身体活动对寻求腰部疼痛护理的有益和有害影响:AUTBACK研究
E K Ho1,2,3, M L Ferreira4, A Bauman5
1Faculty of Medicine and Health, Sydney Musculoskeletal Health, School of Health Sciences, Charles Perkins Centre, The University of Sydney, Sydney, NSW, Australia. emma.ho@sydney.edu.au.
概括
较高的久坐行为和家庭体育活动与增加的腰部疼痛 (LBP) 护理需求有关. 这些行为可能是有害的,这表明需要减少参与以改善LBP结果.
科学领域:
- 流行病学 流行病学
- 康复科学 康复科学 康复科学
- 公共卫生 公共卫生
背景情况:
- 腰部疼痛 (LBP) 寻求护理与较差的康复结果有关,包括更高的疼痛和残疾.
- 了解影响LBP寻求护理的因素对于改善患者管理和减少LBP的全球健康负担至关重要.
研究的目的:
- 调查不同强度,体积和身体活动领域之间的关系,以及LBP病史患者的护理行为.
主要方法:
- 一项使用澳大利亚Twin BACK研究数据的纵向研究.
- 评估整体护理利用率,医疗服务利用率和1年来LBP的自我管理策略利用率.
- 使用基于设备的测量用于静坐行为和中度至强度的体力活动,以及自我报告的体力工作量和特定领域的体力活动 (工作,交通,家庭,休) 在基线.
主要成果:
- 中高量的久坐行为与LBP的整体护理利用率 (IRR 1.60) 和自我管理策略利用率 (IRR 1.60) 显著增加.
- 家庭中等至高量的体育活动与LBP的更高的自我管理策略利用率 (IRR 1.62) 有关.
- 在体力活动变量和LBP的医疗服务利用之间没有发现显著的关联.
结论:
- 越来越多的静坐行为和家庭体育活动与一年内大约1.6倍更高的LBP护理利用率有关.
- 这些行为可能对LBP有害,并且没有身体活动参数显示出明显的益处.
- 建议患者和临床医生之间制定合作策略,以减少久坐行为和家庭体育活动,同时考虑个别的环境因素.
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