肥胖与旋转手套撕裂的肌肉缩有关
Simone D Herzberg1,2, Zhiguo Zhao3, Thomas H Freeman4
1Epidemiology, Vanderbilt University, Nashville, Tennessee, USA.
BMJ open sport & exercise medicine
|July 8, 2024
概括
更高的身体质量指数 (BMI) 与旋转手套撕裂的肌肉缩增加有关. 这表明,降低BMI对患者结果的潜在好处.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 生物统计学 生物统计学
背景情况:
- 旋转手套撕裂是常见的骨科伤害.
- 肌肉缩是影响患者结果的重大并发症.
- 身体质量指数 (BMI) 和旋转手套肌肉缩之间的关系需要进一步调查.
研究的目的:
- 调查身体质量指数 (BMI) 与被诊断为旋转袖口撕裂的患者肌肉缩的存在和严重程度之间的联系.
主要方法:
- 利用了来自两个独立队列 (ROW和MOON) 的数据,其中包括539名通过MRI确认的旋转部撕裂的患者.
- 通过对MRI扫描进行专家医生审查,评估肌肉缩 (存在/严重程度).
- 采用多变量回归和元分析来评估BMI和肌肉缩之间的关系,根据年龄和性别进行调整.
主要成果:
- 在539名患者中,46%的人表现出肌肉缩,52%的人有全厚撕裂.
- 体重指数增加5公斤/平方米与任何旋转手套撕裂时肌肉缩的几率增加21%相关.
- 这种关联在全厚撕裂中更强烈,每增加5公斤/平方米的BMI,缩的几率增加36%.
结论:
- 升高的BMI与旋转手套撕裂的个体肌肉缩的几率增加显著相关.
- 需要进一步的研究来阐明潜在的机制,并探索BMI降低的潜在治疗作用.
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