Weight loss can slow down knee joint degeneration

May 2, 2017, Radiological Society of North America
MRIs of the right knee obtained with the coronal proton density-weighted fast spin-echo fat-suppression sequence at, A, C, baseline and, B, D, after 48 months. Patients were an obese 65-year-old woman with stable weight and mild knee pain (A and B) and an obese 64-year-old woman with weight loss over 48 months and mild knee pain (approximately 10.9 percent decrease in BMI). Credit: Radiological Society of North America

Overweight and obese people who lost a substantial amount of weight over a 48-month period showed significantly lower degeneration of their knee cartilage, according to a new study published online in the journal Radiology.

According to the National Institutes of Health, obesity is a risk factor for osteoarthritis. Being overweight or obese can place extra pressure on joints and cartilage, causing them to wear away. In addition, people with more body fat may have higher blood levels of substances that cause inflammation in the joints, raising the risk for osteoarthritis.

"For this research, we analyzed the differences between groups with and without ," said the study's lead author, Alexandra Gersing, M.D., from the Department of Radiology and Biomedical Imaging at the University of California, San Francisco. "We looked at the degeneration of all knee joint structures, such as menisci, articular cartilage and bone marrow."

The research team investigated the association between weight loss and the progression of cartilage changes on MRI over a 48-month period in 640 overweight and obese patients (minimum body mass index [BMI] 25 kg/m2) who had risk factors for osteoarthritis or MRI evidence of mild to moderate osteoarthritis. Data was collected from the Osteoarthritis Initiative, a nationwide research study focused on the prevention and treatment of . Patients were categorized into three groups: those who lost more than 10 percent of their , those who lost five to 10 percent of their body weight, and a control group whose weight remained stable.

MRIs of the right knee obtained with sagittal intermediate-weighted fast spin-echo fat-suppression sequence at, A, C, baseline and, B, C, after 48 months. Patients were an obese 57-year-old woman with stable weight and mild knee pain (A, B) and an obese 59-year-old woman with weight loss (approximately 8.5 percent decrease in BMI) over 48 months and mild knee pain. Credit: Radiological Society of North America

The results showed that patients with 5 percent weight loss had lower rates of cartilage degeneration when compared with stable weight participants. In those with 10 percent weight loss, cartilage degeneration slowed even more.

Not only did the researchers find that weight loss slowed articular cartilage degeneration, they also saw changes in the menisci. Menisci are crescent-shaped fibrocartilage pads that protect and cushion the joint.

"The most exciting finding of our research was that not only did we see slower degeneration in the articular cartilage, we saw that the menisci degenerated a lot slower in overweight and obese individuals who lost more than 5 percent of their body weight, and that the effects were strongest in overweight individuals and in individuals with substantial loss," Dr. Gersing said.

Light to moderate exercise is also recommended to protect against degeneration in the knee.

"Our study emphasizes the importance of individualized therapy strategies and lifestyle interventions in order to prevent structural knee joint degeneration as early as possible in obese and overweight patients at risk for osteoarthritis or with symptomatic ," Dr. Gersing said.

Explore further: MRI reveals weight loss protects knees

More information: "Is Weight Loss Associated with Less Progression of Changes in Knee Articular Cartilage among Obese and Overweight Patients as Assessed with MR Imaging over 48 Months? Data from the Osteoarthritis Initiative" Radiology, 2017.

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