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000132224 001__ 132224 000132224 005__ 20250923084414.0 000132224 0247_ $$2doi$$a10.3390/healthcare12050505 000132224 0248_ $$2sideral$$a137448 000132224 037__ $$aART-2024-137448 000132224 041__ $$aeng 000132224 100__ $$0(orcid)0000-0002-9201-0120$$aHerrero, Pablo$$uUniversidad de Zaragoza 000132224 245__ $$aEffects of Lifestyle Interventions on the Improvement of Chronic Non-Specific Low Back Pain: A Systematic Review and Network Meta-Analysis 000132224 260__ $$c2024 000132224 5060_ $$aAccess copy available to the general public$$fUnrestricted 000132224 5203_ $$aChronic non-specific low back pain (CNSLBP) is a highly prevalent musculoskeletal condition that has a great socioeconomic impact on health systems. Instead of focusing on mechanical causes and direct workload in the development of CNSLBP, genetics, psychosocial environment, lifestyle and quality of life are coming to the forefront in its approach. The main objective was to analyze whether interventions aimed at modifying lifestyle can be effective in improving pain intensity and functional disability in CNSLBP. A search in PubMed, Web of Science, Scopus and SportDiscus databases was performed. Both a univariate and a multivariate network meta-analysis were applied with the difference pre/post-treatment. A total of 20 studies were included for qualitative analysis, of which 16 were randomized clinical trials with a moderate–high methodological quality and were part of the quantitative analysis. The interventions that had the greatest effect in reducing pain intensity were cognitive therapy combined with functional exercise programs, lumbar stabilization exercise and resistance exercise; meanwhile, for functional disability, they were functional exercise programs, aerobic exercise and standard care. In conclusion, a multimodal intervention aimed at changing one’s lifestyle that encompasses cognitive, behavioral, and physical aspects seems to be highly effective in improving pain intensity and functional disability caused by CNSLBP; however, it is not yet known if these improvements are maintained in the long term. 000132224 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000132224 590__ $$a2.7$$b2024 000132224 592__ $$a0.754$$b2024 000132224 591__ $$aHEALTH POLICY & SERVICES$$b35 / 124 = 0.282$$c2024$$dQ2$$eT1 000132224 593__ $$aHealth Informatics$$c2024$$dQ2 000132224 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b64 / 185 = 0.346$$c2024$$dQ2$$eT2 000132224 593__ $$aLeadership and Management$$c2024$$dQ2 000132224 593__ $$aHealth Policy$$c2024$$dQ2 000132224 593__ $$aHealth Information Management$$c2024$$dQ2 000132224 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000132224 700__ $$0(orcid)0000-0002-5836-1568$$aVal, Paula 000132224 700__ $$0(orcid)0000-0002-6506-6081$$aLapuente-Hernández, Diego$$uUniversidad de Zaragoza 000132224 700__ $$aCuenca-Zaldívar, Juan Nicolás 000132224 700__ $$0(orcid)0000-0002-1674-7788$$aCalvo, Sandra$$uUniversidad de Zaragoza 000132224 700__ $$0(orcid)0000-0002-7876-4735$$aGómez-Trullén, Eva María$$uUniversidad de Zaragoza 000132224 7102_ $$11006$$2245$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Educación Física y Depor. 000132224 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia 000132224 773__ $$g12, 5 (2024), 505 [27 pp.]$$pHealthcare (Basel)$$tHealthcare (Switzerland)$$x2227-9032 000132224 8564_ $$s2215128$$uhttps://zaguan.unizar.es/record/132224/files/texto_completo.pdf$$yVersión publicada 000132224 8564_ $$s2679062$$uhttps://zaguan.unizar.es/record/132224/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000132224 909CO $$ooai:zaguan.unizar.es:132224$$particulos$$pdriver 000132224 951__ $$a2025-09-22-14:32:05 000132224 980__ $$aARTICLE
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