title: Exercise Benefits for Chronic Low Back Pain in Overweight and Obese Individuals.
abstract: Overweight and obese individuals with chronic low back pain (LBP) struggle with the combined physical challenges of physical activity and pain interference during daily life; perceived disability increases, pain symptoms worsen, and performance of functional tasks and quality of life (QOL) decline. Consistent participation in exercise programs positively affects several factors including musculoskeletal pain, perceptions of disability due to pain, functional ability, QOL, and body composition. It is not yet clear, however, what differential effects occur among different easily accessible exercise modalities in the overweight-obese population with chronic LBP. This narrative review synopsizes available randomized and controlled, or controlled and comparative, studies of easily accessible exercise programs on pain severity, QOL, and other outcomes, such as physical function or body composition change, in overweight-obese persons with chronic LBP. We identified 16 studies (N = 1,351) of various exercise programs (aerobic exercise [AX], resistance exercise [RX], aquatic exercise [AQU], and yoga-Pilates) that measured efficacy on LBP symptoms, and at least one other outcome such as perceived disability, QOL, physical function, and body composition. RX, AQU, and Pilates exercise programs demonstrated the greatest effects on pain reduction, perceived disability, QOL, and other health components. The highest adherence rate occurred with RX and AQU exercise programs, indicating that these types of programs may provide a greater overall impact on relevant outcomes for overweight-obese LBP patients.
  
  
  
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authors.affiliation: Department of Orthopaedics and Rehabilitation, Division of Research, Interdisciplinary Center for Musculoskeletal Training and Research, University of Florida, Gainesville, FL∗.
authors.forename: Joseph G
authors.initials: JG
authors.lastname: Wasser
authors.affiliation: Department of Orthopaedics and Rehabilitation, Division of Research, Interdisciplinary Center for Musculoskeletal Training and Research, University of Florida, Gainesville, FL(†).
authors.forename: Terrie
authors.initials: T
authors.lastname: Vasilopoulos
authors.affiliation: Department of Orthopaedics and Rehabilitation, Division of Research, Interdisciplinary Center for Musculoskeletal Training and Research, University of Florida, Gainesville, FL(‡).
authors.forename: Laura Ann
authors.initials: LA
authors.lastname: Zdziarski
authors.affiliation: Department of Orthopedics and Rehabilitation, Division of Research, UF Orthopaedics and Sports Medicine Institute (OSMI), PO Box 112727, Gainesville, FL 32611(§). Electronic address: vincehk@ortho.ufl.edu.
authors.forename: Heather K
authors.initials: HK
authors.lastname: Vincent
mesh_terms: D059350:Chronic Pain / Q000209:etiology / Q000628:therapy*; D004185:Disability Evaluation; D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D017116:Low Back Pain / Q000209:etiology / Q000628:therapy*; D009765:Obesity / Q000150:complications*; D050177:Overweight / Q000150:complications*; D010147:Pain Measurement; D011788:Quality of Life