自我管理教育计划（SMEPs）对成人超重或肥胖并存膝骨关节炎：系统回顾

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES Pub Date : 2025-09-02 DOI:10.1016/j.jbmt.2025.09.001

Duha Batayneh , Mohd Razif Shahril , Sumaiyah Mat , Deepashini Harithasan , Alia A. Alghwiri , Devinder Kaur Ajit Singh

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引用次数: 0

摘要

目的：本综述旨在通过随机对照试验、非随机对照试验和队列研究，综合SMEPs的内容和传递，并探讨超重/肥胖和KOA成人的结局改善（疼痛、膝关节功能、体重减轻和生活质量）。方法采用“自我管理教育计划”、“膝关节骨性关节炎”、“肥胖”、“超重”等术语，结合布尔运算符和MeSH术语，对多个数据库和灰色文献（谷歌Scholar）进行系统检索。符合条件的研究包括超重/肥胖和KOA的成年人，通过随机对照试验、非随机对照试验或具有自我报告或表现结果的前瞻性队列评估smep。两名审稿人独立筛选研究，第三名审稿人解决任何冲突。使用MQCAT评估方法学质量。采用主题分析对结果进行综合叙述。结果16项研究符合纳入标准，MQCAT评分为中高（10-13/14）。smep通常包括症状管理、锻炼、体重管理、节奏调整和其他策略，如沟通技巧和关节保护。大多数以组为基础（n = 14），由医疗保健专业人员以混合形式（n = 11）提供，持续时间为8周（n = 7）。大多数是基于医院的（n = 9），主要在美国进行。SMEPs改善了多种结果，特别是疼痛。结论：本综述为超重/肥胖和KOA成人的smep内容和传递提供了新的见解，这是一个以前未研究过的群体。研究结果支持量身定制的多学科项目，包括锻炼、体重管理和心理社会支持，临床医生可以通过协调护理实施，政策制定者可以在社区服务中扩大规模。然而，很少有研究针对这一群体。未来的中小型企业需要分层随机对照试验、标准化结果和成本效益评估。

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Self-management education programs (SMEPs) for adults with coexisting overweight or obesity and knee osteoarthritis: A systematic review

Objective

This review aimed to synthesize the content and delivery of SMEPs and explore outcomes improvement (pain, knee function, weight loss, and quality of life) in adults with overweight/obesity and KOA across RCTs, non-RCTs, and cohorts.

Methods

A systematic search of multiple databases and grey literature (Google Scholar) was conducted using combinations of terms (‘self-management education program,’ ‘knee osteoarthritis,’ ‘obesity,’ ‘overweight’) with Boolean operators and MeSH terms. Eligible studies included adults with overweight/obesity and KOA, evaluating SMEPs via RCTs, non-RCTs, or prospective cohorts with self-reported or performance outcomes. Two reviewers independently screened the studies, with a third reviewer resolving any conflicts. Methodological quality was assessed using MQCAT. Results were synthesized narratively using thematic analysis.

Results

Sixteen studies met the inclusion criteria with moderate to high MQCAT scores (10–13/14). SMEPs commonly included symptom management, exercise, weight-management, pacing, and additional strategies such as communication skills and joint protection. Most were group-based (n = 14), delivered in mixed formats (n = 11) by healthcare professionals, <8 weeks in duration (n = 7). The majority were facility-based (n = 9) and conducted primarily in the U.S. SMEPs improved multiple outcomes, particularly pain.

Conclusion

This review provides novel insights into SMEPs’ content and delivery for adults with overweight/obesity and KOA, a group not previously examined. Findings support tailored, multidisciplinary programs integrating exercise, weight-management, and psychosocial support, which clinicians can implement through coordinated care and policymakers may scale within community services. However, few studies targeted this group. Future SMEPs require stratified RCTs, standardized outcomes, and cost-effectiveness evaluations.

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来源期刊

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES REHABILITATION-

CiteScore

2.80

自引率

0.00%

发文量

133

审稿时长

321 days

期刊介绍： The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina