Diet and Exercise for Osteoarthritis Prevention
(TOPS Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
The goal of this study is to establish the efficacy of an intervention of dietary weight loss, exercise, and weight-loss maintenance for knee Osteoarthritis (OA) prevention in adult females aged ≥ 50 years with obesity and no or infrequent knee pain. The primary aim is to compare the effects of a dietary weight loss, exercise, and weight-loss maintenance to an attention control group in preventing the development of structural Magnetic Resonance Imaging (MRI) knee OA. Secondary aims will determine the intervention effects on pain, mobility, health-related quality of life, knee joint compressive forces, inflammatory measures, weight loss, exercise self-efficacy, and cost-effectiveness of this intervention.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It might be best to discuss this with the trial coordinators or your doctor.
Is diet and exercise generally safe for humans?
How is the Diet and Exercise treatment for osteoarthritis different from other treatments?
What data supports the effectiveness of the treatment Diet and Exercise, Weight Loss Program, Exercise Therapy, Dietary Intervention for osteoarthritis prevention?
Who Is on the Research Team?
Stephen P Messier, Ph.D.
Principal Investigator
Wake Forest University
Are You a Good Fit for This Trial?
This trial is for women over 50 with obesity who have no or rare knee pain and no signs of knee osteoarthritis on X-rays or MRI. They must not be using walking aids, have a BMI ≥ 30 kg/m2, and can't be undergoing cancer treatment, have type 1 diabetes, severe heart issues, recent major knee injuries or surgeries.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants undergo a 48-month intervention of dietary weight loss, exercise, and weight-loss maintenance
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Diet and Exercise
Find a Clinic Near You
Who Is Running the Clinical Trial?
Wake Forest University
Lead Sponsor
Centers for Disease Control and Prevention
Collaborator
University of Missouri-Columbia
Collaborator
Arthritis Foundation
Collaborator
National Center for Complementary and Integrative Health (NCCIH)
Collaborator
Office of Research on Women's Health (ORWH)
Collaborator
Office of Behavioral and Social Sciences Research (OBSSR)
Collaborator
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Collaborator
Office of Disease Prevention
Collaborator
Rapid Nutrition PLC
Collaborator