Fit & Strong! Plus Trial Outcomes for Obese Older Adults with Osteoarthritis Article Swipe
Susan L. Hughes
,
Lisa Tussing‐Humphreys
,
Linda Schiffer
,
Renae L. Smith-Ray
,
David X. Márquez
,
Andrew DeMott
,
Michael L. Berbaum
,
Marian Fitzgibbon
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1093/geront/gny146
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1093/geront/gny146
Background and Objectives We compared the effectiveness of standard Fit & Strong! (F&S!; targets physical activity [PA]) to Fit & Strong! Plus (F&S! Plus; targets PA and dietary weight loss) on weight, diet quality, and PA outcomes. Research Design and Methods We randomly assigned 413 overweight older adults with OA to the F&S! or F&S! Plus programs and assessed outcomes at 2 and 6 months. Results The F&S! Plus group lost −2.0 ± 0.2 kg (mean ± SE, 2% of starting weight) at 2 months that was maintained at 6 months. Two- and 6-month BMI and waist circumference improved significantly in the F&S! Plus group (p < .001). Diet quality at 2 months showed greater improvement in the F&S! Plus group: 4.6 ± 0.7 versus 2.0 ± 0.7, p = .006, with no significant difference between groups at 6 months. The F&S! Plus group differentially improved on PA engagement at 2 months and at 2 and 6 months in joint pain (6-month mean ± SE: −1.5 ± 0.3 vs −0.6 ± 0.3, p = .02), function (−4.7 ± 0.9 vs −1.5 ± 0.9, p = .01), and 6-min walk test (29.5 ± 5.1 m vs 14.1 ± 5.2 m, p = .04). Discussion and Implications Adding a dietary weight loss component to F&S! achieved weight and waist circumference benefits that were maintained at 6 months. Importantly, the weight loss was accompanied by clinically meaningful improvements in OA symptoms and mobility. Future work should investigate minimum thresholds for weight reduction that improve long-term function in this population.
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Metadata
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- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/geront/gny146
- OA Status
- green
- Cited By
- 25
- References
- 52
- Related Works
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- OpenAlex ID
- https://openalex.org/W2903257052
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2903257052Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/geront/gny146Digital Object Identifier
- Title
-
Fit & Strong! Plus Trial Outcomes for Obese Older Adults with OsteoarthritisWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
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2018Year of publication
- Publication date
-
2018-10-23Full publication date if available
- Authors
-
Susan L. Hughes, Lisa Tussing‐Humphreys, Linda Schiffer, Renae L. Smith-Ray, David X. Márquez, Andrew DeMott, Michael L. Berbaum, Marian FitzgibbonList of authors in order
- Landing page
-
https://doi.org/10.1093/geront/gny146Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/7350412Direct OA link when available
- Concepts
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Osteoarthritis, Medicine, Gerontology, Obesity, Physical therapy, Internal medicine, Alternative medicine, PathologyTop concepts (fields/topics) attached by OpenAlex
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-
25Total citation count in OpenAlex
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2025: 2, 2024: 12, 2023: 1, 2022: 3, 2021: 1Per-year citation counts (last 5 years)
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52Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.waist | 97, 217 |
| abstract_inverted_index..001). | 108 |
| abstract_inverted_index.Adding | 206 |
| abstract_inverted_index.Design | 39 |
| abstract_inverted_index.Future | 241 |
| abstract_inverted_index.adults | 48 |
| abstract_inverted_index.group: | 121 |
| abstract_inverted_index.groups | 137 |
| abstract_inverted_index.months | 85, 113, 152, 158 |
| abstract_inverted_index.should | 243 |
| abstract_inverted_index.showed | 114 |
| abstract_inverted_index.versus | 125 |
| abstract_inverted_index.weight | 29, 209, 215, 228, 248 |
| abstract_inverted_index.−0.6 | 170 |
| abstract_inverted_index.−1.5 | 166, 181 |
| abstract_inverted_index.−2.0 | 72 |
| abstract_inverted_index.(−4.7 | 177 |
| abstract_inverted_index.6-month | 94 |
| abstract_inverted_index.Methods | 41 |
| abstract_inverted_index.Results | 66 |
| abstract_inverted_index.Strong! | 12, 21 |
| abstract_inverted_index.between | 136 |
| abstract_inverted_index.dietary | 28, 208 |
| abstract_inverted_index.greater | 115 |
| abstract_inverted_index.improve | 251 |
| abstract_inverted_index.minimum | 245 |
| abstract_inverted_index.months. | 65, 91, 140, 225 |
| abstract_inverted_index.quality | 110 |
| abstract_inverted_index.targets | 14, 25 |
| abstract_inverted_index.weight) | 82 |
| abstract_inverted_index.weight, | 32 |
| abstract_inverted_index.&lt; | 107 |
| abstract_inverted_index.(6-month | 162 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.F&S! | 53, 55, 68, 103, 119, 142, 213 |
| abstract_inverted_index.Research | 38 |
| abstract_inverted_index.achieved | 214 |
| abstract_inverted_index.activity | 16 |
| abstract_inverted_index.assessed | 59 |
| abstract_inverted_index.assigned | 44 |
| abstract_inverted_index.benefits | 219 |
| abstract_inverted_index.compared | 5 |
| abstract_inverted_index.function | 176, 253 |
| abstract_inverted_index.improved | 99, 146 |
| abstract_inverted_index.outcomes | 60 |
| abstract_inverted_index.physical | 15 |
| abstract_inverted_index.programs | 57 |
| abstract_inverted_index.quality, | 34 |
| abstract_inverted_index.randomly | 43 |
| abstract_inverted_index.standard | 9 |
| abstract_inverted_index.starting | 81 |
| abstract_inverted_index.symptoms | 238 |
| abstract_inverted_index.(F&S! | 23 |
| abstract_inverted_index.component | 211 |
| abstract_inverted_index.long-term | 252 |
| abstract_inverted_index.mobility. | 240 |
| abstract_inverted_index.outcomes. | 37 |
| abstract_inverted_index.reduction | 249 |
| abstract_inverted_index.(F&S!; | 13 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Discussion | 203 |
| abstract_inverted_index.Objectives | 3 |
| abstract_inverted_index.clinically | 233 |
| abstract_inverted_index.difference | 135 |
| abstract_inverted_index.engagement | 149 |
| abstract_inverted_index.maintained | 88, 222 |
| abstract_inverted_index.meaningful | 234 |
| abstract_inverted_index.overweight | 46 |
| abstract_inverted_index.thresholds | 246 |
| abstract_inverted_index.accompanied | 231 |
| abstract_inverted_index.improvement | 116 |
| abstract_inverted_index.investigate | 244 |
| abstract_inverted_index.population. | 256 |
| abstract_inverted_index.significant | 134 |
| abstract_inverted_index.Implications | 205 |
| abstract_inverted_index.Importantly, | 226 |
| abstract_inverted_index.improvements | 235 |
| abstract_inverted_index.circumference | 98, 218 |
| abstract_inverted_index.effectiveness | 7 |
| abstract_inverted_index.significantly | 100 |
| abstract_inverted_index.differentially | 145 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5010732822 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 8 |
| corresponding_institution_ids | https://openalex.org/I39422238, https://openalex.org/I4210090077 |
| citation_normalized_percentile.value | 0.81512141 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |