ASSESSMENT OF NUTRITIONAL STATUS AND DIET OF PATIENTS WITH CHRONIC LOW BACK PAIN
DOI:
https://doi.org/10.32689/2663-0672-2025-1-6Keywords:
chronic pain, low back pain, nutritional status, diet, nutrition, nutritional interventionsAbstract
Chronic low back pain is an urgent problem of the modern population, which leads to impaired daily functioning, increases the number of days of disability and worsens the quality of life. In recent years, a number of theories have emerged that link chronic low back pain to lifestyle components, including poor nutritional status and certain eating patterns. Studying the nutritional status and eating habits of patients with chronic low back pain will help to identify problems and, by implementing appropriate nutritional interventions, potentially improve the pain status and overall health of patients. Objective. To assess the nutritional status, diet and nutrition of patients with chronic low back pain. Materials and methods. On the basis of the Rehabilitation Department of the University Clinic of the Bogomolets National Medical University, a survey of 195 people aged 18-60 years with chronic nonspecific low back pain was conducted. The subjects were assessed for nutritional status, diet and nutrition by questionnaire. Results. The average age of the subjects was 32.7±12.7 years, among them 68% were women and 32% were men. According to the body mass index, it was found that only 43% of the subjects had normal nutritional status. Insufficient nutritional status was observed in 5% of the subjects, excessive nutritional status in 36%, obesity of the first degree in 12%, and obesity of the second degree in 4%. Among the subjects, 48% did not have a full breakfast, and 53% tended to overeat during dinner. It was found that only 44% of the subjects eat fruits daily, 50% vegetables and only 28% consumed cereals and grains, most of the people (88%) did not eat legumes in their diet. It was found that 65% of the respondents consumed fish in their diet once a week or did not consume it at all, and only 20% consumed dairy products daily. A significant proportion of the subjects abused foods with pro-inflammatory properties and consumed insufficient fluids per day. Conclusions. Among patients with chronic lumbar pain, a high percentage of patients with excessive nutritional status and obesity, non-compliance with general recommendations for healthy eating and dietary regimen were found. In the management of patients with chronic low back pain, it is necessary to assess the nutritional status, identify its disorders and apply nutritional interventions to form a healthy eating pattern.
References
A preliminary study on how hypohydration affects pain perception / T. Bear et al. Psychophysiology. 2016. Vol. 53, no. 5. P. 605–610. URL: https://doi.org/10.1111/psyp.12610
A systematic review and meta-analysis of nutrition interventions for chronic noncancer pain / K. Brain et al. Journal of Human Nutrition and Dietetics. 2018. Vol. 32, no. 2. P. 198–225. URL: https://doi.org/10.1111/jhn.12601 (date of access: 01.05.2025).
Aronne L. J. Classification of Obesity and Assessment of Obesity-Related Health Risks. Obesity Research. 2002. Vol. 10, S12. P. 105S–115S. URL: https://doi.org/10.1038/oby.2002.203
Association between Fat Distribution and Chronic Low Back Pain among 10,606 Adults: Data from the Korean National Health and Nutrition Examination Survey / M. Oh et al. International Journal of Environmental Research and Public Health. 2022. Vol. 19, no. 9. P. 5599. URL: https://doi.org/10.3390/ijerph19095599
Chronic Low Back Pain and Associated Risk Factors: Are There Any Sex Differences? M. Ovdii et al. Health of Man. 2024. No. 4. P. 32–36. URL: https://doi.org/10.30841/2786-7323.4.2024.322116 (date of access: 01.05.2025).
Chronic Musculoskeletal Pain and Nutrition: Where Are We and Where Are We Heading? Ö. Elma et al. PM&R. 2020. Vol. 12, no. 12. P. 1268–1278. URL: https://doi.org/10.1002/pmrj.12346
Dean E., Söderlund A. What is the role of lifestyle behaviour change associated with non-communicable disease risk in managing musculoskeletal health conditions with special reference to chronic pain?. BMC Musculoskeletal Disorders. 2015. Vol. 16, no. 1. URL: https://doi.org/10.1186/s12891-015-0545-y
Editorial: Nutrition and metabolism in musculoskeletal disorders / M. Zhang et al. Frontiers in Nutrition. 2023. Vol. 10. URL: https://doi.org/10.3389/fnut.2023.1269939 (date of access: 01.05.2025).
Effects of Prolonged Sitting with Slumped Posture on Trunk Muscular Fatigue in Adolescents with and without Chronic Lower Back Pain / K.-S. Jung et al. Medicina. 2020. Vol. 57, no. 1. P. 3. URL: https://doi.org/10.3390/medicina57010003
Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017 / A. Wu et al. Annals of Translational Medicine. 2020. Vol. 8, no. 6. P. 299. URL: https://doi.org/10.21037/atm.2020.02.175
Global, regional, and national burden of low back pain, 1990–2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. M. L. Ferreira et al. The Lancet Rheumatology. 2023. Vol. 5, no. 6. P. e316-e329. URL: https://doi.org/10.1016/s2665-9913(23)00098-x
Gubska O. Y., Ovdiia M. O., Kurets O. O. Relationship between nutrition and chronic low back pain. Review. Ukrainian Therapeutical Journal. 2024. No. 4. P. 62–67. URL: https://doi.org/10.30978/utj2024-4-62
Kaushik A. S., Strath L. J., Sorge R. E. Dietary Interventions for Treatment of Chronic Pain: Oxidative Stress and Inflammation. Pain and Therapy. 2020. Vol. 9, no. 2. P. 487–498. URL: https://doi.org/10.1007/s40122-020-00200-5
Ness A. Diet, Nutrition and the Prevention of Chronic Diseases. WHO Technical Report Series 916. Report of a Joint WHO/FSA Expert Consultation. International Journal of Epidemiology. 2004. Vol. 33, no. 4. P. 914–915. URL: https://doi.org/10.1093/ije/dyh209
Pro On the approval of the Norms of physiological needs of the population of Ukraine in basic nutrients and energy. Order of the Ministry of Health of Ukraine dated 2017 Sept 3, No. 1073].. [cited 2023 Jun 1]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/z1206-17#Text
Pro-inflammatory Dietary Intake Relates to Pain Sensitivity in Chronic Non-Specific Low Back Pain: A Case-Control Study / Ö. Elma et al. The Journal of Pain. 2023. URL: https://doi.org/10.1016/j.jpain.2023.08.015
Systematic review on chronic non-communicable disease in disaster settings / C. Ngaruiya et al. BMC Public Health. 2022. Vol. 22, no. 1. URL: https://doi.org/10.1186/s12889-022-13399-z
World Health Organization (WHO). Healthy diet; 2020 Apr 29 [cited 2023 Jun 27]. Available from: https://www.who.int/news-room/factsheets/detail/healthy-diet
World Health Organization. (2023). Package of interventions for rehabilitation. Module 2. Musculoskeletal conditions. World Health Organization.
Yeung S. S. Y., Kwan M., Woo J. Healthy Diet for Healthy Aging. Nutrients. 2021. Vol. 13, no. 12. P. 4310. URL: https://doi.org/10.3390/nu13124310
