绝经前期的肌肉骨表现:对93,021名女性进行系统审查和元分析
Colin Kruse1,2, Tyler McKechnie2,3, Joshua Dworsky-Fried1,4
1Division of Orthopedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
经历更年期过渡的妇女面临更高的肌肉和关节疼痛的风险. 这一系统性审查强调了患病率的增加,但特定的肌肉骨疾病仍未得到报道.
科学领域:
- 肌肉骨健康 肌肉骨健康
- 更年期研究研究更年期研究.
- 流行病学 流行病学
背景情况:
- 在更年期过渡期间的肌肉骨 (MSK) 疾病是鲜为人知的,而且报告不足.
- 在这个人口群体中,MSK问题的流行程度和具体类型需要进一步调查.
研究的目的:
- 系统地审查和元分析跨更年期阶段MSK症状的流行情况.
- 描述与更年期过渡相关的特定MSK条件.
主要方法:
- 在 Medline,EMBASE,CENTRAL 和 PubMed 搜索到 2024 年 5 月.
- 包括观察性研究报告的MSK症状或病理学在绝经前妇女的初级数据.
- 通过随机效应模型和子组分析进行双对元分析.
主要成果:
- 分析了37项涉及93021名女性的研究;40%的绝经前妇女报告疼痛.
- 超过一半的绝经前期 (57%) 和绝经后 (59%) 妇女经历肌肉/关节疼痛,显著增加.
- 除了一般疼痛之外,发现了大量的异质性和低报告特定的MSK条件.
结论:
- 更年期过渡的女性表现出肌肉和关节疼痛的风险较高.
- 由于报告不足和异质性,观察数据限制了对特定原因的理解.
- 需要进一步进行高质量的研究,以澄清MSK疼痛相关性.
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