Background & Aims
Obesity is one of the most important factors that increase the risk of low back pain (LBP) due to disruption of normal body mechanics and inflammatory effects. Low back pain can occur as a result of a complex interplay of multiple factors, and the supportive social model provides an important framework for considering and evaluating these interacting elements.The aim of this study was to examine and compare biopsychosocial factors in obese individuals with and without low back pain (LBP).
Methods
96 obese individuals who met the inclusion criteria had LBP (n=40, age=44.65±11.93 years, BMI: 30.00-43. 29 kg/m2) and no LBP (n=56, age=43.23±11.19 years, BMI: 30.00-47.47 kg/m2). The level of mobility, the severity of LBP and leg pain, the level of physical performance and the level of disability are biological factors; quality of life and emotion regulation skills as psychological factors; physical activity level, occupational status, education level, smoking status, difficulty in Daily activities were recorded as social/life style factors. Back and leg pain severity, physical performance, disability level, quality of life, emotion regulation skills and physical activity level were evaluated with Visual Analog Scale (VAS-10 cm), physical performance test battery, Oswestry Disability Index, Notthingham Health Profile, Emotion Regulation Skills Scaleand International Physical Activity Questionnaire. In comparisons between two groups, Mann-Whitney U test was used.
Results
In obese individuals with LBP, the level of performance determined by the level of mobility, weighted forward reach, timed up-go test and 10-repetition trunk flexion; pain, physical activity, energy and total score sub-dimensions of quality of life, and the sub-dimension of emotion regulation skills were found to be worse than individuals without LBP (p<0.05); social/life style factors were found to be similar (p>0.05).
Conclusions
These findings show that LBP creates biological and psychological differences in obese individuals, and therefore, the presence of low back pain in treatment approaches to obese individuals includes different biological and psychological dimensions. Therefore, biological and psychological dimensions should be taken into account while planning the treatment may guide the relevant clinicians.
References
1.Leach, M. J., Climstein, M., Fryer, G., Kumar, S., & Agnew, T. (2023). Mapping guideline?informed care for chronic non?specific low back pain with the biopsychosocial approach: A rapid review. Pain practice.
2.Liu, Y., Tang, G., & Li, J. (2023). Causations between obesity, diabetes, lifestyle factors and the risk of low back pain. European Spine Journal, 1-8.
Presenting Author
Mustafa Tar?k Y?ld?z
Poster Authors
Mustafa Tarik Yildiz
MSc
Burdur Healthy Life Center
Lead Author
Topics
- Specific Pain Conditions/Pain in Specific Populations: Low Back Pain