RN Poll: Weight Loss in Knee OA

Again, the guidelines are unanimous: Patients with symptomatic knee OA and a BMI higher than 25 will feel better if they lose weight. This is supported by two high-quality randomized trials (according to OARSI) The classic study found that every pound of weight lost reduces load on the knee by 4 pounds. But exactly what do you ordinarily do to encourage this weight loss, beyond merely imparting these facts?

What's your counsel for knee OA patients about weight loss?

I suggest a weight-loss goal of 5%
I don't suggest a goal; I just suggest losing weight
I recommend a specific weight-loss regimen or diet
I refer patients to a weight-loss specialist or nutritionist
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