身体活动可以防止令人烦的疼痛吗?
Bian Liu1,2,3, Chen Yang1,4, Madhu Mazumdar1,3,4
1Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
概括
身体活动,包括步行和剧烈运动,与老年人疼痛发生或持续疼痛的风险降低无关. 这项研究发现,在这个人口群体中,运动水平和疼痛之间没有显著的联系.
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:
- 慢性疼痛是老年人普遍存在的问题,影响生活质量.
- 身体活动 (PA) 经常被推用于疼痛管理,但老年人群的证据需要进一步研究.
- 了解不同类型的PA和疼痛结果之间的关系对于有针对性的干预措施至关重要.
研究的目的:
- 调查自我报告的身体活动 (步行和充满活力的活动) 与老年人疼痛或持续疼痛的发生之间的关联.
- 为了确定基线体育活动水平是否预测未来的疼痛发展或在三年内持续存在.
- 分析来自全国代表性样本的数据,以提供可概括的见解.
主要方法:
- 利用了国家健康和衰老趋势研究 (2015-2018) 中2279名老年人的数据.
- 采用通用估计方程回归与倾向性得分权重用于强大的统计分析.
- 通过自我报告的行走和充满活力的活动来衡量身体活动,通过自我报告的烦性疼痛,频繁使用药物或持续疼痛来衡量疼痛.
主要成果:
- 大约70%的人报告说在基线上走路,50%的人报告说在基线上进行有力的活动.
- 在3年内,疼痛的累积发病率为~60%,在不同体力活动组的发病率相似.
- 在行走或剧烈活动状态与疼痛发生或持续疼痛的风险之间没有发现统计学上显著的关联 (相对风险0.97-1.20,包括CI1).
结论:
- 尽管老年人疼痛很常见,但这项研究没有发现任何证据表明,自我报告的步行或剧烈的体力活动可以防止疼痛发生或持续.
- 这些发现表明,目前的自我报告的身体活动水平可能不是一个重要的保护因素,防止在这个人群中发展或维持疼痛.
- 可能需要进一步的研究来探索其他类型的体育活动,强度水平或可能影响老年人PA和疼痛之间的关系的混因素.
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