Health Related Quality of Life Following Dietary and Exercise Interventions among Women with Knee Osteoarthritis

Magda M. Mohsen¹, Ekhlass M. Eltomy^2, and Neima Ali Riad³

¹Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt

²Community Health Nursing, Faculty of Nursing, Minia University, Egypt

³Medical-Surgical Nursing, Faculty of Nursing Menoufia University, Egypt

Cite this paper:
Magda M. Mohsen, Ekhlass M. Eltomy and Neima Ali Riad. Health Related Quality of Life Following Dietary and Exercise Interventions among Women with Knee Osteoarthritis. American Journal of Nursing Research. 2020; 8(1):27-37. doi: 10.12691/ajnr-8-1-4

Abstract

Background: Osteoarthritis (OA) is accepted as a major public health problem. It is one of the main causes of impaired function that reduces quality of life (QOL) worldwide. A well-balanced diet of plant-based origin including varied diet that is high in vegetables and fruits and low in refined carbohydrates and fats, such as saturated fats and trans-fats. This is obtained by understanding how diet and exercise affecting perception of quality of life. The aim of this study was to assess health related quality of life after following dietary and exercise interventions among women with knee osteoarthritis. Design; a quasi-experimental design with pre-post-test was used. Settings; this study was conducted in orthopedic and physical therapy outpatient clinics of Tala Central Hospital, Menoufia Governorate, Egypt. Sample: A purposive sample of 120 women diagnosed with knee osteoarthritis divided equally into diet only and diet and exercise groups. Tools: I- An interviewing questionnaire to assess socio demographic data and exercise practice. II- Eating pattern questionnaire. III- knee related quality of life questionnaire to assess quality of life & IV- Medical outcomes study questionnaire to assess physical and social functioning. Results; indicates more improvement of diet and exercise group regarding the determined aspects of quality of life domains revealing significant difference regarding troublesome due to lack of confidence in knee joint as, 13.3 % & 6.7 % of diet only and diet and exercise group respectively reported mild trouble before the intervention, increased significantly to 26.7 % & 53.3 % after the intervention respectively. Conclusion; this study revealed that a significant more improvement in some aspects affecting quality of life for the diet and exercise group than diet only. Recommendations; Lifelong physical activity and dietary modifications are strongly recommended for the improving knee osteoarthritis including walking, water strengthening and stretching exercises in a moderate manner. Education as one of the main nursing role for the necessity of moderate exercise with well-balanced diets based on plant sources, can improve quality of life. Consuming well-balanced diet stressing fresh fruits and vegetables, sea food, low salt diet and healthy spices including ginger and turmeric is recommended.

Keywords:
diet exercise quality of life knee osteoarthritis

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