Lifestyle and Chronic Pain across the Lifespan: An Inconvenient Truth?
Open accessAbstract
Chronic pain has a tremendous personal and socioeconomic impact and remains difficult to treat. Therefore, it is important to provide an update on the current understanding regarding lifestyle factors in people with chronic pain across the lifespan. Lifestyle factors such as physical (in)activity, sedentary behavior, stress, poor sleep, unhealthy diet, and smoking are associated with chronic pain severity and sustainment. This applies to all age categories, that is, chronic pain across the lifespan. Yet current treatment options often do not or only partly address the many lifestyle factors associated with chronic pain or attempt to address them in a standard format rather than providing an individually tailored multimodal lifestyle intervention. The evidence regarding lifestyle factors is available in adults, but limited in children and older adults having chronic pain, providing important avenues for future research. In conclusion, it is proposed that treatment approaches for people with chronic pain should address all relevant lifestyle factors concomitantly in an individually-tailored multimodal intervention. Ultimately, this should lead to improved outcomes and decrease the psychological and socioeconomic burden of chronic pain. Level of Evidence: IV.
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The behavioral change could be strongly correlated to the inpatient context, defined by a multimodal approach in the treatment of rheumatic conditions.
“Along with the inclusion of the intervention component focused on values and committed action, involving a concrete action plan with specific objectives for facilitating a balanced lifestyle, we believe this behavioral change could be strongly correlated to the inpatient context, defined by a multimodal approach in the treatment of rheumatic conditions [105].”
From A Single-Session Process-Based Cognitive-Behavioral Intervention Combined with Multimodal Rehabilitation Treatment for Chronic Pain Associated with Emotional Disorders (2024) · cites this paper as [105]
In “A multimodal approach addressing lifestyle factors concomitantly in people with chronic pain” (page unavailable), the paper proposes combining rehabilitation with individually tailored lifestyle interventions. It does not address an inpatient context, rheumatic conditions specifically, or a correlation between that context and behavioral change. (LLM, conf=0.85)
Experimental — accuracy not yet measuredLifestyle management has been proposed as a novel non-pharmacological treatment for chronic pain.
“lifestyle management has been proposed as a novel non-pharmacological treatment for chronic pain [4], [5], [6]”
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Flagged first, then by citations
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Sorted by citations
Nijs, J., Lahousse, A., Kapreli, E., Bilika, P., Saraçoğlu, İ., Malfliet, A., Coppieters, I., De Baets, L., Leysen, L., Roose, E., et al. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10153203 · Cited by 430 · see citing works
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“This aspect could reinforce the possibility of developing tailored CBT interventions involving different lengths and distribution of protocol dimensions for addressing the individual needs of patients with rheumatic conditions and comorbid emotional disorders [61,100,105].”
BackgroundNielsen, S. S., Skou, S. T., Larsen, A. E., Polianskis, R., Arendt-Nielsen, L., Østergaard, A. S., Kjær-Staal Petersen, K., Vægter, H. B., Søndergaard, J., & Christensen, J. R. (2024) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2023-0043 · Cited by 7 · see citing works
- Authors
- Nijs, J., D'Hondt, E., Clarys, P., Deliens, T., Polli, A., Malfliet, A., Coppieters, I., Willaert, W., Tumkaya Yilmaz, S., Elma, Ö., & Ickmans, K.
- Affiliations
- Vrije Universiteit Brussel (BE)
- Motor Skills and Didactics Research group, Faculty of Physical Education & Physiotherapy Vrije Universiteit Brussel Brussels Belgium
- Pain in Motion International Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy Vrije Universiteit Brussel Brussels Belgium
- Corresponding author
- Nijs, Jo
- ORCID
- Venue
- PM&R
- Publisher
- Wiley
- Published
- 2019-10-21
- Volume
- 12
- Issue
- 4
- Pages
- 410-419
- ISSN
- 1934-1482 (ISSN-L)
- 1934-1563
- OpenAlex
- W2969454936
- Cited by
- 121
- References
- 155
- Citations by year
- 2026: 15 · 2025: 23 · 2024: 19 · 2023: 24 · 2022: 19 · 2021: 15 · 2020: 4 · 2019: 2
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- green
- lirias.kuleuven.be
- Licence
- Locations
- PM&R (publishedVersion)
- PubMed (publishedVersion)
- Lirias (KU Leuven) (submittedVersion, other-oa)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Funders
- Agentschap voor Innovatie door Wetenschap en Technologie (Applied Biomedical Research Program (TBM))
- Fonds Wetenschappelijk Onderzoek (G007217)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- chronic pain, lifestyle factors, physical inactivity, sedentary behavior, stress, sleep quality, diet, smoking, multimodal lifestyle intervention, personalized treatment, children and adolescents, older adults, lifespan, socioeconomic burden
- MeSH terms
- Adult, Aged, Child, Diet, Humans, Life Style, Longevity, Sleep, Smoking, Stress, Psychological, Exercise, Sedentary Behavior, Chronic Pain
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