Healthy lifestyle care vs guideline-based care for low back pain: a randomized clinical trial

Review written by Todd Hargrove info

Key Points

  1. Healthy lifestyle management with guideline-based care for chronic low back pain was superior to guideline-based care alone for disability, weight, and quality of life.
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BACKGROUND & OBJECTIVE

Research has linked chronic low back pain (LBP) to lifestyle factors like being overweight, smoking, physical inactivity and poor diet. But there is uncertainty about whether interventions directed at lifestyle factors are effective treatments for LBP.

This trial aimed to assess whether adding lifestyle-focused support to guideline-based care would improve disability outcomes compared to guideline-based care alone.

Chronic low back pain (LBP) has been linked to lifestyle factors like being overweight, smoking, physical inactivity and poor diet.
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The findings suggest clinicians should consider addressing lifestyle factors as part of a comprehensive approach to managing chronic low back pain.

METHODS

  • 346 participants with chronic LBP and at least one lifestyle risk factor (overweight, poor diet, physical inactivity, or smoking) were randomized to receive either: (1) The Healthy Lifestyle Program (HeLP), which combined guideline-based physiotherapy with lifestyle education, dietitian consultation, educational
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