Obesity Hurts: The Why and How of Integrating Weight Reduction with Chronic Pain Management
Authors: Malfliet, A., Quiroz Marnef, A., Nijs, J., Clarys, P., Huybrechts, I., Elma, Ö., Tumkaya Yilmaz, S. and Deliens, T.
Journal: Physical Therapy
Volume: 101
Issue: 11
eISSN: 1538-6724
ISSN: 0031-9023
DOI: 10.1093/ptj/pzab198
Abstract:Amongst adults with chronic pain, overweight and obesity are highly prevalent. The association between chronic pain and overweight is driven by several explanations, including increased biomechanical load, changes in the gut microbiome, and low-grade (neuro)inflammation. Moreover, the link between overweight, obesity and chronic pain can best be considered from a lifestyle perspective. Since conservative treatment for chronic pain is often limited to short-term and small effects, addressing important comorbidities within a lifestyle approach could be the next step towards precision medicine for these patients. Indeed, evidence shows that combining weight reduction with conservative pain management is more effective to reduce pain and disability, compared to either intervention alone. This perspective article aims to update the reader with the current understanding of the possible explanatory mechanisms behind the interaction between overweight/obesity and chronic pain in an adult population. Second, this paper applies this knowledge to clinical practice, including assessment and conservative treatment of overweight/obesity in adults with chronic pain. Henceforth, clinical recommendations and guidelines are provided based on available scientific evidence and the authors' clinical expertise. Impact: This paper will guide clinicians in the implementation of weight reduction programs within pain management.
Source: Scopus
Obesity Hurts: The Why and How of Integrating Weight Reduction With Chronic Pain Management.
Authors: Malfliet, A., Quiroz Marnef, A., Nijs, J., Clarys, P., Huybrechts, I., Elma, Ö., Tumkaya Yilmaz, S. and Deliens, T.
Journal: Phys Ther
Volume: 101
Issue: 11
eISSN: 1538-6724
DOI: 10.1093/ptj/pzab198
Abstract:UNLABELLED: Amongst adults with chronic pain, overweight and obesity are highly prevalent. The association between chronic pain and overweight is driven by several explanations, including increased biomechanical load, changes in the gut microbiome, and low-grade (neuro)inflammation. Moreover, the link between overweight, obesity and chronic pain can best be considered from a lifestyle perspective. Since conservative treatment for chronic pain is often limited to short-term and small effects, addressing important comorbidities within a lifestyle approach could be the next step towards precision medicine for these patients. Indeed, evidence shows that combining weight reduction with conservative pain management is more effective to reduce pain and disability, compared to either intervention alone. This perspective article aims to update the reader with the current understanding of the possible explanatory mechanisms behind the interaction between overweight/obesity and chronic pain in an adult population. Second, this paper applies this knowledge to clinical practice, including assessment and conservative treatment of overweight/obesity in adults with chronic pain. Henceforth, clinical recommendations and guidelines are provided based on available scientific evidence and the authors' clinical expertise. IMPACT: This paper will guide clinicians in the implementation of weight reduction programs within pain management.
Source: PubMed
Obesity Hurts: The Why and How of Integrating Weight Reduction With Chronic Pain Management
Authors: Malfliet, A., Marnef, A.Q., Nijs, J., Clarys, P., Huybrechts, I., Elma, O., Yilmaz, S.T. and Deliens, T.
Journal: PHYSICAL THERAPY
Volume: 101
Issue: 11
eISSN: 1538-6724
ISSN: 0031-9023
DOI: 10.1093/ptj/pzab198
Source: Web of Science (Lite)
Obesity Hurts: The Why and How of Integrating Weight Reduction With Chronic Pain Management.
Authors: Malfliet, A., Quiroz Marnef, A., Nijs, J., Clarys, P., Huybrechts, I., Elma, Ö., Tumkaya Yilmaz, S. and Deliens, T.
Journal: Physical therapy
Volume: 101
Issue: 11
Pages: pzab198
eISSN: 1538-6724
ISSN: 0031-9023
DOI: 10.1093/ptj/pzab198
Abstract:Amongst adults with chronic pain, overweight and obesity are highly prevalent. The association between chronic pain and overweight is driven by several explanations, including increased biomechanical load, changes in the gut microbiome, and low-grade (neuro)inflammation. Moreover, the link between overweight, obesity and chronic pain can best be considered from a lifestyle perspective. Since conservative treatment for chronic pain is often limited to short-term and small effects, addressing important comorbidities within a lifestyle approach could be the next step towards precision medicine for these patients. Indeed, evidence shows that combining weight reduction with conservative pain management is more effective to reduce pain and disability, compared to either intervention alone. This perspective article aims to update the reader with the current understanding of the possible explanatory mechanisms behind the interaction between overweight/obesity and chronic pain in an adult population. Second, this paper applies this knowledge to clinical practice, including assessment and conservative treatment of overweight/obesity in adults with chronic pain. Henceforth, clinical recommendations and guidelines are provided based on available scientific evidence and the authors' clinical expertise.
Impact
This paper will guide clinicians in the implementation of weight reduction programs within pain management.Source: Europe PubMed Central