{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:09:31Z","timestamp":1777385371842,"version":"3.51.4"},"reference-count":49,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Simonsen Family Foundation"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate cumulative lifestyle-related chronic diseases and self-reported physical and mental health in low back pain (LBP) patients presenting to physiatrists and spine surgeons, and to assess outcomes following spine surgery in patients with and without lifestyle-related chronic disease(s).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This retrospective study included 4444 patients presenting for evaluation of LBP with physiatrists (n = 3282\/4444) or spine surgeons (n = 1162\/4444) from 4\/1\/2019-7\/1\/2021. Lifestyle-related chronic diseases and PROMIS-10 scores were collected. Length-of-stay (LOS), post-operative events, and persistent post-operative pain within 3\u00a0months were collected for surgical patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      60.8% (n = 2704\/4444) of patients had lifestyle-related chronic diseases; overweight\/obesity was most common (56.8% [n = 2131\/3755]). Patients evaluated by spine surgeons had more lifestyle-related chronic diseases than those evaluated by physiatrists. Increasing numbers of lifestyle-related chronic disease were associated with lower PROMIS-10 physical and mental health scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). For surgical patients, LOS was greater for increasing numbers of lifestyle-related chronic diseases (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .008). Post-operative events and persistent pain rates were similar in patients with and without lifestyle-related chronic disease.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Lifestyle-related chronic diseases were common in this cohort and more prevalent in patients evaluated by spine surgeons, highlighting the need for pre-surgical health optimization. Future work should prospectively investigate lifestyle metrics, patient-reported outcomes, and post-operative events following standardized lifestyle medicine program implementation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15598276261415815","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T07:27:24Z","timestamp":1768289244000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Lifestyle-Related Chronic Diseases and Low Back Pain: Patient-Reported Physical and Mental Health and Early Post-Operative Outcomes"],"prefix":"10.1177","author":[{"given":"Heidi","family":"Prather","sequence":"first","affiliation":[{"name":"Hospital for Special Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Goldring","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia","family":"Leupold","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia","family":"Rau","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Press","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gbolabo","family":"Sokunbi","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harvinder","family":"Sandhu","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8458-619X","authenticated-orcid":false,"given":"Jennifer","family":"Cheng","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,12]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2016.10.003"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2021.09.006"},{"key":"e_1_3_9_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000745"},{"key":"e_1_3_9_5_2","volume-title":"Statpearls [Internet]. 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