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Lower chronic neck-back with higher planetary health diet adherence
Linfeng Wang1,2, Libao Zhang1,2, Xiaojun Yu3,4
1Department of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
Frontiers in Nutrition
|July 25, 2026
Summary
Adhering to the Planetary Health Diet (PHD) is linked to reduced chronic neck and back pain. This plant-centric eating pattern shows promising results, especially for younger adults, suggesting a potential role in managing spinal pain.
Area of Science:
- Nutritional Epidemiology
- Public Health
- Musculoskeletal Health
Background:
- Chronic neck and back pain represent a significant global health burden.
- Dietary patterns are increasingly recognized for their role in non-communicable diseases and pain conditions.
Purpose of the Study:
- To investigate the association between adherence to the Planetary Health Diet (PHD) and the prevalence of chronic neck-back pain.
- To explore potential dose-response relationships and effect modifications by age and sex.
Main Methods:
- Cross-sectional analysis of 97,543 UK Biobank participants.
- PHD score derived from dietary recalls.
- Chronic neck-back pain defined by self-report and duration.
- Multivariable logistic regression and subgroup analyses were employed.
Main Results:
- Higher PHD adherence was associated with lower odds of chronic neck-back pain (OR=0.99 per 10-point increase).
- A stronger association was observed in individuals under 60 years old.
- The highest PHD quartile demonstrated a 7% reduction in pain prevalence compared to the lowest.
Conclusions:
- Increased adherence to the Planetary Health Diet is associated with a reduced prevalence of chronic neck-back pain.
- The protective effect is more pronounced in women under 60.
- Further research in diverse populations is warranted to confirm these findings for clinical application.
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