The Adherence to High-Intensity Interval Training Among Obese Women with Early-Stage Knee Osteoarthritis: A Retrospective Cohort Study in India

Purpose. This study aimed to analyze adherence to High-Intensity Interval Training (HIIT) among patients with early-stage knee osteoarthritis (OAK) and identify factors influencing adherence. Material & Methods. A retrospective cohort study was conducted using data from 569 patients diagnosed...

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Main Authors: M. Saravanan, Arunachalam Ramachandran, Anandhan Duraisamy, Rajkumar Krishnan Vasanthy
Format: Article
Language:English
Published: Kharkiv State Academy of Physical Culture 2025-04-01
Series:Фізична реабілітація та рекреаційно-оздоровчі технології
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Online Access:https://phrir.com/journal/article/view/230
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author M. Saravanan
Arunachalam Ramachandran
Anandhan Duraisamy
Rajkumar Krishnan Vasanthy
author_facet M. Saravanan
Arunachalam Ramachandran
Anandhan Duraisamy
Rajkumar Krishnan Vasanthy
author_sort M. Saravanan
collection DOAJ
description Purpose. This study aimed to analyze adherence to High-Intensity Interval Training (HIIT) among patients with early-stage knee osteoarthritis (OAK) and identify factors influencing adherence. Material & Methods. A retrospective cohort study was conducted using data from 569 patients diagnosed with early-stage OAK across four private orthopedic clinics in India. Eligibility criteria included a BMI ≥30 and early-stage OAK. Adherence was defined as attending ≥80% of prescribed sessions. Data on demographics, clinical characteristics, and adherence were collected and analyzed using descriptive statistics and multivariable logistic regression. Results. Out of 569 eligible patients, 522 were included in the final analysis. The average age was 53.8 years, with a mean BMI of 31.9 kg/m². Adherence to the HIIT program was weak, with only 34% of participants meeting the high adherence threshold. Higher pain severity, BMI, and WOMAC scores were significantly associated with lower adherence, while higher educational levels improved adherence. Conclusions. The study found lower adherence to HIIT among patients with early-stage OAK compared to Western populations. Factors such as pain severity, BMI, and functional limitations were significant barriers to adherence. Future interventions should focus on addressing these barriers to improve adherence rates.
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institution Kabale University
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2522-1914
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publishDate 2025-04-01
publisher Kharkiv State Academy of Physical Culture
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series Фізична реабілітація та рекреаційно-оздоровчі технології
spelling doaj-art-7d0175e50d004d9cb73508169f3721ce2025-08-20T03:28:40ZengKharkiv State Academy of Physical CultureФізична реабілітація та рекреаційно-оздоровчі технології2522-19062522-19142025-04-01102707610.15391/prrht.2025-10(2).02The Adherence to High-Intensity Interval Training Among Obese Women with Early-Stage Knee Osteoarthritis: A Retrospective Cohort Study in IndiaM. Saravanan0https://orcid.org/0009-0006-8959-9399Arunachalam Ramachandran1https://orcid.org/0000-0001-8082-7195Anandhan Duraisamy2https://orcid.org/0009-0005-5204-2733Rajkumar Krishnan Vasanthy3https://orcid.org/0000-0003-0481-9761Madhav UniversityMadhav UniversityMadhav UniversityINTI International UniversityPurpose. This study aimed to analyze adherence to High-Intensity Interval Training (HIIT) among patients with early-stage knee osteoarthritis (OAK) and identify factors influencing adherence. Material & Methods. A retrospective cohort study was conducted using data from 569 patients diagnosed with early-stage OAK across four private orthopedic clinics in India. Eligibility criteria included a BMI ≥30 and early-stage OAK. Adherence was defined as attending ≥80% of prescribed sessions. Data on demographics, clinical characteristics, and adherence were collected and analyzed using descriptive statistics and multivariable logistic regression. Results. Out of 569 eligible patients, 522 were included in the final analysis. The average age was 53.8 years, with a mean BMI of 31.9 kg/m². Adherence to the HIIT program was weak, with only 34% of participants meeting the high adherence threshold. Higher pain severity, BMI, and WOMAC scores were significantly associated with lower adherence, while higher educational levels improved adherence. Conclusions. The study found lower adherence to HIIT among patients with early-stage OAK compared to Western populations. Factors such as pain severity, BMI, and functional limitations were significant barriers to adherence. Future interventions should focus on addressing these barriers to improve adherence rates.https://phrir.com/journal/article/view/230obesityosteoarthrosishig-intensity interval trainingexercise adherence
spellingShingle M. Saravanan
Arunachalam Ramachandran
Anandhan Duraisamy
Rajkumar Krishnan Vasanthy
The Adherence to High-Intensity Interval Training Among Obese Women with Early-Stage Knee Osteoarthritis: A Retrospective Cohort Study in India
Фізична реабілітація та рекреаційно-оздоровчі технології
obesity
osteoarthrosis
hig-intensity interval training
exercise adherence
title The Adherence to High-Intensity Interval Training Among Obese Women with Early-Stage Knee Osteoarthritis: A Retrospective Cohort Study in India
title_full The Adherence to High-Intensity Interval Training Among Obese Women with Early-Stage Knee Osteoarthritis: A Retrospective Cohort Study in India
title_fullStr The Adherence to High-Intensity Interval Training Among Obese Women with Early-Stage Knee Osteoarthritis: A Retrospective Cohort Study in India
title_full_unstemmed The Adherence to High-Intensity Interval Training Among Obese Women with Early-Stage Knee Osteoarthritis: A Retrospective Cohort Study in India
title_short The Adherence to High-Intensity Interval Training Among Obese Women with Early-Stage Knee Osteoarthritis: A Retrospective Cohort Study in India
title_sort adherence to high intensity interval training among obese women with early stage knee osteoarthritis a retrospective cohort study in india
topic obesity
osteoarthrosis
hig-intensity interval training
exercise adherence
url https://phrir.com/journal/article/view/230
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