Take the next steps in your weight loss journey - sign up now to see if you qualify for the TOPS Study and gain exclusive access to expert-guided support, resources, and potential benefits designed to help you succeed.
Timestamp
Weighing Your Options: Managing Your Weight With Arthritis Webinar
00:00 - Countdown Begins
TOPS recruitment study introduction and webinar countdown (3 minutes).
03:00 - Welcome & Introduction
TOPS recruitment study introduction and webinar countdown (3 minutes).
03:00 - Welcome & Introduction
Introduction to the webinar, purpose, and expert panel:
Dr. David Hunter Dr. Steve Messier Dr. Shannon Mihalko
How excess weight increases joint stress. The two major pathways of osteoarthritis progression: mechanical load and inflammation triggered by obesity. The two major pathways of osteoarthritis progression: mechanical load and inflammation triggered by obesity. "Pac-Man analogy" for cartilage degradation.
11:20 - The Benefits of Weight Loss for Osteoarthritis
1 lb weight loss = 4 lbs less stress on knees. 5% weight loss = 30% pain reduction (same as NSAIDs). 10% weight loss = Over 50% pain reduction.
11:20 - The Benefits of Weight Loss for Osteoarthritis
1 lb weight loss = 4 lbs less stress on knees.
5% weight loss = 30% pain reduction (same as NSAIDs). 10% weight loss = Over 50% pain reduction.
16:45 - Ideal Weight Loss Targets
5% weight loss: Achievable first goal. 10% weight loss: Best results. 20% weight loss: More benefits but harder to sustain.
19:30 - Best Weight Loss Approach: Diet + Exercise
1200-1500 calorie diet structure (meal replacements + healthy dinner). Walking 40 minutes, 3 times per week + strength training. Why most people plateau at 7-8% weight loss and how to push past it.
24:10 - Cost-Effectiveness of Weight Loss vs. Knee Replacement
Harvard study: Weight loss programs cost $34,000 per QALY vs. $25,000 knee replacements. Why hospitals hesitate despite long-term savings.
27:50 - Challenges in Maintaining Weight Loss
How the body fights back: Increased hunger, slower metabolism. Strategies to stay on track long-term.
32:00 - Behavioral & Psychological Factors in Weight Loss
Dr. Shannon Mihalko on mindset & behavior change. Self-reflection: What motivated you to lose weight? Importance of self-efficacy (confidence in weight loss success). Overcoming obstacles & maintaining results.
38:40 - Goal-Setting for Sustainable Weight Loss
Aligning goals with personal values. Adjusting diet & exercise plans as needed. Why strict dieting backfires—no food is off-limits approach.
44:20 - Managing Stress & Emotional Barriers to Weight Loss
Aligning goals with personal values. Adjusting diet & exercise plans as needed. Why strict dieting backfires—no food is off-limits approach.
50:00 - The TOPS Study & How to Get Involved
Study locations: North Carolina, Massachusetts, Australia. Eligibility: Women 50+, overweight, single-knee OA. Research goal: Prevent knee osteoarthritis through diet & exercise.
53:15 - A Special Opportunity for Webinar Attendees
Exclusive access to something that makes weight loss easier. A limited-time offer designed to help you stay on track. Details revealed—how you can take the next step today.
56:30 - Final Thoughts & Next Steps
Post-webinar email with replay, resources & offer details. Contact for TOPS study enrollment. Watch success story highlight reels.
