肌肉质量和腰部疼痛之间的关系:一个横截面研究
Rudong Chen1, Congwen Yang1, Xiaofu Tang2
1Department of Orthopedics, Cangzhou Hospital of integrated TCM-WM·Hebei, No. 31, Yellow River West Road, Cangzhou, Hebei, 160001, China.
概括
更高的尾骨肌肉质量/体重指数 (ASM/BMI) 与腰部疼痛的风险较低有关. 这种保护作用在女性和40-59岁的个人中更为显著.
科学领域:
- 肌肉骨健康 肌肉骨健康
- 流行病学 流行病学
- 生物统计学 生物统计学
背景情况:
- 腰部疼痛是一种普遍的疾病,有多因素的原因.
- 身体组成,特别是肌肉质量,可能在腰部疼痛的发展中起作用.
- 尾骨肌肉质量/体重指数 (ASM/BMI) 是反映肌肉质量相对于身体大小的指标.
研究的目的:
- 调查ASM/BMI与腰部疼痛的患病率之间的关系.
- 确定这种关系更明显的特定人口群体.
主要方法:
- 来自国家健康和营养检查调查 (NHANES 1999-2004) 数据的分析.
- 包括11,738名参与者.
- 利用多重逻辑回归建模来评估ASM/BMI四分位数与腰部疼痛之间的关联.
主要成果:
- 与ASM/BMI最高四分位数 (Q4) 的参与者显示,与最低四分位数 (Q1) 相比,腰部疼痛的风险明显较低.
- 在Q2/Q3和Q1.1之间没有发现腰部疼痛风险的显著差异.
- 亚组分析表明,在女性和40-59岁的个人中,高ASM/BMI的保护作用更为明显.
结论:
- 在ASM/BMI和腰部疼痛之间存在负相关性.
- 升高的ASM/BMI可能作为预防腰部疼痛的保护因素,特别是在女性和中年成人中.
- 对ASM/BMI的临床评估可能有助于在特定人群中对腰部疼痛的风险分层.
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