ArticleDisability and rehabilitation2018
Understanding barriers and facilitators to healthy eating and physical activity from patients either before and after knee arthroplasty.
Article in Disability and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Facilitators and barriers to rehabilitation exercise adherence among patients after total hip and total knee arthroplasty: a qualitative meta-synthesis.BMC musculoskeletal disorders · 2026Pooled it
- Effect of knee arthroplasty on sports participation and activity levels: a systematic review and meta-analysis.BMJ open sport & exercise medicine · 2020Pooled it
- Reducing Sedentary Time After Knee Replacement Using a Multicomponent mHealth Intervention: Randomized Controlled Trial.JMIR mHealth and uHealth · 2026Trial
- Application of Teach-back health education combined with continuity care in patients with knee joint training injuries: an analysis of clinical effects.Frontiers in public health · 2025Trial
- Experiences of Wearable Technology by Persons with Knee Osteoarthritis Participating in a Physical Activity Counseling Intervention: Qualitative Study Using a Relational Ethics Lens.JMIR mHealth and uHealth · 2021Trial
- Comparison of a Patient-Centered Weight Loss Program starting before versus after knee replacement: A pilot study.Obesity research & clinical practiceTrial
- Weight loss and physical activity after total knee replacement: Study protocol for the Healthy Living randomized controlled trial.Osteoarthritis and cartilage open · 2026Article
- Barriers and facilitators for consuming a plant-based diet in patients with knee osteoarthritis: a qualitative study.Frontiers in nutrition · 2026Article
- "I'm a paper and pencil person": a qualitative descriptive study of potential barriers and facilitators to engagement with pre-operative total knee replacement education and prehabilitation digital interventions.BMC musculoskeletal disorders · 2025Article
- Optimizing Lifestyle Before and After Surgery: A Qualitative Stakeholder Analysis Among Healthcare Professionals.American journal of lifestyle medicine · 2025Article
- Letter to the Editor: South Asian Diet Among Older Adults With Knee Replacement.Nutrition and metabolic insights · 2025Article
- Article
- Experience and perceptions among rheumatoid arthritis patients following a telehealth-delivered dietary intervention: a qualitative study.Rheumatology international · 2023Article
- Protocol for the POMELO (Prevention Of MusclE Loss in Osteoarthritis) randomized pilot feasibility trial.Osteoarthritis and cartilage open · 2022Article
- Experiences of Health-Promoting Activities among Individuals with Knee Pain: The Halland Osteoarthritis Cohort.International journal of environmental research and public health · 2022Article
- Article
- Perceptions of Physical Activity and the Use of Activity Monitors to Increase Activity Levels in Patients Undergoing Total Knee Replacement.ACR open rheumatology · 2021Article
- Reducing sedentary time using an innovative mHealth intervention among patients with total knee replacement: Rationale and study protocol.Contemporary clinical trials communications · 2021Article
- Exploring Beliefs and Preferences for Reducing Sedentary Behavior Among Adults With Symptomatic Knee Osteoarthritis or Knee Replacement.ACR open rheumatology · 2021Article
- Stakeholders' preferences for osteoarthritis interventions in health services: A cross-sectional study using multi-criteria decision analysis.Osteoarthritis and cartilage open · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeWe sought to identify patient-reported barriers and facilitators to healthy eating and physical activity among patients before or after knee arthroplasty. MATERIALS AND
methodsTwenty patients with knee osteoarthritis aged 40-79 years who had knee arthroplasty surgery scheduled or completed within 3 months were interviewed. Interview topics included perceived barriers and facilitators to healthy eating and activity before or after surgery. Interviews were coded and analyzed using constant comparative analysis.
resultsInterviews were completed with 11 pre-operative (67.1 ± 7.6 years, 45.5% female, BMI 31.2 ± 6.3) and nine post-operative patients (61.7 ± 11.7 years, 44.4% female, BMI 30.2 ± 4.7 kg/m
conclusionIdentifying specific eating and activity barriers and facilitators, such as mood and motivation to improve outcomes, provides critical insight from the patient perspective, which will aid in developing weight management programs during rehabilitation for knee arthroplasty patients. Implications for rehabilitation This study provides insight into the identified barriers and facilitators to healthy eating and physical activity in knee arthroplasty patients, both before and after surgery. Intrapersonal barriers that may hinder engagement in physical activity and rehabilitation include pain, physical limitations and lack of motivation; factors that may help to improve activity and the rehabilitation process include being motivated to improve knee outcomes, having a personal commitment to activity and tracking activity levels. Barriers that may interfere with healthy eating behaviors and knee arthroplasty rehabilitation include the desire for high-fat/high-calorie foods, overeating and mood; whereas planning and portion control may help to facilitate healthy eating. Understanding barriers and facilitators to healthy eating and physical activity can help guide rehabilitation professionals with their discussions on weight management with patients who had or are contemplating knee arthroplasty.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.