Weight loss before knee surgery shows promise in small trial
NCT ID NCT05853497
First seen Jun 24, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This pilot study tested whether a weight loss program before total knee replacement helps improve recovery. 24 adults with obesity (BMI 35-40) were assigned to either a very low-calorie diet with health coaching or standard care. The goal was to see if the program was feasible and could reduce pain and improve knee function after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Multi-Component Weight Loss Intervention (behavioral: very low-calorie diet, health coaching, physical activity)
- What this could lead to
- If it works, this could point toward a standard weight loss program before knee replacement to improve outcomes like pain and function.
- What could go wrong
- This is a very small pilot study (24 people) testing feasibility, not effectiveness. Results may not apply to everyone, and the strict diet may be hard to follow.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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24 people
The number who actually took part.
- Started
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May 2023
- Finished
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Sep 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age: 50-75 years * BMI: 35 to ≤40 kg/m2 * Patient of KU Health System Department of Orthopedics and Sports Medicine (KUOrtho)meeting all requirements for TKA surgery. * TKA surgical date scheduled ≥3 mos. from consent * Own a Bluetooth enabled computer, tablet, or smart phone with the ability to join remote telehealth sessions and sync study self-monitoring devices. Exclusion Criteria: * Weight loss ≥10 pounds in previous 6 months * Dairy/milk protein allergy * Currently pregnant/breastfeeding or planning to become pregnant during the study * Currently being treated for an eating disorder or history of an eating disorder diagnosis * Pacemaker * Current Cancer * Diabetes Type 1 (insulin dependent) * Hyperuricemia (untreated) * Inflammatory bowel disease (active) * Liver disease requiring protein restriction * Myocardial infarction within last 3 months * Abnormal ECG * Renal insufficiency.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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University of Kansas Medical Center
Kansas City, Kansas, 66160, United States
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