Keeler Carolyn E, Oguguo Ezinne, Goodwin C Rory, Goertz Christine
Department of Neurosurgery, Spine Division, Duke University, Durham, NC, USA (CK).
Department of Neurosurgery, Duke University School of Medicine, Durham, NC, USA (EO).
Am J Lifestyle Med. 2025 Sep 2:15598276251375398. doi: 10.1177/15598276251375398.
Low back pain is a pervasive global public health problem. As with other chronic non-communicable diseases, dietary intervention can improve clinical outcomes and reduce health care costs. Pharmacologic and non-pharmacologic treatments are included in non-invasive treatment clinical practice guidelines. Nutrition recommendations can also be added. This review summarizes existing information on nutrition and low back pain, identifies areas for further investigation, and proposes a role for dietary recommendations in treatment and prevention from a public health and patient care perspective. Nutritional goals for decreasing low back pain include maintaining a healthy weight, following an anti-inflammatory diet, optimizing micronutrient intake, and promoting gut microbiome health. Adherence to nutrition and health recommendations is influenced by social determinants of health, including neighborhood design, structural racism, access to healthy food, socioeconomic status, and educational level. Achieving nutritional health equity must be a top priority to reduce existing health disparities. Future research on the role of nutrition in low back pain, including optimal dietary patterns, should focus on developing recommendations to be integrated into an interdisciplinary approach to low back pain.
腰痛是一个普遍存在的全球性公共卫生问题。与其他慢性非传染性疾病一样，饮食干预可以改善临床结局并降低医疗成本。非侵入性治疗临床实践指南包括药物治疗和非药物治疗。也可以添加营养建议。本综述总结了关于营养与腰痛的现有信息，确定了需要进一步研究的领域，并从公共卫生和患者护理的角度提出了饮食建议在治疗和预防中的作用。减轻腰痛的营养目标包括保持健康体重、遵循抗炎饮食、优化微量营养素摄入以及促进肠道微生物群健康。对营养和健康建议的依从性受到健康的社会决定因素的影响，包括社区设计、结构性种族主义、获得健康食品的机会、社会经济地位和教育水平。实现营养健康公平必须成为减少现有健康差距的首要任务。未来关于营养在腰痛中的作用的研究，包括最佳饮食模式，应侧重于制定建议，以纳入腰痛的跨学科治疗方法。
