Effectiveness of a telephone-based weight management program in overweight or obese patients with lower back pain waiting for orthopedic consultation.
- Conditions
- ow back painOverweight and obesityLow back painMusculoskeletal - Other muscular and skeletal disordersDiet and Nutrition - Obesity
- Registration Number
- ACTRN12615000478516
- Lead Sponsor
- Hunter New England Population Health, Hunter New England Local Health District
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 160
*Primary complaint of pain in the lower back area (i.e. between the 12th rib and buttock crease) with or without leg pain
*Pain duration of longer than 3 months since the onset of pain
*Average back pain intensity of 3 or greater out of 10 over the past week on a numerical rating scale of 0 to 10
*Moderate level of interference in activities of daily living (adaptation of item 8 on SF36)
*Aged 18 years or over
*Classified as overweight or obese with a self-reported body mass index (BMI) between 27 or greater and less than 40
*Have access to and can use a telephone
*A known or suspected serious pathology as the underlying cause of back pain (e.g. fracture, cancer, infection)
*A previous history of obesity surgery
*Currently participating in any prescribed, medically supervised or commercial weight loss program
*Back surgery in the last six months or planned surgery in the next 6 months
*Unable to comply with the study protocol, adapt meals or exercise, due to non-independent living arrangements
*Any medical or physical impairment apart from back pain precluding safe participation in exercise such as uncontrolled hypertension, or morbid obesity (BMI>40)
*Cannot speak and read English
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Pain Intensity measured as the average lower back pain over the past week using a numerical rating scale of 0 to 10, where 0 is no pain and 10 is the worst possible pain[Baseline and at 2, 6, 10, 14, 18, 22 and 26 weeks after randomisation. ]
- Secondary Outcome Measures
Name Time Method Disability and function assessed using the Roland Morris Disability Questionnaire[Baseline and at 6 and 26 weeks after randomisation];Patient quality of life assessed using the SF-12.v2[Baseline and at 6 and 26 weeks after randomisation];Diet assessed using the Food Frequency Questionnaire[Baseline and at 6 and 26 weeks after randomisation];Physical activity assessed using the Active Australia Survey[Baseline and at 6 and 26 weeks after randomisation];Weight (kg) assessed by a trained research assistant using a portable digital scale measured to the nearest 0.1kg [26 weeks after randomisation ]