与骨关节炎相关的生活方式行为变化:一个前性队列研究
Norman Ng1, Lynne Parkinson2, Wendy J Brown3,4
1School of Human Movement and Nutrition Science (#26B), The University of Queensland, Blair Drive, St Lucia Campus, Brisbane, QLD, 4072, Australia. n.ng@uq.edu.au.
Scientific reports
|March 15, 2024
概括
被诊断为骨关节炎 (OA) 的女性表现出混合的生活方式变化,其中一些人采用了更健康的习惯,如减肥和减少坐时间,而另一些人则经历了负面转变,如体重增加和增加吸烟. 临床支持对于积极的OA生活方式管理至关重要.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 骨关节炎 (OA) 是一种普遍的疾病,影响着数百万人,往往需要改变生活方式来管理.
- 了解OA诊断时的生活方式如何演变对于有针对性的干预至关重要.
研究的目的:
- 为了比较9年来与骨关节炎 (OA) 和没有骨关节炎 (OA) 的女性的生活方式行为的变化.
- 确定与OA诊断和进展相关的特定的积极和消极的生活方式变化.
主要方法:
- 使用澳大利亚妇女健康纵向研究 (1945-51年队列) 数据进行的前性队列研究.
- 从2001年,2004年,2007年和2010年的调查中对自我报告的生活方式行为 (体重,坐着时间,体力活动,酒精,吸烟) 的分析.
- 在三个时间间隔中,诊断为OA的妇女 (n=610) 和没有OA的妇女 (n=3810) 之间的生活方式变化的比较:诊断前,诊断前,诊断后.
主要成果:
- 与没有OA的女性 (28%) 相比,OA的女性中,较大比例的女性 (38%) 至少做出了一次积极的生活方式改变.
- 患有OA的女性在诊断后出现较高的显著体重减轻率 (>5公斤) 和较少的坐着时间.
- 相反,患有OA的女性也表现出更多负面的生活方式变化,包括体重增加 (>5公斤) 和在诊断前后增加的坐着时间.
- 与对照组相比,在OA诊断后的妇女中观察到吸烟率显著增加.
结论:
- 骨关节炎 (OA) 诊断后女性的生活方式行为变化是复杂的,包括积极和消极的适应.
- 虽然一些患有OA的女性成功地实施了更健康的习惯,但另一些女性经历了有害的生活方式转变,突出了需要量身定制的支持.
- 持续的临床指导和支持至关重要,以使OA患者能够进行和维持积极的生活方式改变,以更好地管理症状和整体健康.
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