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Obesity Hurts: The ...
Obesity Hurts: The Why and How of Integrating Weight Reduction With Chronic Pain Management
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Malfliet, A. (författare)
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Marnef, A. Q. (författare)
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- Nijs, Jo (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,University of Gothenburg Centre for person-centred care (GPCC)
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Clarys, P. (författare)
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Huybrechts, I. (författare)
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Elma, O. (författare)
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Yilmaz, S. T. (författare)
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Deliens, T. (författare)
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(creator_code:org_t)
- 2021-08-14
- 2021
- Engelska.
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Ingår i: Physical Therapy & Rehabilitation Journal. - : Oxford University Press (OUP). - 0031-9023. ; 101:11
- Relaterad länk:
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Chronic Pain
- Obesity
- Overweight
- Physical Therapy
- Physical Therapy
- Modalities
- Weight Loss
- low-back-pain
- chronic musculoskeletal pain
- physical-activity
- behavior-change
- gut microbiome
- exercise
- fibromyalgia
- epidemiology
- inflammation
- neuroscience
- Orthopedics
- Rehabilitation
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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