脆弱性缓和了中度至强度的体力活动和静止时间与膝关节骨关节炎症状之间的关系
Sophie E Rayner1, Selena P Maxwell2, Jocelyn Waghorn3
1Division of Kinesiology, School of Health and Human Performance, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada; Centre de formation médicale du Nouveau-Brunswick, Université de Sherbrooke & Université de Moncton, Moncton, Canada.
The Journal of frailty & aging
|August 2, 2025
概括
参与中度至剧烈的体力活动 (MVPA) 并减少久坐时间可以改善膝关节关节炎症状,特别是在脆弱的个体中. 较脆弱的成年人可能会从MVPA中获得更大的益处,治疗疼痛,减少硬的久坐时间.
科学领域:
- 老年学是一门学科.
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
背景情况:
- 众所周知,身体活动有助于预防骨关节炎,控制骨脆弱.
- 整体健康状况对身体活动和膝关节健康之间的关系的影响仍然不清楚.
研究的目的:
- 测试身体活动与膝关节骨关节炎症状相关的假设.
- 调查脆弱性在这种关联中所起的缓解作用.
主要方法:
- 一项对1351名参与者 (骨关节炎倡议) 的队列观察研究,年龄在45-79岁之间.
- 部佩戴的加速度计测量了静止时间,轻度体力活动 (LPA) 和中度至强度体力活动 (MVPA).
- 用西安大略省和麦克马斯特大学的骨关节炎指数 (WOMAC) 评估膝关节骨关节炎症状,用31项的骨折指数测量骨折程度.
主要成果:
- MVPA与WOMAC结果有负面关联,而LPA与WOMAC结果没有显著关联.
- 静止时间的增加与WOMAC硬度有积极的关联.
- 脆弱性并没有缓解LPA和WOMAC结局之间的关系.
- 在轻度脆弱+组中观察到,MVPA与膝盖疼痛之间的反向关系更强,静止时间与膝盖度之间的积极关系更强.
结论:
- 适度至剧烈的体力活动和减少静止时间可能对较脆弱的老年人膝关节骨关节炎疼痛和性产生更大的益处.
- 这些发现强调了身体活动在治疗膝关节关节炎方面的重要性,基于脆弱状态可能产生差异性影响.
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