(valued at over $745) osteoarthritis management program · the best osteoarthritis pain management...

✓ Reduce load and stress on joints

✓ Keep joints moving

✓ Relieve pain

Visit www.HealthyWeightForLife.com.au and click on the Osteoarthritis (OA) Program button or phone us on 1800 226 180

100% Funded!

No additional cost to eligible members

of participating private health funds*

(Valued at over $745)

Incorporating®

Supported by

Osteoarthritis Management

Integrated

Program

TAKE ACTION NOW!Get on top of your joint pain!

* Eligibility criteria and closing dates apply. Refer to our Program website or contact us for specific details.

Take action now & get on top of your joint pain

General Osteoarthritis TreatmentThere are three interconnected objectives for effective treatment of knee and hip osteoarthritis. These are:• reduce load and stress on the joints• keep the joints moving• relieve painImportantly, if you don’t address all three core objectives then you may be putting up with unnecessary pain and stiffness.

Reducing Loads on Joints There are a number of different ways to reduce the load and stress on your joints, the 2 most important ways are:• weight loss• strengthening lower limb muscles.

Weight Loss When the average person with osteoarthritis who is 10 to 15 kg overweight loses just 6 to 7 kg* they can experience a life changing improvement in the joint pain and stiffness that they experience each day.

Ongoing knee or hip pain and discomfort should not be dismissed as an inevitable part of getting older – you can take action and get back to doing more of the things you enjoy.

The reason such a dramatic improvement can be achieved is because for every 1kg of extra body weight a person carries there is around a 4kg increase in the pressure that is put on the knee joints.

So even losing 5kg would feel like taking the equivalent of a 20kg bag of cement off the knee joint which will obviously make a huge improvement to sore joints!

Strengthening Lower Limb Muscles The lower limb muscles play an important role in cushioning and stabilising knee and hip joints during weight-bearing activities such as walking. For example when the thigh muscles are strong and working effectively they act as ‘shock absorbers’ that reduce the strain on knee joints.

Keeping the Joints MovingMany people with osteoarthritis tend to avoid using their painful joints for fear of making their pain worse. Unfortunately, when we don’t use our muscles they actually become weaker and less able to support and cushion

Visit www.HealthyWeightForLife.com.au and click on the Osteoarthritis (OA) Program button.1

the joint which will actually make the joint even more painful over time.

There is good evidence that, among people with osteoarthritis of the hip or knee, light to moderate intensity physical exercise (with prior approval from their GP) improves muscle strength, joint range of motion and physical fitness. All of these improvements contribute to improved physical functioning and pain reduction.

Relieving PainWith good pain control you can enjoy the simple things in life that people without constant pain take for granted. Every day activities such as walking, sleeping, travel, shopping, bowls or even golf should be enjoyed without persistent pain.

The best osteoarthritis pain management plan is multi layered. It includes:• Careful and planned use of prescription and

over-the-counter medication. • Reducing the load and stress on joints.• Keeping the joints moving. • Non-medicated pain relief strategies.

The ProgramThe Integrated Osteoarthritis Management™ program is a specialised knee and hip arthritis disease management program that carefully integrates:• muscle strengthening – helps stabilise

joints and improve joint function• land based and range of motion

exercises – reduces joint stiffness and improves function

• pain management strategies – medication and non-medication strategies

• improved nutrition and weight loss – reduces the physical load placed on joints and improves the metabolic profile

• education – builds understanding and helps implement the integrated osteoarthritis interventions

• monitoring and engagement strategies – helps instil individual accountability, boost motivation and maximise clinical impact of the program.

By implementing these interventions, the Program aims to achieve reduced joint pain, stiffness and swelling to help:• improve functions of daily living – for

example, going up and down stairs, getting in and out of a car, putting on socks / stockings, going shopping etc.

• (where relevant) improve fitness for joint replacement surgery and enhance preparation for post surgery rehabilitation.

The Program is run by the Healthy Weight For Life™ Team on behalf of a number of major private health insurance companies. For eligible members of participating health funds there is no charge at all (ie. over $745 worth of products, service and support, provided for free).

