Back Pain, Back Pain, Low, Back Pain Lower Back Chronic, Diabetes, Pre Diabetes
Conditions
Keywords
Back Pain, HBA1C
Brief summary
Prediabetes, characterized by elevated HbA1c levels, is a common precursor to type 2 diabetes mellitus. Recent studies have suggested a potential link between prediabetes and nonspecific back pain. This randomized controlled trial aimed to assess whether reducing HbA1c levels through lifestyle interventions and, along with the correction of vitamin D and magnesium, can alleviate nonspecific back pain in prediabetic patients.
Detailed description
The study included 40 patients from an outpatient clinic in Baghdad, evenly divided into intervention and control groups. The intervention group underwent a 6-month lifestyle modification program, focusing on diet, sleep, exercise, and vitamin D and magnesium correction. HbA1c levels were measured, and back pain severity was assessed (through what assessment method ?). The control group received standard care with NSAIDs and acetaminophen for pain management. Assessments were conducted at baseline and at various intervals over a total period of 6 months to evaluate changes in HbA1c levels and back pain intensity. This randomized controlled trial provides evidence that reducing HbA1c levels through lifestyle modifications, along with the correction of vitamin D and magnesium, can lead to a reduction in nonspecific back pain intensity and improved functional outcomes in prediabetic patients.
Interventions
DIETARY_SUPPLEMENTGhazwan program
6-month lifestyle modification program, focusing on diet, sleep, exercise, and vitamin D and magnesium correction.
Standard care with NSAIDs and acetaminophen for pain management
Sponsors
University of Baghdad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Intervention model description
Three Groups: * Case * Palcebo * No placebo, no intervention group
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Poor sleep (less than 6 hours per day) * chronic back pain * Multiple joint pain * non-specific back pain * HBA1C more than 5.7 * ability to record the data
Exclusion criteria
* Not able to record data * previous spine surgeries * severe OA in knee * Spinal stenosis * Peripheral vascular diseases * Rheumatological diseases * Lumbar disc prolapse * uncooperative patient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HBA1C | 6 months | Diabetes index |
Countries
Iraq
Outcome results
None listed