Adamson J, Ebrahim S, Dieppe P, Hunt K
Department of Health Sciences, University of York, 1st Floor Seebohm Rowntree Building, Heslington, York YO10 5DD, UK.
Ann Rheum Dis. 2006 Apr;65(4):520-4. doi: 10.1136/ard.2005.037317. Epub 2005 Aug 26.
To examine the association between three modifiable risk factors (obesity, smoking, and alcohol consumption) and reported joint pain.
Cross sectional data were collected on 858 people aged 58 years living in the West of Scotland and on the same individuals four years later, aged 62 years.
There was a positive relation between obesity and reported pain in the hips, knees, ankles, and feet. The strongest relation was with knee pain (odds ratio = 2.42 (95% confidence interval, 1.65 to 3.56)). There were no strong consistent associations between smoking habits and pain in any joint after adjusting for sex, alcohol consumption, body mass index, social class, and occupational exposures. Similarly, alcohol was not consistently related to pain in any joint in the fully adjusted models.
Obesity had consistent and readily explained associations with lower limb joint pain. The data suggest that smoking behaviour and alcohol consumption are not consistently associated with joint pain across the body.
研究三种可改变的风险因素(肥胖、吸烟和饮酒)与所报告的关节疼痛之间的关联。
收集了居住在苏格兰西部的858名58岁人群的横断面数据,并在四年后对同一批个体(62岁)进行了数据收集。
肥胖与所报告的髋部、膝盖、脚踝和足部疼痛之间存在正相关关系。最强的关联是与膝盖疼痛(比值比 = 2.42(95%置信区间,1.65至3.56))。在调整了性别、饮酒量、体重指数、社会阶层和职业暴露因素后,吸烟习惯与任何关节疼痛之间均无强烈的一致关联。同样,在完全调整模型中,饮酒与任何关节疼痛之间也没有一致的关联。
肥胖与下肢关节疼痛存在一致且易于解释的关联。数据表明,吸烟行为和饮酒与全身关节疼痛之间没有一致的关联。