Reduction in Pain and Pain Intensity with Nonpharmacological Treatment in Severely Obese Patients: A Randomized Clinical Trial

Carolina Rodrigues Mendonça, Matias Noll, Camila Kellen de Souza Cardoso, Annelisa Silva Alves de Carvalho Santos, Ana Paula dos Santos Rodrigues and Erika Aparecida Silveira
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Carolina Rodrigues Mendonça: Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia 74650-050, GO, Brazil
Matias Noll: Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia 74650-050, GO, Brazil
Camila Kellen de Souza Cardoso: Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia 74650-050, GO, Brazil
Annelisa Silva Alves de Carvalho Santos: Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia 74650-050, GO, Brazil
Ana Paula dos Santos Rodrigues: Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia 74650-050, GO, Brazil
Erika Aparecida Silveira: Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia 74650-050, GO, Brazil

IJERPH, 2021, vol. 18, issue 21, 1-13

Abstract: The objective of this study was to analyze the effectiveness of two nonpharmacological interventions—traditional Brazilian diet (DieTBra), and extra-virgin olive oil (EVOO)—in terms of the reduction in pain and pain intensity in individuals with severe obesity. We conducted a 12-week parallel randomized clinical trial with 149 individuals (body mass index (BMI) ? 35 kg/m 2 ) who were randomized into three groups: supplementation with EVOO ( n = 50), DieTBra ( n = 49), and EVOO + DieTBra ( n = 50). Of the total, 133 individuals with a mean BMI of 46.04 kg/m 2 completed the study. By the end of the follow-up, there was a reduction in severe pain in the EVOO + DieTBra group ( p = 0.003). There was a significant reduction in severe pain in the EVOO + DieTBra group (?22.7%); pain in the wrist and hand (?14.1%), upper back (?26.9%), and knees (?18.4%) in the DieTBra group; and reduction in hip pain (?11.1%) with EVOO consumption. We conclude that EVOO and DieTBra, either alone or in combination, are effective interventions to reduce pain intensity and pain in different regions in individuals with severe obesity, and have great potential for clinical application.

Keywords: musculoskeletal pain; chronic pain; morbid obesity; diet; olive oil (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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