(*6.1kg weight loss equates to 7.5% of body weight for a woman of average height and BMI of 30, 7.2kg weight loss equates to 7.5% for a man of average height and BMI of 30)

BMI = body weight (kg) ÷ [(height in metres) x (height in metres)]

Visit www.HealthyWeightForLife.com.au and click on the Osteoarthritis (OA) Program button. 2

Eligibility CriteriaThe general eligibility for a fully funded program are:

• Current or historical diagnosis of osteoarthritis supported by radiological evidence (eg. x-ray or MRI) or an incidental finding from a previous arthroscopy, AND

• Body mass index (BMI) ≥ 30 [BMI =body weight (kg) ÷ (height in metres)²] AND

• According to medical opinion, AT LEAST ONE of the following:

a) knee or hip joint osteoarthritis symptoms that have (or are likely to in the foreseeable future) necessitated referral to an orthopaedic surgeon for further investigation or evaluation for an initial or second joint replacement procedure OR

b) An existing knee or hip joint replacement that has developed symptoms such as pain, swelling, instability or warmth and could benefit from weight loss, improved fitness and muscle strength OR

c) A knee or hip joint replacement procedure is planned and weight loss, improved fitness and muscle strength prior to surgery is desirable.

Program eligibility criteria may change from time to time.

To find out the full eligibility criteria please visit: www.HealthyWeightForLife.com.au and click on the Osteoarthritis (OA) Program button or phone 1800 226 180.

Program Overview Each 6 week phase of the Integrated Osteoarthritis Management™ Program has its own: • Physiotherapist developed knee and hip

strength, balance and mobility exercise program.

• Increased physical activity plan. • Portion control eating plan (includes

KicStart™ VLCD meal replacements). • Online* coaching plan. • Personalised online* self monitoring

and tracking system. • Personalised telephone motivation,

support and advice.(*people without internet access can still do the program via phone and post)

Phase 1 (weeks 1 – 6)

Reducing Joint Load and StressThe primary goals for the first 6 weeks are to improve knee and hip muscle tone, achieve a weight loss of around 5 - 6%, get sore joints moving, start feeling less pressure and pain in the joints, plus understand the: • Fundamentals of weight gain and

weight loss. • Energy content of foods. • Benefits of regular physical activity. • Rationale for the use of

pain medication and complementary non-medication pain management strategies.

• Causes of osteoarthritis and how it progresses.


The Integrated Osteoarthritis Management™ Program strategically combines: Physiotherapist developed knee and hip

strength, balance and mobility exercise program.

A clever portion control eating system and tools that show you how to select the right combinations of food and drink in the right quantities, every day at every meal.

KicStart™ VLCD - a thoroughly researched, unique, high quality and nutritionally complete very low calorie diet (VLCD) meal replacement to ‘kick start’ your weight loss and boost your motivation.

Coaching for making practical behaviour and lifestyle changes – a carefully planned sequence of coaching sessions to build up knowledge and critical practical skills over time.

Self monitoring and tracking – special online and / or printed tools to help you track your progress to success.

Telehealth - personalised telephone motivation, support and advice.

As you move through the 3 phases of the Program, the number of meals replaced with KicStart™ VLCD are reduced as you progressively build up the new sustainable healthy eating and lifestyle habits you will need to keep your weight under control for life.The tools, online (and/or printed) education material and phone support are carefully co-ordinated to help you learn and maintain these important new habits.

There is no need to attend meetings or clinics. All the program components are delivered directly to you.

Phase 2 (weeks 7 – 12)

Improving Joint Function andPain ReductionThe primary goals for the second 6 weeks are to build up knee and hip muscle strength, achieve and maintain a weight loss of at least 7% of your starting weight (with a secondary goal of 10% loss if possible), feel more energetic, progressively increase walking and joint movement, feel a major improvement in joint pain and function, plus understand the: • Influences on food choices – conscious

and unconscious. • Benefits of reading nutritional panels. • Stages of change. • Psychological factors

affecting weight.

