Weight (BMI) the apple doesnt fall far from the tree Obesity and - - PowerPoint PPT Presentation

weight bmi the apple doesn t fall far from the tree
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Weight (BMI) the apple doesnt fall far from the tree Obesity and - - PowerPoint PPT Presentation

Odds Ratio of Knee OA with Obesity for Women Klussmann et al., Arthritis Res Therapy, 2010 Odds Ratio Weight (BMI) the apple doesnt fall far from the tree Obesity and Disease Pathways Obesity Decreased Increased Increased Cytokine


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SLIDE 1

Odds Ratio

Weight (BMI)

Odds Ratio of Knee OA with Obesity for Women

Klussmann et al., Arthritis Res Therapy, 2010

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SLIDE 2

the apple doesn’t fall far from the tree

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SLIDE 3

Increased Joint Loads

Subchondral Tissue Damage Cartilage Loss, Synovitis

PAIN

Decreased strength, power, proprioception

Loss of Mobility

Disability

Increased Cytokine Activity

Obesity

Decreased Muscle Function

Obesity and Disease Pathways

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SLIDE 4

Weight Loss

Compressive

Messier, Gutekunst, Davis, DeVita, Arthritis Rheum, 2005 Tibia

Compressive

For every 1 lb weight loss

4 lb decrease in knee compressive forces per step

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SLIDE 5

Bonnet, Walsh, Rheumatology, 2005;44:7-16.

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SLIDE 6

Change in log(CRP) Month

Control

Diet

Exercise + Diet

Exercise

6 18

  • .4
  • .2

.2

C-reactive protein

Nicklas et al., 2004

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SLIDE 7

Shea et al. J Gerontol: Med Sci. 2010;65A:519-525

Weight-loss Non-weight-loss

Survivorship function

0 1000 2000 3000 4000 Days

1.0 0.9 0.8 0.7

*Adjusted for age, gender, exercise treatment

ADAPT Survivorship 8 years later