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Osteoarthritis — SCE Rheumatology MCQ

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HardOsteoarthritisOsteoarthritisSCE Rheumatology

A person with knee osteoarthritis and obesity asks whether weight management is relevant. What is the best advice?

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Correct answer: E — Support sustainable weight loss alongside exercise and self-management

The best answer is “Support sustainable weight loss alongside exercise and self-management”. NICE recommends supporting weight management for people with osteoarthritis who are overweight or obese; symptom and functional benefit increases with greater sustainable loss. Weight loss can help before a normal BMI is reached, exercise need not wait, and crash dieting or hyaluronan substitution is not appropriate core care.

Reference: NICE NG226 osteoarthritis recommendations: https://www.nice.org.uk/guidance/ng226/chapter/Recommendations