Evidence-informed management of chronic low back pain with physical activity, smoking cessation, and weight loss

Spine Journal

Volumn 8, Issue 1, 2008, Pages 195-202

  Wai, Eugene K ^a,b   Rodriguez, Sebastian ^a   Dagenais, Simon ^a,b,c   Hall, Hamilton ^d  

^a UNIVERSITY OF OTTAWA   (Canada)

^b OTTAWA HOSPITAL RESEARCH INSTITUTE   (Canada)

^c CAM Research Institute   (United States)

^d UNIVERSITY OF TORONTO   (Canada)

Author keywords

CLBP; Modifiable lifestyle risk factors; Physical activity; Smoking cessation; Weight loss

Indexed keywords

HIGH DENSITY LIPOPROTEIN CHOLESTEROL;

BIOMECHANICS; BODY WEIGHT; BONE DENSITY; BONE MINERAL; CHOLESTEROL BLOOD LEVEL; CHRONIC PAIN; CIGARETTE SMOKING; DIABETES MELLITUS; DISABILITY; EVIDENCE BASED MEDICINE; EVIDENCE INFORMED MANAGEMENT; EXERCISE; GROUP THERAPY; HEALTH INSURANCE; HUMAN; LIFESTYLE; LOW BACK PAIN; LUMBAR SPINE; NUTRITION; OBESITY; PAIN ASSESSMENT; PATIENT CODING; PATIENT COUNSELING; PATIENT EDUCATION; PHYSICAL ACTIVITY; PHYSICIAN; PHYSIOTHERAPIST; PHYSIOTHERAPY; PRIORITY JOURNAL; PSYCHOLOGIST; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; REIMBURSEMENT; REVIEW; ROLAND MORRIS DISABILITY QUESTIONNAIRE; SCORING SYSTEM; SMOKING CESSATION; SYSTEMATIC REVIEW; THEORY; TOBACCO; TOBACCO DEPENDENCE; TREATMENT CONTRAINDICATION; TREATMENT INDICATION; TREATMENT OUTCOME; VISUAL ANALOG SCALE; WEIGHT BEARING; WEIGHT REDUCTION;

CHRONIC DISEASE; EVIDENCE-BASED MEDICINE; HUMANS; LOW BACK PAIN; MOTOR ACTIVITY; RISK FACTORS; RISK REDUCTION BEHAVIOR; SMOKING CESSATION; WEIGHT LOSS;

EID: 37349038990     PISSN: 15299430     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.spinee.2007.10.024     Document Type: Review

References (48)

