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• W2940396058 abstract "Summary Objective Weight loss has beneficial effects on clinical outcomes in knee osteoarthritis (OA), but the mechanism is still unclear. Since meniscus extrusion is associated with knee pain, this study assessed whether weight loss by diet and/or exercise is associated with less progression in meniscus extrusion measures over time. Design The Intensive Diet and Exercise for Arthritis trial (IDEA) was a prospective, single-blind, randomized-controlled trial including overweight and obese older adults with knee pain and radiographic OA. Participants were randomized to 18-month interventions: exercise only, diet only or diet + exercise. In a random subsample of 105 participants, MRIs were obtained at baseline and follow-up. The medial and lateral menisci were segmented and quantitative position and size measures were obtained, along with semiquantitative extrusion measures. Linear and log-binomial regression were used to examine the association between change in weight and change in meniscus measures. Between-group differences were analyzed using an analysis of covariance. Results Weight loss was associated with less progression over time of medial meniscus extrusion as measured by the maximum (β: −24.59 μm, 95%CI: −41.86, −7.33) and mean (β: −19.08 μm, 95%CI: −36.47, −1.70) extrusion distances. No relationships with weight loss were observed for lateral meniscus position, medial or lateral meniscus size or semiquantitative measures. Change in meniscus position and size did not differ significantly between groups. Conclusions Weight loss was associated with beneficial modifications of medial meniscus extrusion over 18 months. This may be one of the mechanisms by which weight loss translates into a clinical benefit. Clinical trial registration NCT00381290." @default.
• W2940396058 created "2019-04-25" @default.
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• W2940396058 date "2020-04-01" @default.
• W2940396058 modified "2023-10-12" @default.
• W2940396058 title "The effect of weight loss on the progression of meniscal extrusion and size in knee osteoarthritis: a post-hoc analysis of the Intensive Diet and Exercise for Arthritis (IDEA) trial" @default.
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• W2940396058 doi "https://doi.org/10.1016/j.joca.2020.01.006" @default.
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