Phase 3 (weeks 13 – ongoing)

Weight MaintenanceSuccess for the third 6 weeks is further enhanced knee and hip muscle strength, sustaining a stable weight, maintaining around 30 minutes of walking each day, increasing lower limb muscle strength, having greatly reduced joint pain and a positive attitude for the long term, plus understand the: • Importance of not skipping breakfast. • Importance of self monitoring. • Strategies to improve motivation. • Secrets for successful weight

maintenance.


Breakfast Lunch Dinner Drinks Snacks Activity + Strength

Phase 1weeks 1- 6

KicStartTM VLCD shake plus some (optional) ‘free foods’ such as a bowl of diced strawberries, blueberries and raspberries.

KicStartTM VLCD shake or soup plus (optional) ‘free foods’ such as leafy salad.

Use tools provided to prepare a portion controlled dinner eg spaghetti bolognese and salad.

Up to 2 litres of water or ‘free drinks’ such as sparkling mineral water.

‘free foods’ eg spicy eggplant dip with carrot slices.

3 x 10 minute walks on a flat surface (daily) level 1 lower limb exercises (3 x per week)

Phase 2weeks 7- 12

KicStartTM VLCD shake plus some (optional) ‘free foods’ such as grilled tomato and mushrooms.

Portion controlled lunch and snacks

Use tools provided to prepare a portion controlled dinner eg roast pumpkin, baby spinach and chicken risotto.

Up to 2 litres of water or ‘free drinks’ such as a diet soft drink.

‘free foods’ such as grilled soy and sesame mushrooms.

1 x 30 minute walk (daily) level 2 lower limb exercises (3 x per week)

Phase 3weeks13 -

Ongoing

Portion controlled breakfast eg poached eggs on sourdough toast.


Use tools provided to prepare a portion controlled dinner eg ravioli with tomato sauce and roasted vegetable salad.

Up to 2 litres of water or ‘free drinks’ such as vegetable juice.

‘free foods’ such as quick and easy salsa.

1 x 30 minute walk (daily) or use a pedometer to target 10,000 steps during the day level 3 lower limb exercises (3 x per week)

Structured Phases

OR

OptionalOptional

Optional

5 Visit www.HealthyWeightForLife.com.au and click on the Osteoarthritis (OA) Program button.

Breakfast Lunch Dinner Drinks Snacks Activity + Strength

Phase 1weeks 1- 6

KicStartTM VLCD shake plus some (optional) ‘free foods’ such as a bowl of diced strawberries, blueberries and raspberries.

KicStartTM VLCD shake or soup plus (optional) ‘free foods’ such as leafy salad.

Use tools provided to prepare a portion controlled dinner eg spaghetti bolognese and salad.

Up to 2 litres of water or ‘free drinks’ such as sparkling mineral water.

‘free foods’ eg spicy eggplant dip with carrot slices.

3 x 10 minute walks on a flat surface (daily) level 1 lower limb exercises (3 x per week)

Phase 2weeks 7- 12

KicStartTM VLCD shake plus some (optional) ‘free foods’ such as grilled tomato and mushrooms.


Use tools provided to prepare a portion controlled dinner eg roast pumpkin, baby spinach and chicken risotto.

Up to 2 litres of water or ‘free drinks’ such as a diet soft drink.

‘free foods’ such as grilled soy and sesame mushrooms.

1 x 30 minute walk (daily) level 2 lower limb exercises (3 x per week)

Phase 3weeks13 -

Ongoing

Portion controlled breakfast eg poached eggs on sourdough toast.


Use tools provided to prepare a portion controlled dinner eg ravioli with tomato sauce and roasted vegetable salad.

Up to 2 litres of water or ‘free drinks’ such as vegetable juice.

‘free foods’ such as quick and easy salsa.

1 x 30 minute walk (daily) or use a pedometer to target 10,000 steps during the day level 3 lower limb exercises (3 x per week)

6

Osteoarthritis Management

Integrated

Program

Visit www.HealthyWeightForLife.com.au and click on the Osteoarthritis (OA) Program button.

Kit Contents

Phase 1 kit (6 kg box)• Phase 1 overview letter and Section 1:

Healthy Weight For Life™ – Week by Week Guide book.

