评估肥胖与触发指和手腕道综合征发展之间的关联
Jason Sidrak1, Andy Lalka2, Cailin Delaney3
1University of Colorado Anschutz School of Medicine, Aurora CO.
Journal of hand surgery global online
|June 16, 2025
概括
肥胖加快了手掌道综合征 (CTS) 和触手指 (TF) 的出现. 高体重指数 (BMI) ≥30的个体比正常体重指数的个体早得多地被诊断出这些疾病.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 流行病学 流行病学
背景情况:
- 肥胖与慢性炎症有关,可能会影响肌肉骨健康.
- 带道综合征 (CTS) 和紧突炎 (TF) 是常见的上肢疾病.
- 高体重指数 (BMI) 对CTS和TF早期发病的影响需要进一步研究.
研究的目的:
- 为了调查高BMI (≥30) 的患者是否比正常BMI的患者更早发展手道综合征 (CTS) 或狭窄性紧张突炎 (TF).
- 量化高BMI和正常BMI组之间CTS和TF诊断的年龄差异.
主要方法:
- 在2016年至2020年期间被诊断患有CTS或TF的成年患者的回顾性图表审查.
- 基于BMI类别的诊断年龄的比较 (高BMI≥30与正常BMI18.5-24.9).
- 逐步多变量线性回归分析以调整共变量.
主要成果:
- 患有高BMI (≥30) 的患者被诊断为CTS或TF,平均比正常BMI患者早6.4年.
- 同变量分析证实,高BMI与CTS或TF的早期发病 (6.2年更早) 有关.
- 吸烟和1型糖尿病也与早期发病有关,而高血压与晚期发病有关.
结论:
- 高BMI (≥30) 与手综合征 (CTS) 和触手指 (TF) 的早期诊断有关.
- 肥胖加快了CTS和TF的发展,即使考虑到并发症.
- 这些发现支持了关于体重管理与上肢病理相关的预防性讨论的必要性.
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