultados sugieren que un programa que incluye consultas con un dietista y fisioterapeuta, una dieta muy baja en calorías y recursos educativos y de cambio de comportamiento puede apoyar la confianza en el mantenimiento de la pérdida de peso a medio plazo.
Los fisioterapeutas pueden considerar referir a los pacientes a programas integrales de pérdida de peso para mejorar los resultados a largo plazo para la osteoartritis de rodilla.
Fisioterapia y su rol en la pérdida de peso sostenible
El fisioterapeuta juega un papel crucial en el enfoque multidisciplinario para lograr una pérdida de peso sostenible. Las clínicas de fisioterapia pueden ofrecer tratamientos personalizados que apoyen a los pacientes en su proceso, mejorando su calidad de vida y contribuyendo a la prevención de enfermedades relacionadas con el exceso de peso.
Abstract original
'The fact that I know I can do it is quite a motivator now': a qualitative study exploring experiences maintaining weight loss 6 months after completing a weight loss programme for knee osteoarthritis
Objective: To explore experiences maintaining weight loss 6 months after completing a multicomponent weight loss programme for knee osteoarthritis.
Design: Qualitative study based on an interpretivist paradigm and a phenomenological approach that was embedded within a randomised controlled trial.
Setting: Semistructured interviews were conducted with participants 6 months after completing a 6-month weight loss programme (ACTRN12618000930280) involving a ketogenic very low calorie diet (VLCD), exercise and physical activity programme, videoconferencing consultations with a dietitian and physiotherapist, and provision of educational and behaviour change resources and meal replacement products. Interviews were audio recorded, transcribed verbatim and data were analysed based on the principles of reflexive thematic analysis.
Participants: 20 people with knee osteoarthritis.
Results: Three themes were developed: (1) successfully maintained weight loss; (2) empowering self-management of weight (understand importance of exercise; increased knowledge about food and nutrition; resources from programme still useful; knee pain as a motivator; confidence in ability to self-regulate weight) and (3) challenges keeping on track (loss of accountability to dietitian and study; old habits and social situations; stressful life events or changes in health).
Conclusion: Participants had overall positive experiences maintaining their weight loss since completing the weight loss programme and were confident in their ability to self-regulate their weight in the future. Findings suggest a programme incorporating dietitian and physiotherapist consultations, a VLCD, and educational and behaviour change resources supports confidence maintaining weight loss in the medium term. Further research is required to explore strategies to overcome barriers like loss of accountability and returning to old eating habits.
| Autores | Belinda Lawford Rana S Hinman Sarah Jones Catherine Keating Courtney Brown Kim L Bennell |
| revista | BMJ Open |
| DOI | 10.1136/bmjopen-2022-068157 |