• 1 x DVD and Section 2 Book: Physiotherapist developed knee and hip strength, balance and mobility exercises plus pain management strategies.

• 2 metres of resistant exercise tubing.• 1 portion control eating kit containing: Healthy Eating and Activity Plan book 1 x dinner portion control disc. 1 x litre drink bottle. 1 x insulated lunch box. 1 x DVD Rom.• 1 x tape measure for measuring waist

circumference.• 84 sachets of KicStart™ VLCD meal

replacements. (Your choice of flavours are packed and sent – available in 9 different shake and soup flavours).

• 1 x large milkshake shaker for mixing your shakes when at home, work or out and about.

Phase 2 kit (3kg box)If you opt to continue into phase 2 you will be sent your next kit. This includes: • Phase 2 overview letter. • 42 sachets of KicStart™ VLCD meal

replacements - your choice of flavours.

Once your enrolment has been activated, you will receive the following (all at no charge):

Phase 3 kit (2kg box)If you opt to continue into phase 3 you will be sent your final phase kit. This includes: • Phase 3 overview letter. • 21 sachets of KicStart™ VLCD meal

replacements - your choice of flavours.


DVD, book and resistance exercise tube

Portion control eating system and tools

KicStart™ VLCD shakes and soups

INCLUDED*

INCLUDED*

INCLUDED*

* All items are included at no additional cost to eligible members of participating private health funds (valued at over $745)

IMPORTANT Safety Information This Program has been designed to assist you and your healthcare team optimally manage a range of modifiable osteoarthritis risk factors. It does not replace the advice given by your own health professional or medical practitioner. Please consult your GP before commencing this Program and attend regular checkups to keep them updated with your progress.

Pre-existing Health Conditions and Medications Extra caution and close supervision is necessary for patients with multiple co-existing conditions, those taking regular prescription medication (in particular warfarin, insulin, oral diabetes medication and blood pressure medication), those aged over 65, and those who have a history of gout, gall bladder, kidney or liver problems.

With calorie (or kilojoule) restriction, increased physical activity and weight loss you may experience substantial improvements in your blood glucose control, blood pressure or cholesterol. As your measurements change your GP or specialist may need to make adjustments to the dosage of some of your medication.

Please consult your GP or specialist before making any adjustments to your medication. For specific advice on how to best manage your health risk factors please consult your GP, specialist or credentialed healthcare professional.

Exercise Precautions Before you start any new exercises or increase your level of physical activity, please check with your GP or specialist first. They will determine if the additional activity or exercises are safe for you based on your health status and personal circumstances.

It is very important that you only do exercises within your physical capabilities. Exercises should not be difficult or cause you to be breathless – take your time.

Some minor discomfort may be experienced during some of the exercises or stretches. It is important that you do not continue exercising with increasing pain, or pain that is moderate to severe.

Dietary Precautions The protein used in the manufacture of KicStart™ is primarily dairy based therefore the shakes and soups do contain naturally occurring lactose. Those who have mild lactose intolerance or sensitivity (indications may include loose stools, bloating or cramping after drinking a large glass of milk) may be able to utilise a lactase supplement. Lactase is the enzyme that breaks down lactose and a supplement of these enzymes such as Lacteeze™ tablets can assist in reducing symptoms of lactose intolerance. Please discuss the available options with your local pharmacist.

For those diagnosed with coeliac disease, please be advised that the KicStart™ shakes are gluten free (no gluten detected to a sensitivity of 5ppm).

The KicStart™ soups however do contain gluten (detectable at 80ppm) and should not be used by those with a gluten intolerance or allergy.

If you have been advised at any time to follow specific dietary guidelines (eg. low protein, dairy free, gluten free, nut free etc) or if you have a known food allergy please speak with your supervising healthcare professional about your specific circumstances before commencing any Healthy Weight For Life™ Program.


Next Steps - for those WITH the internet 1. Go to www.HealthyWeightForLife.com.au

and click on Osteoarthritis (OA) Program button.

2. Click on the ENROL TO PARTICIPATE button and follow the prompts.

3. After completing the enrolment procedure you will immediately be emailed your ‘Application and GP / Specialist Approval Form’ (please check your ‘junk folder’ if it does not arrive within 15 minutes).

