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    +36 30/408-1265
  • Vasas Pasaréti Sportcentrum,
    1026 Budapest, Pasaréti út 11-13.

Outpatient specialties

Weight loss prior to orthopedic surgery

According to domestic data, 40% of adult men in Hungary are overweight (BMI > 25) and 25% are obese (BMI > 30). Among women, 29% are overweight and 23% are obese.
Among those aged 65 and older, these rates are even worse, with 42.5% being overweight and 30% obese.

Many patients hope that they will lose weight after orthopedic surgery because their mobility improves. Numerous studies refute this notion; improved mobility alone is not enough to achieve weight loss.

Weight loss is of paramount importance before orthopedic surgery, as it improves surgical outcomes and shortens recovery time.

Even before surgery, a 10% reduction in body weight can help reduce joint pain by 50%, as it decreases the load on the joints.

Obesity is associated with numerous comorbidities (metabolic syndrome, diabetes, cardiovascular diseases, elevated uric acid levels, obstructive sleep apnea, etc.), which pose an increased risk in the context of orthopedic surgery. Furthermore, inflammatory factors produced by adipose tissue
contribute to the development and progression of chronic joint inflammation.

Obesity increases the likelihood of postoperative complications, such as infection, deterioration of the patient’s condition, blood loss, and venous thrombosis, and as a result, the rehabilitation period may be longer overall.

Significant weight loss can be achieved through appropriate dietary changes:

In 1 month 2–4 kg weight loss
In 3 months 6–12 kg weight loss
In 6 months 12–24 kg weight loss

It is advisable to start a diet with a dietitian, as a professional will take into account the patient’s comorbidities (e.g., diabetes, acid reflux, high cholesterol, elevated uric acid levels, etc.), individual food preferences, and personal circumstances when designing the meal plan.

A diet started without professional guidance may be unbalanced and unsustainable in the long term, which can lead, among other things, to weight regain or the development of nutritional deficiencies. Starting popular fad diets can be particularly harmful to a patient’s health, as they are not personalized at all, and this can lead to a deterioration in health prior to surgery.

When starting a weight-loss program with a dietitian, a meal plan is developed following an initial assessment, supported by regular follow-ups and dietary adjustments as needed.

Pasamed Dietetic Consultation:
Ágnes Koszta, Dietitian
Appointments and information: 0670/452-3485

References: Obesity Treatment in Orthopedic Surgery, Journal of the American Academy of Orthopedic Surgeons, 2022.