Evidence map›Paper›PMID 31732174›Full record

Trial reportJournal of biomechanics2020

The effects of intensive dietary weight loss and exercise on gait in overweight and obese adults with knee osteoarthritis. The Intensive Diet and Exercise for Arthritis (IDEA) trial.

Stephen P Messier, Daniel P Beavers, Shannon L Mihalko, Gary D Miller, Mary F Lyles, David J Hunter, J Jeffery Carr, Felix Eckstein, Ali Guermazi, Richard F Loeser and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of biomechanics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Exercise for osteoarthritis of the knee.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Aberrant Gait Biomechanics Linked to Cartilage Changes After ACL Reconstruction in Those With High Body Mass Index.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  14. Review
  15. Observational
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Stephen P MessierDepartment of Health and Exercise Science, Wake Forest University, Winston-Salem, NC, USA; Section on Gerontology and Geriatric Medicine, Wake Forest University School of Medicine, USA. Electronic address: messier@wfu.edu.
Daniel P BeaversDepartment of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA. Electronic address: dbeavers@wakehealth.edu.
Shannon L MihalkoDepartment of Health and Exercise Science, Wake Forest University, Winston-Salem, NC, USA. Electronic address: mihalksl@wfu.edu.
Gary D MillerDepartment of Health and Exercise Science, Wake Forest University, Winston-Salem, NC, USA. Electronic address: millergd@wfu.edu.
Mary F LylesSection on Gerontology and Geriatric Medicine, Wake Forest University School of Medicine, USA. Electronic address: mlyles@wakehealth.edu.
David J HunterInstitute of Bone and Joint Research, Kolling Institute, University of Sydney, Sydney, Australia; Rheumatology Department, Royal North Shore Hospital, Australia. Electronic address: david.hunter@sydney.edu.au.
J Jeffery CarrDepartment of Radiology, Vanderbilt School of Medicine, Nashville, TN, USA. Electronic address: j.jeffrey.carr@vanderbilt.edu.
Felix EcksteinInstitute of Anatomy and Musculoskeletal Research, Paracelsus Medical University, Salzburg, Austria, & Chondrometrics GmbH, Ainring, Germany. Electronic address: felix.eckstein@pmu.ac.at.
Ali GuermaziDepartment of Radiology, Boston University School of Medicine, Boston, MA, USA. Electronic address: guermazi@bu.edu.
Richard F LoeserThurston Arthritis Research Center, University of North Carolina School of Medicine, Chapel Hill, NC, USA. Electronic address: richard_loeser@med.unc.edu.
Paul DeVitaDepartment of Kinesiology, East Carolina University, Greenville, NC, USA. Electronic address: DEVITAP@ecu.edu.

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jamie Nicole Justice · 2002 to 2026
$36.4M
USE OF MOTIVATIONAL INTERVIEWING TO MANAGE TYPE I DIABETESM01RR000211 · NCRR · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI HAK, EMILY B · 1985 to 2006
$9.6M
Intensive Dietary Restriction with Exercise in ArthritisR01AR052528 · NIAMS · WAKE FOREST UNIVERSITY · PI MESSIER, STEPHEN P · 2006 to 2010
$2.9M
NCRR NIH HHS M01 RR000211NIAMS NIH HHS R01 AR052528NIA NIH HHS P30 AG021332
6 · The paper itself

Abstract

The Intensive Diet and Exercise for Arthritis (IDEA) trial was an 18-month randomized controlled trial that enrolled 454 overweight and obese older adults with symptomatic and radiographic knee osteoarthritis (OA). Participants were randomized to either exercise (E), intensive diet-induced weight loss (D), or intensive diet-induced weight loss plus exercise (D + E) interventions. We previously reported that the clinical benefits of D + E were significantly greater than with either intervention alone (e.g., greater pain reduction, and better function, mobility, and health-related quality of life). We now test the hypothesis that D + E has greater overall benefit on gait mechanics compared to either intervention alone. Knee joint loading was analyzed using inverse dynamics and musculoskeletal modeling. Analysis of covariance determined the interventions' effects on gait. The D + E group walked significantly faster at 18-month follow-up (1.35 m s

Indexed as

Exercise TherapyGaitWeight LossAgedFemaleHumansKnee JointMaleMiddle AgedObesityOsteoarthritis, KneeQuality of LifeTreatment OutcomeClinical trialDietExerciseGaitKneeOsteoarthritis

Identifiers

PMID31732174
PMCPMC6949016

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.