体重指数升高与旋转袖口疾病有关:系统性审查和元分析
Simone D Herzberg1,2, Gustavo A Garriga2, Nitin B Jain1,3,4,5
1Division of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, U.S.A.
Arthroscopy, sports medicine, and rehabilitation
|October 18, 2024
概括
肥胖和高体重指数 (BMI) 与旋转部疾病 (RCD) 的更高风险有关. 这一系统性审查发现,患有RCD的个体更有可能超重或肥胖.
科学领域:
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 肥胖是一个日益严重的全球健康问题.
- 旋转手套疾病 (RCD) 显著影响肩部功能和生活质量.
- 了解肥胖和RCD之间的关系对于预防策略和患者管理至关重要.
研究的目的:
- 系统地审查和元分析现有的关于肥胖,体重指数 (BMI) 和旋转手套疾病 (RCD) 之间的关系的文献.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane,CINAHL,Science Direct) 进行了全面的文献搜索,截至2023年8月25日.
- 包括每组30多名参与者的分析观察性研究,检查肥胖-RCD联系.
- 分析量化了BMI和RCD之间的关联,报告了几率比率和BMI平均差异. 使用ROBINS-I工具评估了偏差风险.
主要成果:
- 在248篇审查文章中,有17篇研究符合元分析的条件,涉及27篇文章提供相关数据.
- 与对照人群相比,患有RCD的个体患肥胖的可能性高出1.44倍 (95% CI 1.32-1.59),超重的可能性高出1.21倍 (95% CI 1.10-1.34).
- 每增加5个单位的BMI与旋转手套撕裂的几率增加35%相关 (95%CI1.06-1.71). 研究质量各不相同,存在对异质性,时间性,混和选择偏差的担忧.
结论:
- 体重指数升高与旋转手套疾病之间存在显著的积极关联.
- 较高的BMI是发展旋转手腕病理的危险因素.
- 进一步研究研究局限性是有必要的,以巩固这些发现.
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