132224 20260217205456.0 doi 10.3390/healthcare12050505 sideral 137448 ART-2024-137448 eng Herrero, Pablo Universidad de Zaragoza (orcid)0000-0002-9201-0120 Effects of Lifestyle Interventions on the Improvement of Chronic Non-Specific Low Back Pain: A Systematic Review and Network Meta-Analysis 2024 Access copy available to the general public Unrestricted Chronic 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. info:eu-repo/semantics/openAccess by https://creativecommons.org/licenses/by/4.0/deed.es 2.7 2024 HEALTH POLICY & SERVICES 35 / 125 = 0.28 2024 Q2 T1 HEALTH CARE SCIENCES & SERVICES 65 / 188 = 0.346 2024 Q2 T2 0.754 2024 Health Informatics 2024 Q2 Leadership and Management 2024 Q2 Health Policy 2024 Q2 Health Information Management 2024 Q2 4.7 2024 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Val, Paula (orcid)0000-0002-5836-1568 Lapuente-Hernández, Diego Universidad de Zaragoza (orcid)0000-0002-6506-6081 Cuenca-Zaldívar, Juan Nicolás Calvo, Sandra Universidad de Zaragoza (orcid)0000-0002-1674-7788 Gómez-Trullén, Eva María Universidad de Zaragoza (orcid)0000-0002-7876-4735 1006 245 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Educación Física y Depor. 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 12, 5 (2024), 505 [27 pp.] Healthcare (Basel) Healthcare (Switzerland) 2227-9032 2215128 http://zaguan.unizar.es/record/132224/files/texto_completo.pdf Versión publicada 2679062 http://zaguan.unizar.es/record/132224/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:132224 articulos driver 2026-02-17-20:20:33 ARTICLE