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Effectiveness of a telephone-based weight management program in overweight or obese patients with lower back pain waiting for orthopedic consultation.

Not Applicable
Completed
Conditions
ow back pain
Overweight and obesity
Low back pain
Musculoskeletal - Other muscular and skeletal disorders
Diet 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
Inclusion Criteria

*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

Exclusion Criteria

*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
NameTimeMethod
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
NameTimeMethod
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 ]
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