Effects of Lifestyle Interventions on the Improvement of Chronic Non-Specific Low Back Pain: A Systematic Review and Network Meta-Analysis

Herrero, Pablo; Val, Paula; Lapuente-Hernández, Diego; Cuenca-Zaldívar, Juan Nicolás; Calvo, Sandra; Gómez-Trullén, Eva María

doi:10.3390/healthcare12050505

Cited by 5 publications

(2 citation statements)

References 74 publications

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“…Moreover, cumulative evidence indicates that the pathogenesis of CLBP is complex and is associated with several risk factors, such as age, lifestyle factors, and dietary choices ( 8 , 9 ). In addition, substantial evidence has implicated that diet and lifestyle interventions have beneficial effects on reducing the risk and improving the condition of CLBP ( 10 , 11 ). Therefore, the exploration of risk factors for CLBP from the diet and lifestyle perspective has gained considerable attention in recent years and may provide theoretical guidance in the early prevention of CLBP.…”

Section: Introductionmentioning

confidence: 99%

Sugar-sweetened beverage intake and chronic low back pain

Wang,

Tang,

et al. 2024

Front. Nutr.

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BackgroundThe consumption of sugar-sweetened beverages (SSBs) has become a major public health problem globally. However, no studies have specifically examined the relationship between SSB intake and chronic low back pain (CLBP). Therefore, the present study aimed to investigate the relationship between SSB intake and the risk of CLBP.MethodsThis cross-sectional study enrolled participants aged 20 to 69 from the National Health and Nutrition Examination Survey. CLBP was defined as persistent LBP for a consecutive three-month period. Furthermore, SSB intake was assessed and calculated based on dietary recall interviews. Moreover, survey-weighted logistic regression models were employed to evaluate the association between SSB intake and the risk of CLBP, while the restricted cubic spline (RCS) analysis was used to determine whether there were nonlinear associations between SSB intake and CLBP risk. In addition, subgroup analysis was performed using stratification and interaction analysis for all covariates.ResultsA total of 4,146 participants (mean age: 43.405 years) were enrolled in the final analysis. The results of survey-weighted logistic regression models showed that SSB consumption was significantly associated with an increased risk of CLBP among individuals aged 20 to 69 years. Moreover, the results of subgroup analysis and interaction analysis demonstrated that the association between SSB intake and the risk of CLBP was modified by smoking status and hypertension. Specifically, the SSB intake-associated CLBP risk was more pronounced among current smokers or individuals with hypertension.ConclusionReduction of SSB consumption might contribute to the prevention of CLBP for individuals aged 20 to 69 years. Moreover, current smokers or individuals with hypertension should be more vigilant about the SSB intake-associated CLBP risk. Nevertheless, caution should be exercised when interpreting the results of this study, as further research is necessary to explore the association between SSB consumption and CLBP, given the limitations of the current study.

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Section: Introductionmentioning

confidence: 99%

Sugar-sweetened beverage intake and chronic low back pain

Wang,

Tang,

et al. 2024

Front. Nutr.

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“…The treatment approach depends on whether the pain is classified as nonspecific or specific [2], with prolonged LBP often resulting in functional limitations [7]. Risk factors for nonspecific LBP include sedentary lifestyles, smoking, obesity, and high physical stress at work [8,9], emphasizing the role of lifestyle modifications in management strategies.…”

Section: Introductionmentioning

confidence: 99%

Effects of mattress firmness and usage duration on low back pain: a hospital-based study from Lahore

Mobeen,

Muhammad Kazim,

Ijaz

2023

J Soc Health Sci

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Low back pain (LBP) is a prevalent global health issue that causes significant discomfort and disability. Previous research highlights the crucial role of mattress quality, particularly firmness and usage duration, in LBP management. This study aimed to examine sociodemographic and mattress usage characteristics, assessing LBP severity, comparing pain across different mattress firmness levels, and analyzing the correlation between mattress usage duration and LBP severity. This exploratory study was conducted at Hussain Memorial Hospital, Lahore, over two months in 2023. Using the purposive sampling method, this study recruited 130 male and female patients, aged 18 to 60 years, diagnosed with mechanical back pain through a positive Kemp test and who have been using the same mattress for over a year. The data were collected through face-to-face interviews using a questionnaire that incorporated the Numeric Pain Rating Scale (NPRS) and Modified Oswestry Disability Index (MODI). Analysis was performed using SPSS 25.00, with significance set at p-value ≤ 0.05. Most of the patients reported moderate disability (78.46%) and preferred medium mattress firmness (29.23%), with an average mattress usage of 7.18 ± 3.49 years. Kruskal‒Wallis tests revealed significant differences in LBP severity across mattress firmness levels (p < 0.001), with medium firmness associated with less pain. A positive correlation was found between mattress use duration and LBP severity, with r = 0.250 (p = 0.004). This study established a link between mattress firmness and LBP severity, with medium firmness potentially offering optimal relief. Additionally, a correlation exists between extended mattress usage and heightened LBP symptoms, suggesting that the age of a mattress may aggravate LBP. These insights highlight the importance of selecting a mattress by carefully considering both its firmness and usage duration as key factors in effective LBP management.

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