四年来肩部症状轨迹:来自骨关节炎纵向研究的数据
Gui Tran1, Bright Dube1, Sarah R Kingsbury1
1Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds and National Institute for Health and Care Research (NIHR) Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Arthritis care & research
|June 26, 2024
概括
持续的肩部症状很常见,并且与较差的健康结果有关. 下肢虚弱是新的肩部症状的可修改风险因素,突出了干预的潜力.
科学领域:
- 类风湿病学 类风湿病学
- 流行病学 流行病学
- 肌肉骨健康 肌肉骨健康
背景情况:
- 关于肩部症状的长期自然史的数据有限.
- 了解发病率,流行率和持续性对于有效管理至关重要.
研究的目的:
- 描述四年来肩部症状的纵向模式.
- 确定与肩部症状的发生率和持续性相关的风险因素.
主要方法:
- 利用了来自骨关节炎倡议 (OAI) 的数据,每年对四年进行观察.
- 采用了发生率和流行率的描述性分析,风险因素的回归分析和症状轨迹的潜在类增长分析 (LCGA).
主要成果:
- 22%的肩部症状的发病率;14%的肩部症状在四年内持续.
- 持续的症状与功能,心理健康和生活质量恶化有关.
- 持续症状的危险因素包括睡眠障碍,工作缺勤,下肢虚弱,多重关节症状和白人种族. 下肢软弱也与事件症状有关.
结论:
- 持续的肩部症状很普遍,并与不良的临床结果相关.
- 下肢虚弱是发生肩膀症状的可修改风险因素,这表明有针对性的干预措施的潜力.
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