成年人的久坐行为和部疼痛:系统性审查和元分析
Sadegh Mazaheri-Tehrani1, Mohadeseh Arefian2, Amir Parsa Abhari3
1Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran; Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran; Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.
Preventive medicine
|September 29, 2023
概括
久坐不动的生活方式增加了成人部疼痛 (NP) 的风险. 特定的久坐行为,如使用电脑和手机,是显著的风险因素,特别是在大学生中.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 职业健康 职业健康 职业健康
背景情况:
- 久坐不动的生活方式越来越普遍,并与各种健康问题有关.
- 肌肉骨疼痛,特别是部疼痛 (NP),是与现代生活相关的常见投诉.
- 了解导致NP的特定久坐行为对于有针对性的干预至关重要.
研究的目的:
- 系统地调查不同类型的久坐行为 (SBs) 与成人部疼痛 (NP) 之间的关联.
- 使用元分析量化与各种SB相关的NP风险.
- 在SB-NP关系中探索潜在的调节因素,如职业和人口统计学.
主要方法:
- 在主要的科学数据库 (PubMed,科学网,Embase,Scopus,谷歌学者) 进行了系统的文献搜索,直到2023年4月.
- 包括报告SB和NP之间关联的研究,并将几率比率 (OR) 和95%置信区间 (CI) 提取为效果大小.
- 使用元分析和元回归来综合发现,并检查异质性的潜在来源,包括出版偏差.
主要成果:
- 久坐不动的行为 (SB) 被确定为成人NP的一个显著风险因素 (OR = 1.5, [1.29, 1.76]).
- 特定的SB,包括电脑使用 (OR = 1.3, [1.12, 1.53]) 和手机使用 (OR = 2.11, [1.32, 3.42]),是NP的相当大的风险因素.
- 大学学生在SB和NP之间显示出显著的关联 (OR = 1.58, [1.27, 1.97]),而办公室工作者的关联是微不足道的 (OR = 1.36, [0.98, 1.89]). 男性性别与NP风险增加有关.
- 发现了出版偏差 (p < 0.0001).
结论:
- 久坐不动的生活方式,特别是长时间使用电脑和手机,与成年人部疼痛的相当大风险有关.
- 在SB和NP方面,大学生似乎是一个特别脆弱的群体.
- 建议进行进一步的纵向研究,以确定因果关系并告知预防策略.
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