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Review Article

Low back pain, obesity, and inflammatory markers : exercise as potential treatment

원문정보

Isabela Maia da Cruz Fernandes, Rafael Zambelli Pinto, Paulo Ferreira, Fábio Santos Lira

한국운동재활학회 JER Vol.14 No.2 2018.04 pp.168-174
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초록

영어

Low back pain is a health issue with significant impact to patients and society. This narrative review aims to synthesize the relationship be-tween obesity, low-grade inflammation and low back pain. It is known that a sedentary lifestyle is a risk factor for obesity and related disor-ders. The adipose tissue of obese people secretes a range of cytokines of character pro- and anti-inflammatory, with many molecular effects. In addition, pro-inflammatory cytokines are sensitizers of C-reactive protein (CRP), a marker of acute inflammation that can be linked to the musculoskeletal pain sensation individuals with back pain. Another in-flammatory marker deserves mention, prostaglandin E2. Prostaglandin E2 is important in the process of triggering actions such as pyrexia, sen-sation of pain and inflammation, which are exhibited in low back pain condition. The potential for exercises and physical activity to control these mediators and act as a preventative measure for back pain are important because they work as a nonpharmacological strategy to this target audience. There are two types of exercise discussed in this re-view, the moderate-intensity continuous training and high-intensity in-terval training.

목차

Abstract
 INTRODUCTION
 PREVALENCE
 ETIOLOGY
 SEDENTARY LIFESTYLE
 OBESITY
 ADIPOSE TISSUE AND INFLAMMATORY MARKERS
 PGE2 AND EXERCISE
 MODERATE-INTENSITY CONTINUOUS TRAINING
 HIGH-INTENSITY INTERVAL TRAINING
 CONCLUSIONS
 CONFLICT OF INTEREST
 ACKNOWLEDGMENTS
 REFERENCES

저자정보

  • Isabela Maia da Cruz Fernandes Exercise and Immunometabolism Research Group, Department of Physical Education, Faculty of Sciences and Technology, São Paulo State University, Presidente Prudente, São Paulo, Brazil
  • Rafael Zambelli Pinto Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
  • Paulo Ferreira Discipline of Physiotherapy, The University of Sydney – Faculty of Health Sciences, Sydney, Australia
  • Fábio Santos Lira Exercise and Immunometabolism Research Group, Department of Physical Education, Faculty of Sciences and Technology, São Paulo State University, Presidente Prudente, São Paulo, Brazil

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