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pmid33074625      Body+Weight+Modification+Interventions+for+Chronic+Non-Cancer+Pain:+A+Review+of++Clinical+Effectiveness-/-CADTH+Rapid+Response+Reports 2020 ; ä (ä): ä
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  • Body Weight Modification Interventions for Chronic Non-Cancer Pain: A Review of Clinical Effectiveness #MMPMID33074625
  • Li Y; Argaez C
  • Body Weight Modification Interventions for Chronic Non-Cancer Pain: A Review of Clinical Effectiveness-/-CADTH Rapid Response Reports 2020[Mar]; ä (ä): ä PMID33074625show ga
  • In 2016, the World Health Organization estimated 1.9 billion adults (age >/= 18 years) to be overweight (body mass index, BMI = 25-29.9 kg/m(2)) and 650 million to be obese (BMI >/= 30 kg/m(2)). Amongst other symptoms, individuals who are overweight are more likely to suffer from fatigue, depression, and chronic pain.(,) Chronic pain affects about one in five Canadian adults (age >/= 18 years) and one in three seniors (age >/= 65 years). This has considerable economic implications as an estimated annual direct cost of $7.2 billion is associated with managing chronic pain in Canada. Chronic non-cancer pain is commonly caused by neuropathy, lower back issues, or arthritis. Studies have shown obesity to be associated with knee and hip pain. This link between chronic pain and obesity is related, in part, to the mechanical load on weight-bearing joints. This is especially relevant in patients with knee osteoarthritis (KOA) as the knee joint is most commonly affected in the lower extremities. As a chronic degenerative disease that could result in permanent damage to bone joints, osteoarthritis is the most common type of arthritis. With the goal of helping patients lose and maintain long-term weight loss, non-surgical treatments for obesity have been associated with benefits for obesity-related comorbidities. Non-pharmacological options for pain and mobility include, but are not limited to, strength training, aerobic exercise, yoga, massage therapy, orthotics, and/or weight loss interventions. Weight loss interventions can involve multidisciplinary teams consisting of dieticians, physiologists, and clinical psychologists. Differences exist in weight management programs, which can incorporate diet (e.g., caloric restriction), exercise (e.g., aerobic and/or strength training), behavioural education (e.g., self-regulatory skills), or various combinations of these interventions. In February 2020, a CADTH Rapid Response Reference List report indicated the availability of relevant literature regarding the clinical effectiveness of body weight modification interventions for chronic non-cancer pain, as well as evidence-based guidelines regarding body weight modification for chronic, non-cancer pain. The objective of this report is to review and summarize the relevant literature regarding the clinical effectiveness of body weight modification interventions for chronic non-cancer pain.
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