Comparison of Diet With and Without Strengthening Exercises Impacting Non-Specific Chronic Low Back Pain Patients in Obesity

Dr. Muhammad Sarfraz, Dr. Azadeh Shadmehr, Javeria Ahmed, Dr. Mazhar Ali Bhutto, Dr. Shohreh Jalaie, Dr. Abida Nadeem
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Abstract

Background: Dietetic variations have long been taken as an imperative factor for managing obesity in low back pain patients. Thus, to evaluate diet with and without exerciseto consider further the best regimen to counter this burning issue. Therefore, his study aimed to compare the effects of diet with and without strength training on non-specific low back pain in obese clients. Methods: Fifty-two patients with sedentary lifestyles, aged between 25-40 years, were assigned to two groups according to their BMI (Grade I &II obesity) and were assessed for their weight, Body Mass Index (BMI), Waist to Hip Ratio (WHR), Body Fat Percentage (BF %), Fat Mass (FM), Lean Mass (LM), Numeric Pain Rating Scale (NPRS), Oswestry Disability Index (ODI) and pushups for muscular endurance and strength were the outcome measures of interests. One group followed diet only (D), while the other followed diet plus strength (DS) training. After six weeks of intervention, patients were assessed again on the same parameters. Results: DS group revealed positive changes in all parameters, i.e., weight (0.00), BMI (0.00), WHR (0.01), BF% (0.00), FM (0.00), LM (0.01), NPRS (0.00), OLBPD (0.00), pushups (0.00), while D group showed insignificant results in WHR (p-value-0.736, before 0.88+0.1 after0.88-+0.1), LM (p-value-0.384, before 40.9+8.9 after 40.3+8.8) and Pushups (p-value 0.384, before 4.6+3.4 after 4.3+3.7). Conclusion: Six weeks of diet and diet plus strength training resulted in positive changes in pain and ODI. Still, the diet-plus strength exercise group overweighed the diet-only group in all parameters. Keywords: Diet, Exercise, Low Back Pain, Obesity.
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有强化训练和无强化训练的饮食对肥胖症非特异性慢性腰痛患者的影响比较
背景:长期以来,饮食变化一直被认为是控制腰背痛患者肥胖的必要因素。因此,要评估有运动和无运动的饮食习惯,以进一步考虑应对这一棘手问题的最佳方案。因此,他的研究旨在比较有力量训练和无力量训练的饮食对肥胖患者非特异性腰背痛的影响:根据体重指数(I 级和 II 级肥胖)将 52 名久坐不动、年龄在 25-40 岁之间的患者分为两组,并对他们的体重、体重指数(BMI)、腰臀比(WHR)、体脂百分比(BF %)、脂肪量(FM)、瘦肉量(LM)、数字疼痛评定量表(NPRS)、Oswestry 残疾指数(ODI)以及俯卧撑的肌肉耐力和力量进行评估。一组只进行饮食训练(D),另一组进行饮食加力量训练(DS)。干预六周后,再次对患者进行相同参数的评估。结果显示力量训练组在所有参数上都有积极变化,即体重 (0.00)、BMI (0.00)、WHR (0.01)、BF% (0.00)、FM (0.00)、LM (0.01)、NPRS (0.00)、OLBPD (0.00)、俯卧撑 (0.00),而 D 组在 WHR 方面的结果不显著(P 值-0.736, before 0.88+0.1 after 0.88-+0.1), LM (p-value-0.384, before 40.9+8.9 after 40.3+8.8) and Pushups (p-value 0.384, before 4.6+3.4 after 4.3+3.7).Conclusion:结论:为期六周的节食和节食加力量训练使疼痛和 ODI 发生了积极变化。结论:为期六周的节食和节食加力量训练使疼痛和 ODI 发生了积极变化,但节食加力量训练组在所有参数上都优于单纯节食组:饮食 锻炼 腰痛 肥胖
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