Given that most patients with acute or subacute low back pain improve over time regardless of treatment, clinicians and patients should select nonpharmacologic treatment as first option. The use of opioids should be avoided if possible.
In a meta-analysis from 48 cohort studies performed in high-income countries with data from more than 1.7 million individuals, low social rank accounted for 18·9% (men) and 15·3% (women) of all adult deaths, comparable to that of other major risk factors. The authors suggest that socioeconomic adversity should be included as a modifiable risk factor in local and global health strategies
See also: Vegetarian diet and all-cause mortality: Evidence from a large population-based Australian cohort – the 45 and Up Study (link to abstract – $ required for full-text)
This study suggests there is no difference in all-cause mortality between vegetarians and non-vegetarians and that differences observed in other studies may occur because vegetarians have healthier lifestyle behaviors than non-vegetarians