Arthritis and Musculoskeletal Research Group, Faculty of Health Sciences, University of Sydney, Australia.
Arthritis and Musculoskeletal Research Group, Faculty of Health Sciences, University of Sydney, Australia.
Musculoskelet Sci Pract. 2017 Jun;29:99-107. doi: 10.1016/j.msksp.2017.03.010. Epub 2017 Mar 23.
Insufficient attention has been given to individuals who report musculoskeletal symptoms yet experience minimal disability.
To examine musculoskeletal symptoms among healthy individuals, and compare demographic, psychological and physical factors between individuals with and without symptoms.
Cross-sectional observational study.
Data were from the 1000 Norms Project which recruited 1000 individuals aged 3-101 years. Participants were healthy by self-report and had no major physical disability. Musculoskeletal symptoms (ache/pain/discomfort, including single-site and multi-site symptoms) were assessed in adolescents (11-17y) and adults (18-101y) using the Extended Nordic Musculoskeletal Questionnaire (NMQ-E). To compare individuals with single-site, multi-site and no symptoms, body mass index, grip strength, 6-min walk, 30-s chair stand and timed up-and-down stairs (all participants), and mental health, sleep difficulties, self-efficacy and physical activity (adults), were collected.
/findings: Socio-demographic characteristics were similar to the Australian population. Twelve-month period prevalence of all symptoms was 69-82%; point prevalence was 23-39%. Adults with single-site symptoms were more likely to be overweight/obese and had lower sit-to-stand and stair-climbing performance (p < 0.05). Adults with multi-site symptoms were more likely to be female and overweight/obese, had lower mental health, greater sleep difficulties and lower grip strength, 6-min walk and sit-to-stand performance (p < 0.05). Differences were only observed among 50-59, 60-69, 70-79 and 80-101 year-olds.
Normative reference data for the NMQ-E have been generated. Musculoskeletal symptoms are common among healthy individuals. In older adults, musculoskeletal symptoms are linked with overweight/obesity, lower mental health, sleep difficulties and lower physical performance, emphasising the importance of multi-dimensional assessments in musculoskeletal disorders.
人们对报告肌肉骨骼症状但仅有轻微残疾的个体关注度不足。
研究健康个体的肌肉骨骼症状，并比较有症状和无症状个体的人口统计学、心理和身体因素。
横断面观察性研究。
数据来自 1000 规范项目，该项目招募了 1000 名年龄在 3-101 岁的个体。参与者自我报告健康，且无重大身体残疾。在青少年（11-17 岁）和成年人（18-101 岁）中，使用扩展北欧肌肉骨骼问卷（NMQ-E）评估肌肉骨骼症状（疼痛/不适/不适，包括单部位和多部位症状）。为了比较有单部位、多部位和无症状的个体，收集了体重指数、握力、6 分钟步行、30 秒椅立和上下楼梯计时（所有参与者）以及心理健康、睡眠困难、自我效能和身体活动（成年人）等数据。
研究结果与澳大利亚人口的特征相似。所有症状的 12 个月患病率为 69-82%；现患率为 23-39%。有单部位症状的成年人更有可能超重/肥胖，且坐站和爬楼梯的表现更差（p<0.05）。有多部位症状的成年人更有可能是女性和超重/肥胖，心理健康水平较低，睡眠困难和握力、6 分钟步行和坐站表现更差（p<0.05）。仅在 50-59、60-69、70-79 和 80-101 岁的个体中观察到差异。
生成了 NMQ-E 的规范参考数据。肌肉骨骼症状在健康个体中很常见。在老年人中，肌肉骨骼症状与超重/肥胖、心理健康水平较低、睡眠困难和身体活动能力下降有关，这强调了在肌肉骨骼疾病中进行多维评估的重要性。