4. Print out your ‘Application and GP / Specialist Approval Form’, fill in and sign the Member Consent section.

5. Make an appointment with your GP or specialist to discuss the suitability of the Program for you. If they are happy for you to do the Program please ask him/her to complete and sign the GP / Specialist Approval section.

6. Fax, scan and email, or post the completed form to the Healthy Weight For Life™ Team (details included on the form).

7. Your application will usually be processed within 2 working days and the phase 1 kits delivered within 10 working days to approved participants. You will receive regular emails to let you know how your application is progressing.

8. When your Phase 1 kit arrives, go back to www.HealthyWeightForLife.com.au and click on Osteoarthritis (OA) Program button.

9. Click on MEMBER ENTRY to log in using the username and password you specified during the application process.

Visit www.HealthyWeightForLife.com.au and click on the Osteoarthritis (OA) Program button.

Remember we are here to help:The Healthy Weight For Life™ Team will track your progress and contact you if you aren’t logging on regularly or if it looks like you are having problems.

We want you to succeed so to help us help you it is VERY IMPORTANT that you log in or phone in with your progress (and any questions or concerns) so that you can get the best results from your Program.

9

Next Steps - for those WITHOUT the internet 1. Call the Healthy Weight For Life™ Team

on 1800 226 180 (free call) who will be able to complete the enrolment procedure with you over the phone and send you an ‘Application and GP / Specialist Approval Form’.

2. Fill in and sign the Member Consent section of the ‘Application and GP / Specialist Approval Form’.

3. Make an appointment with your GP to discuss the suitability of the Program for you. If they are happy for you to do the program please ask him/her to complete and sign the GP / Specialist Approval section.

4. Fax or post the completed form to the Healthy Weight For Life™ Team (details included on the form).

5. Your application will usually be processed within 2 working days of being received and the phase 1 kit delivered within 10 working days to approved participants.

6. When your Phase 1 kit arrives please call the Healthy Weight For Life™ Team on 1800 226 180 (free call) to provide your starting weight and waist measurements.

This will activate your 18 Week Program Calendar and gives you the opportunity to clarify any queries or concerns you might have about the Program.

7. EACH TWO WEEKS for the next 18 weeks you must call the Healthy Weight For Life™ Team on 1800 226 180 (a free call from any landline anywhere in Australia) to report in and to provide your current weight and waist measurements.

Remember we are here to help:The Healthy Weight For Life™ Team will track your progress and contact you if you aren’t phoning in regularly or if it looks like you are having problems.

We want you to succeed so to help us help you it is VERY IMPORTANT that you phone in with your progress (and any questions or concerns) so that you can get the best results from your Program.


DisclaimerThe information contained in this brochure is provided by Prima Health Solutions Pty Ltd (Prima) in good faith. Prima makes no warranties or representations about the accuracy or completeness of the information presented. The information does not supersede or replace advice from a healthcare professional. Prima recommends that you seek advice from a suitably qualified healthcare professional before acting on any information contained in this brochure.

CopyrightAll material contained in this brochure is owned and controlled by Prima. All rights are reserved. Please contact us if you wish to make any commercial or public use of this material.

PrivacyPrima runs the Integrated Osteoarthritis Management™ program (incorporating Healthy Weight For Life) and is committed to protecting your privacy. Prima will not collect any Personal Information from your visits to our sites unless you provide this information voluntarily. The full Prima Privacy Policy can be found on the Integrated Osteoarthritis Management™ home page.

The Osteoarthritis ProgramThe Integrated Osteoarthritis Management™ Program is a specialised knee and hip arthritis disease management program that integrates:

• Knee and hip muscle strengthening.

• Pain relief strategies.

• Weight loss via clever portion control strategies.

Need additional help, information or support?Please don’t hesitate to contact the Healthy Weight For Life™ team on:

T 1800 226 180 (free call) E [email protected]

Prima Health Solutions PO Box 6011 Frenchs Forest NSW 2086

Incorporating®

Supported by

(valued at over $745) osteoarthritis management program · the best osteoarthritis pain management...

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