糖尿病对患有骨关节炎的患者身体功能的影响:一个横截面观察性研究
Zhiqiang Que1, Wenbin Xu2, Keyi Xiao1,3
1Department of Orthopedics, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
患有骨关节炎和糖尿病 (DMOA) 的老年患者身体功能明显恶化. 管理糖尿病对于改善这些患者的身体功能和生活质量至关重要.
科学领域:
- 老年学是一门学科.
- 代谢障碍 代谢障碍 代谢障碍
- 肌肉骨健康 肌肉骨健康
背景情况:
- 骨关节炎 (OA) 是老年人常见的一种慢性疾病,导致疼痛和降低生活质量.
- 糖尿病是一种与OA相关的常见代谢障碍,但其对OA患者身体功能的具体影响需要进一步调查.
研究的目的:
- 调查同时存在的糖尿病对老年骨关节炎患者的身体功能的影响.
- 为了确定患有DM的OA患者 (DMOA) 与没有DM的OA患者相比,是否表现出更严重的身体功能限制.
主要方法:
- 利用了1999-2018年国家健康和营养检查调查 (NHANES) 数据.
- 采用后勤回归模型来分析DMOA和身体功能限制之间的关联.
- 进行了分层分析,以确保发现的稳定性.
主要成果:
- 与非DMOA患者相比,DMOA患者的身体功能明显较差,特别是在需要高强度或频繁联合使用的活动中.
- 在长途行走 (OR = 1.870), (OR = 1.417),长时间站立 (OR = 1.423) 方面观察到特定的限制.
- 在调整了人口,社会经济和健康相关因素后,DMOA和身体功能受损之间的关联仍然很重要.
结论:
- 同时患有DM的OA患者体验到身体功能的更大下降,特别是要求共同活动.
- 有效的DM管理对于增强身体功能和改善OA患者的生活质量至关重要.
- 对OA的临床护理和治疗策略应考虑DM对患者结果的影响.
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