BEL AĞRISI OLAN VE OLMAYAN OBEZ BİREYLERDE BİYOPSİKOSOSYAL FAKTÖRLERİN KARŞILAŞTIRILMASI
Yıldız, Mustafa Tarık
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This study was planned to examine and compare biopsychosocial factors in obese individuals with and without low back pain(LBP). 96 obese individuals who met the inclusion criteria had LBP (n=40, age=44.65±11.93 years, BMI: 30.00-43, 29 kg/m2) and no LBP (n=56, age=43.23±11.19 years, BMI: 30.00-47.47kg/m2). The physical and sociodemographic characteristics of the individuals, the level of mobility, the severity of LBP and leg pain, the level of physical performance and the level of disability are biological factors; presence of anxiety and depression, quality of life and emotion regulation skills as psychological factors; physical activity level and activity status, occupational status, education level, smoking status, self-care and difficulty in Daily activities were recorded as social/life style factors. Back and leg pain severity, physical performance, disability level, quality of life, emotion regulation skills and physical activity level were evaluated with Visual Analog Scale (VAS-10 cm), physical performance test battery, Oswestry Disability Index, Notthingham Health Profile, Emotion Regulation Skills Scale and International Physical Activity Questionnaire. When the data is examined; In obese individuals with LBP, the level of performance determined by the level of mobility, weighted forward reach, timed up-go test and 10-repetition trunk flexion; pain, physical activity, energy and total score sub-dimensions of quality of life, and the sub-dimension of emotion regulation skills were found to be worse than individuals without LBP (p<0.05); social/life style factors were found to be similar (p>0.05). These findings show that LBP creates biological and psychological differences in obese individuals, and therefore, the presence of low back pain in treatment approaches to obese individuals includes different biological and psychological dimensions. Therefore, biological and psychological dimensions should be taken into account while planning the treatment may guide the relevant clinicians.