1. Nutbeam D. Health promotion glossary (1998), World Health Organization, Geneva
2. Taylor M.C., and Dingle J.L. Prevention of tobacco-caused disease. Canadian Task Force on the Periodic Health Examination (1994), Health Canada, Ottawa 50011
3. Lyons R., and Langille L. Healthy lifestyle: strengthening the effectiveness of lifestyle approaches to improve health (2000), Public Health Agency of Canada
4. Beaulieu M.D. Physical activity counseling. Canadian Task Force on the Periodic Health Examination. Canadian Guide to Clinical Preventive Helath Care (1994), Health Canada, Ottawa 560-569. http://www.ctfphc.org/Full_Text/Ch47full.htm Accessed May 22, 2002
5. Manchikanti L. Epidemiology of low back pain. Pain Physician 3 (2000) 167-192
6. Hoogendoorn W.E., van Poppel M.N., Bongers P.M., Koes B.W., and Bouter L.M. Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine 25 (2000) 2114-2125
7. Burdorf A., and Sorock G. Positive and negative evidence of risk factors for back disorders. Scand J Work Environ Health 23 (1997) 243-256
8. Suni J.H., Oja P., Miilunpalo S.I., Pasanen M.E., Vuori I.M., and Bos K. Health-related fitness test battery for adults: associations with perceived health, mobility, and back function and symptoms. Arch Phys Med Rehabil 79 (1998) 559-569
9. Harreby M., Hesselsoe G., Kjer J., and Neergaard K. Low back pain and physical exercise in leisure time in 38-year-old men and women: a 25-year prospective cohort study of 640 school children. Eur Spine J 6 (1997) 181-186
10. Kelsey J.L., Greenberg R.A., Hardy R.J., and Johnson M.F. Pregnancy and the syndrome of herniated lumbar intervertebral disc; an epidemiological study. Yale J Biol Med 48 (1975) 361-368
11. Kauppila L.I., and Tallroth K. Postmortem angiographic findings for arteries supplying the lumbar spine: their relationship to low-back symptoms. J Spinal Disord 6 (1993) 124-129
12. Hopper J.L., and Seeman E. The bone density of female twins discordant for tobacco use. N Engl J Med 330 (1994) 387-392
13. Goldberg M.S., Scott S.C., and Mayo N.E. A review of the association between cigarette smoking and the development of nonspecific back pain and related outcomes. Spine 25 (2000) 995-1014
14. Leboeuf-Yde C. Smoking and low back pain. A systematic literature review of 41 journal articles reporting 47 epidemiologic studies. Spine 24 (1999) 1463-1470
15. Leboeuf-Yde C., and Yashin A. Smoking and low back pain: is the association real?. J Manipulative Physiol Ther 18 (1995) 457-463
16. Leboeuf-Yde C. Body weight and low back pain. A systematic literature review of 56 journal articles reporting on 65 epidemiologic studies. Spine 25 (2000) 226-237
17. Center for Disease Control and Prevention. How active do adults need to be to gain some benefit? (2007), Center for Disease Control and Prevention
18. American Cancer Society. Guide to quitting smoking (2006), American Cancer Society. http://www.cancer.org/docroot/PED/content/PED_10_13X_Guide_for_Quitting_Smoking.asp#How_to_Quit Available at:
19. Weight-control information network. Weight loss for life (2006), National Institute of Health [Report No.: NIH Publication No. 04-3700]
20. Wai E, Gruszczynski A, Johnson G, Chow D, O'Neil J, Vexler L. Modifiable lifestyle factors in patients presenting to a tertiary spine surgery clinic. Quebec City, Canada; 2005.
21. Hawk C., Long C.R., and Boulanger K.T. Prevalence of nonmusculoskeletal complaints in chiropractic practice: report from a practice-based research program. J Manipulative Physiol Ther 24 (2001) 157-169
22. Frost H., Klaber Moffett J.A., Moser J.S., and Fairbank J.C. Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain. BMJ 310 (1995) 151-154
23. Thoren P., Floras J.S., Hoffmann P., and Seals D.R. Endorphins and exercise: physiological mechanisms and clinical implications. Med Sci Sports Exerc 22 (1990) 417-428
24. Langridge J.C., and Phillips D. Group hydrotherapy exercises for chronic back pain sufferers-introduction and monitoring. Physiotherapy 74 (1988) 269-272
25. Liddle S.D., Baxter G.D., and Gracey J.H. Exercise and chronic low back pain: what works?. Pain 107 (2004) 176-190
26. Levine B.A. Use of hydrotherapy in reduction of anxiety. Psychol Rep 55 (1984) 526
27. Franchimont P., Juchmes J., and Lecomte J. Hydrotherapy-mechanisms and indications. Pharmacol Ther 20 (1983) 79-93
28. Practical guide to the identification, evaluation, and treatment of overweight and obesity in adults (2000), National Institutes of Health. http://www.nhlbi.nih.gov/guidelines/obesity/prctgd_c.pdf [NIH Publication Number 00-4084]. Available at:
29. Sculco A.D., Paup D.C., Fernhall B., and Sculco M.J. Effects of aerobic exercise on low back pain patients in treatment. Spine J 1 (2001) 95-101
30. Mannion A.F., Muntener M., Taimela S., and Dvorak J. Comparison of three active therapies for chronic low back pain: results of a randomized clinical trial with one-year follow-up. Rheumatology (Oxford) 40 (2001) 772-778
31. Waddell G., and Burton A.K. Occupational health guidelines for the management of low back pain at work: evidence review. Occup Med (Lond) 51 (2001) 124-135
32. Waddell G., Feder G., and Lewis M. Systematic reviews of bed rest and advice to stay active for acute low back pain. Br J Gen Pract 47 (1997) 647-652
33. Hagen K.B., Hilde G., Jamtvedt G., and Winnem M. Bed rest for acute low-back pain and sciatica. Cochrane Database Syst Rev (2004) CD001254
34. McIlveen B., and Robertson V.J. A randomised controlled study of the outcome of hydrotherapy for subjects with low back or back and leg pain. Physiotherapy 84 (1998) 17-26
35. Sjogren T., Long N., Storay I., and Smith J. Group hydrotherapy versus group land-based treatment for chronic low back pain. Physiother Res Int 2 (1997) 212-222
36. Tritilanunt T., and Wajanavisit W. The efficacy of an aerobic exercise and health education program for treatment of chronic low back pain. J Med Assoc Thai 84 (2001) S528-S533
37. Iversen M.D., Fossel A.H., and Katz J.N. Enhancing function in older adults with chronic low back pain: a pilot study of endurance training. Arch Phys Med Rehabil 84 (2003) 1324-1331
38. Prochaska J.O., and DiClemente C.C. Transtheoretical therapy: toward a more integrative model of change. Psychotherapy: theory. Res Pract 19 (1982) 276-287
39. Cochrane Back Review Group. Updated Search Strategies for CBG (2006), Cochrane Back Review Group
40. Dickersin K., Scherer R., and Lefebvre C. Identifying relevant studies for systematic reviews. BMJ 309 (1994) 1286-1291
41. Deyo R.A., Battie M., Beurskens A.J., et al. Outcome measures for low back pain research. A proposal for standardized use. Spine 23 (1998) 2003-2013
42. Melissas J., Kontakis G., Volakakis E., Tsepetis T., Alegakis A., and Hadjipavlou A. The effect of surgical weight reduction on functional status in morbidly obese patients with low back pain. Obes Surg 15 (2005) 378-381
43. Melissas J., Volakakis E., and Hadjipavlou A. Low-back pain in morbidly obese patients and the effect of weight loss following surgery. Obes Surg 13 (2003) 389-393
44. McGoey B.V., Deitel M., Saplys R.J., and Kliman M.E. Effect of weight loss on musculoskeletal pain in the morbidly obese. J Bone Joint Surg Br 72 (1990) 322-323
45. Hayden J.A., van Tulder M.W., Malmivaara A., and Koes B.W. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev (2005) CD000335
46. Mior S. Exercise in the treatment of chronic pain. Clin J Pain 17 (2001) S77-S85
47. Musich S., Faruzzi S.D., Lu C., McDonald T., Hirschland D., and Edington D.W. Pattern of medical charges after quitting smoking among those with and without arthritis, allergies, or back pain. Am J Health Promot 18 (2003) 133-142
48. Frost H., Lamb S.E., Klaber Moffett J.A., Fairbank J.C., and Moser J.S. A fitness programme for patients with chronic low back pain: 2-year follow-up of a randomised controlled trial. Pain 75 (1998) 273-279