儿童久坐行为、身体活动、心肺适能及体脂含量与疼痛状况的关联：儿童身体活动与营养研究
Associations of Sedentary Behavior, Physical Activity, Cardiorespiratory Fitness, and Body Fat Content With Pain Conditions in Children: The Physical Activity and Nutrition in Children Study.
作者信息
Vierola Anu, Suominen Anna Liisa, Lindi Virpi, Viitasalo Anna, Ikävalko Tiina, Lintu Niina, Väistö Juuso, Kellokoski Jari, Närhi Matti, Lakka Timo A
机构信息
Institute of Dentistry, University of Eastern Finland, Kuopio Campus, Kuopio, Finland; Institute of Biomedicine/Physiology, University of Eastern Finland, Kuopio Campus, Kuopio, Finland.
Institute of Dentistry, University of Eastern Finland, Kuopio Campus, Kuopio, Finland; Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, Kuopio, Finland.
出版信息
J Pain. 2016 Jul;17(7):845-53. doi: 10.1016/j.jpain.2016.03.011. Epub 2016 Apr 25.
UNLABELLED
We investigated the cross-sectional associations of sedentary behavior, physical activity, cardiorespiratory fitness, and body fat content with pain conditions in prepubertal children. The participants were a population sample of 439 children aged 6 to 8 years. Sedentary behavior, physical activity, and pain conditions were assessed using questionnaires, cardiorespiratory fitness using maximal cycle ergometer test, and body fat percentage using dual-energy X-ray absorptiometry. The associations of sedentary behavior, physical activity, cardiorespiratory fitness, and body fat percentage with the risk of pain conditions were analyzed using multivariate logistic regression. Children in the highest sex-specific third of sedentary behavior had 1.95 (95% confidence interval [CI], 1.20-3.17; P = .007 for trend across thirds) times higher odds of any pain than children in the lowest third. Children in the highest sex-specific third of cardiorespiratory fitness had 46% (odds ratio [OR] = .54; 95% CI, .32-.91; P = .019) lower odds of any pain and 50% (OR = .50; 95% CI, .28-.87; P = .015) lower odds of headache than children in the lowest third. Children in the highest sex-specific third of body fat percentage had 44% (OR = .56; 95% CI, .34-.93; P = .023) lower odds of any pain, 49% (OR = .51; 95% CI, .30-.86; P = .011) lower risk of multiple pain, and 48% (OR = .52; 95% CI, .31-.86; P = .010) lower odds of lower limb pain than children in the lowest third. Physical activity was not associated with pain conditions. These findings suggest that prepubertal children with high levels of sedentary behavior, low levels of cardiorespiratory fitness, and low body fat content have increased likelihood of various pain conditions. This information could be used to develop strategies to prevent chronic pain in childhood.
PERSPECTIVE
Our findings suggest that low cardiorespiratory fitness, high levels of sedentary behavior, and low body fat content are associated with increased likelihood of various pain conditions among prepubertal children. This information could be used to develop strategies to prevent chronic pain in childhood.
未标注
我们调查了青春期前儿童久坐行为、身体活动、心肺适能和体脂含量与疼痛状况之间的横断面关联。研究对象为439名6至8岁儿童的人群样本。使用问卷评估久坐行为、身体活动和疼痛状况，通过最大运动负荷蹬车试验评估心肺适能，采用双能X线吸收法测量体脂百分比。采用多因素logistic回归分析久坐行为、身体活动、心肺适能和体脂百分比与疼痛状况风险之间的关联。久坐行为处于特定性别最高三分位的儿童出现任何疼痛的几率是处于最低三分位儿童的1.95倍（95%置信区间[CI]，1.20 - 3.17；三分位间趋势的P = 0.007）。心肺适能处于特定性别最高三分位的儿童出现任何疼痛的几率比处于最低三分位的儿童低46%（比值比[OR] = 0.54；95% CI，0.32 - 0.91；P = 0.019），头痛几率低50%（OR = 0.50；95% CI，0.28 - 0.87；P = 0.015）。体脂百分比处于特定性别最高三分位的儿童出现任何疼痛的几率比处于最低三分位的儿童低44%（OR = 0.56；95% CI，0.34 - 0.93；P = 0.023），出现多种疼痛的风险低49%（OR = 0.51；95% CI，0.30 - 0.86；P = 0.011），下肢疼痛几率低48%（OR = 0.52；95% CI，0.31 - 0.86；P = 0.010）。身体活动与疼痛状况无关。这些发现表明，久坐行为水平高、心肺适能水平低且体脂含量低的青春期前儿童出现各种疼痛状况的可能性增加。这些信息可用于制定预防儿童慢性疼痛状况的策略。
观点
我们的研究结果表明，心肺适能低、久坐行为水平高和体脂含量低与青春期前儿童出现各种疼痛状况的可能性增加有关。这些信息可用于制定预防儿童慢性疼痛状况的策略。
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