Loading...
BYH, be mindful of your self talk. Its your conversation with the universe....

Obesity and joint pain

Kolasa, Kathy

Kathy Kolasa

Loading…

Wednesday, March 13, 2019

Q: Does it really make any difference if an overweight or obese person with knee osteoarthritis loses weight? How much weight loss would it take? HW, Greenville

A: People are amazed when I tell them there are more than 200 medical conditions that have been linked to overweight and obesity. So, the best thing we can do for ourselves is avoid gaining excess weight by eating the right amount and being physically active.

Priya Patel, an ECU dietetics major learned that for a person who experiences osteoarthritis, maintaining a healthy weight can prevent pain, improve function and slow down the progression of the condition. Here is what she wants you to know about osteoarthritis, the most common type of arthritis occurring most often in the hands, hips and knees.

You probably know people that experience the pain, stiffness and swelling of osteoarthritis. The condition is caused by the breakdown of cartilage within the joint and the underlying bone begins to wear down. Sometimes the osteoarthritis can reduce joint function and cause disability. Doctors know that people with obesity have a greater risk of developing osteoarthritis due to the extra weight putting more pressure onto the joints, especially joints that support more weight like the hips and knees.

It would seem to make sense that losing weight would reduce the stress put onto those joints. If you think about the numbers, you would see that being overweight by 10 pounds can increase the force on your knees by 30-60 pounds per step. Ouch! In fact, a study done down the road at Wake Forest University showed that losing as little as a 10 percent of weight can reduce, pain, swelling and stiffness. So, if you weigh 200 pounds and your BMI is greater than 30, a loss of 20 pounds would improve your well being.

The researchers found that weight loss from both diet and exercise reduced pain and inflammation. The participants in the study were able to walk faster and function better. Losing more helped more. The researchers found that the person that lost 20 percent of their weight had significantly less inflammation than the one who lost only 5 percent. The participants also reported less pain and could walk further during the 6- minute test.

For some individuals this amount of weight loss could reduce or even eliminate the amount of paint medications they needed to take. It is true that weight loss can be achieved by calorie restriction alone and that would improve the inflammation, but exercise is needed to improve joint function, movement and reduce pain. The right kind of diet and physical activity is important, too, during weight loss, to maintain or restore muscle mass. A person with osteoarthritis would benefit from a visit with a registered dietitian nutritionist (RDN) to ensure the weight loss plan will result in fat loss, not lean body or muscle mass and provide all the nutrients needed for health. The RDN can also advise the person with osteoarthritis how to follow the Mediterranean way of eating.

A recent study that included almost 4,500 Americans with osteoarthritis found that the more closely they followed the Mediterranean way they experienced decreased pain, disability and depressive symptoms. They also scored higher on the quality of life scale.

Want to learn more about the Mediterranean diet to be ready for your appointment with the RDN? Go to the great North Carolina website: www.medinsteadofmeds.com. Watch the 7 simple step videos: change your protein; swap your fats; eat more vegetables; eat more fruit; snack on nuts and seeds; make your grains whole; and rethink your sweets.

Professor emeritus Kathy Kolasa, a registered dietitian nutritionist and Ph.D., is an affiliate professor in the Brody School of Medicine at ECU. Contact her at kolasaka@ecu.edu.

Loading…

Humans of Greenville

@HumansofGville

Local photographer Joe Pellegrino explores Greenville to create a photographic census of its people.

Look

March 24, 2019

For war veteran Franklin Smith, being a member of The American Legion for the last 29 years has allowed him to share his love and pride of America with others while also serving people in his own community.  

Smith is no stranger to living the military lifestyle. He and his six brothers…

032419americanlegion-1.JPG

March 24, 2019

If it's news to you that social climbers see buying their children's way into fancy, name-brand colleges as the functional equivalent of wearing Rolex watches or driving Maseratis, then I don't know where to start.

That is, those expensive private (and some public) universities are fashion…

Gene Lyons

March 24, 2019

I'm writing this in the air, flying home in a Boeing Max 8. They just announced the plane would be taken out of service as soon as we land. I'm not really worried that the plane has some hidden technical defect. I'm worried that the pilot's parents might have been rich enough to bribe his way in to…

JimMullen

March 24, 2019

 

With characteristic calmness, 88-year old owner Wilber Shirley is assuring customers of his renowned Wilber’s Barbecue in Goldsboro that the recently-shuttered restaurant will be back in business before long.

His iconic, wood-burning eatery, known for its whole hog barbecue, closed for…

Bob Garner

March 24, 2019

There comes a time of year when one lets one’s thoughts drift out of classrooms to the sunny shores of spring break. And no place is more synonymous with epic spring breaks than Florida, be it the crunch of calcite shells underfoot, or the sandy curls of George Washington on the beach.…

JoyHall

March 23, 2019

Sycamore Hill Missionary Baptist Church will celebrate the launch of a new ministry next month.

Come As You Are, known as CAYA, is designed to address the needs and concerns of young adults, ages 20-35. Led by LaVerna G. Parker, the group meets from 6:30-8 p.m. Mondays in the church fellowship hall…

March 22, 2019

Some movies deliver an accurate portrait of the teen psyche. Each decade has a film (or two) that deals with the turbulence of growing up.

Teen audiences can relate. We older folks can sit there and reminisce, a trip down memory lane, recalling the emotions we felt during our own coming-of-age.…

ShirrelRhoades_57.jpg-1.jpg

March 22, 2019

Cap­sules of movies play­ing lo­cally. New re­leases are in­di­cated with an as­ter­isk.

ALITA: BATTLE ANGEL — A de­ac­ti­vated fe­male cy­borg is re­vived, but can­not re­mem­ber any­thing of her past life and goes on a…

Captain Marvel-14

March 21, 2019

GREENSBORO — State judicial officials say a North Carolina judge has been suspended with pay, although no official reason has been given.

Sharon Gladwell of the N.C. Administrative Office of the Courts said in an email that Chief Justice Cheri Beasley ordered a temporary suspension of…

March 20, 2019

DEAR HARRIETTE: I am hosting a birthday party for myself. I kind of decided at the last minute. The party is coming together pretty well — probably because I have a lot of experience hosting events.

I just remembered a couple of people that I definitely should have invited but didn't. I just…

Harriette Cole
147 stories in Look. Viewing 1 through 10.
«First Page   «Previous Page        
Page 1 of 15
        Next Page»   Last Page»