静坐行为与儿童,青少年和年轻人的骨质,微观结构和强度之间的关联:系统性审查
BMC public health
|October 30, 2024
概括
久坐不动行为 (SED) 对年轻人的骨健康产生负面影响,特别是骨微观结构和强度. 需要更多的研究来确认这些关联,并了解SED对骨健康的全部影响.
科学领域:
- 公共卫生 公共卫生
- 儿童骨健康 儿童骨健康
- 久坐不动行为研究研究
背景情况:
- 久坐不动行为 (SED) 与负面的心血管和代谢健康结果有关.
- 对于SED对儿童,青少年和年轻人骨健康的影响的了解有限.
研究的目的:
- 审查静坐行为与骨健康状况之间的关联,包括骨质,微观结构和强度.
- 综合目前关于24岁及以下个体的久坐行为和骨健康的证据.
主要方法:
- 在五个电子数据库 (EMBASE,PubMed,Medline,Cochrane,Web of Science,CNKI) 中进行全面的文献搜索.
- 纳入标准:健康参与者≤24岁,测量SED,测量骨结果.
- 使用NIH质量评估工具进行质量评估;对36项研究进行分析 (25项截面研究,9项观察研究,2项混合研究).
主要成果:
- 没有强有力的证据将骨矿物质含量 (BMC) 或骨矿物质密度 (BMD) 与SED联系起来,无论性别或身体活动如何.
- 强有力的证据表明,客观测量的SED与皮皮层骨矿物质密度 (Ct.BMD) 和皮硬度指数 (SI) 之间存在负相关性.
- 骨的微观结构和强度似乎比骨质对SED更敏感.
结论:
- 目前的证据不足以证实SED和不良骨健康结果之间的明确联系.
- 研究结果表明,骨的微观结构和强度比骨质更容易受到久坐的行为影响.
- 需要进一步的研究来阐明久坐行为与骨强度之间的关系.
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