A combination of healthy lifestyle management and care based on guidelines has shown a minimum improvement in chronic low back pain in relation to care -based care, according to data published in data published in data published in data published in data published in Jama Network Open.1
“Lumbalgia is an invalid cause in the world and an important public health problem,” wrote the authors. “Observation studies have linked the development and persistence of low back pain with risk factors for lifestyle, such as overweight, smoking, physical inactivity and poor diet. Disability associated with back pain can also lead to compensatory unhealthy lifestyle behavior, exposing people to an increased risk of chronic diseases. »»
According to the World Health Organization (WHO), low backgrounds are cause 1 of disability worldwide, affecting 619 million people and estimated at 843 million by 2050.2 This occurs at any age and it is more likely that an individual experiences low back pain at some point in his life than otherwise. However, in spite of who recognizing low back pain as an extremely important condition, he does not recommend the weight loss to deal with it due to evidence that lacks evidence – a theme that researchers noticed during the exploration of the association of Lombalgia with a healthy lifestyle.
According to the World Health Organization (WHO), low backgrounds are cause 1 of disability in the world. | Image credit: Jo Panuwat D / Stock.Adobe.com
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To approach the lack of knowledge concerning the management of lifestyle for low back pain, the researchers focused on the risk factors of lifestyle such as obesity, smoking, poor diet and physical inactivity.
“In response to gaps on knowledge on integrated care for low backgrounds and unhealthy lifestyle, we have designed the help (healthy lifestyle program) for a chronic lumbalgia test,” they wrote.1 “The assistance test was aimed at assessing the advantages and potential damage to the integration of the management of unhealthy lifestyle with care based on the low people with disabilities compared to the care collected during lines current directors. “
The assistance test was conducted between September 8, 2017 and December 30, 2020, to compare the intervention of assistance with care -based care for adults with non -specific chronic low back pain. Investigators focused only on patients with at least 1 with a risk factor for lifestyle defined as overweight patients, not meeting the recommended amount of physical activity or consumption of fruit and / or vegetables, nor smoking.
“Help intervention included directives on directives and back pain, education and support for a specific healthy lifestyle provided in clinical consultations, educational resources (booklet and web access) and coaching Health based on the phone, ”continued the authors. “Clinical consultations have included up to 4 physiotherapist and 1 dietitian sessions over 12 weeks, focusing on lifestyle changes and pain education self -management plans.”
For those who have informed care of guidelines, patients received pain education, advice and exercises. They were invited to attend 3 consultations over a period of 12 weeks. Clinicians working with patients in the control group have not given advice on lifestyle outside of exercise recommendations. All trial participants were randomized in a 1: 1 report to help or control interventions.
In total, 344 people were included in the study (average age, 50.2 years; 55% of women) with 172 participants separated in each intervention group. However, after 26 weeks of follow -up, only 142 participants and 147 participants in aid and groups of guidelines provided data respectively.
“The integration of a healthy lifestyle into low background care has led to a low improvement in disability at 26 weeks compared to current care -based care. There was also a small reduction in weight and a better quality of physical life, but no difference in pain intensity, mental quality or smoking, “they wrote.1
With minimum improvements in lifestyle risks and low back pain, researchers think that this study helps strengthen evidence of lifestyle interventions in the treatment of low back pain. Because who does not believe the appropriate evidence, it does not recommend lifestyle interventions to treat low back pain. But as future research is carried out similar to the current test, providers will have other methods of approaching low back pain or pain as a whole.
“This randomized clinical trial suggests that the integration of health risk management management for patients with low back pain can provide low improvement in invalidity in relation to care -based care and significant advantages for Those who respected at least half of the treatment, “they concluded.1 “Treatment models that include support to approach lifestyle behavior are promising to improve the load of disability of low back pain and provide opportunistic care at the risk of chronic disease widespread in people with back pain.”
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