疼痛部位数量与睡眠、运动参与和生活质量的关系：美国中西部 1021 名青少年的横断面调查。
Associations between number of pain sites and sleep, sports participation, and quality of life: a cross-sectional survey of 1021 youth from the Midwestern United States.
机构信息
Department of Athletic Training, University of Toledo, Health & Human Services, Mail Stop 119, 2801 W. Bancroft St, Toledo, OH, 43606-3390, USA.
Research Unit for General Practice in Aalborg, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
出版信息
BMC Pediatr. 2019 Jun 17;19(1):201. doi: 10.1186/s12887-019-1576-6.
BACKGROUND
Musculoskeletal pain in youth is common but little is known about the influence of the number of pain sites on pain characteristics. The objective of this study was to compare pain characteristics, quality of life, sleep, sport participation between adolescents without pain, those with single site pain, and those with multi-site pain and investigate the relationship between pain duration and number of pain sites.
METHODS
An online survey was sent via email to 7177 possible middle- and high-school students. The students completed a survey containing questions about their pain (including location, duration, intensity, frequency), health-related quality of life, sleep quantity and quality, and sports participation. Quantitative variables were analysed with one-way ANOVAs or t-tests and qualitative variables were analysed with Pearson Chi-squared tests. Relationships were investigated with a Pearson Correlation.
RESULTS
Of the respondents (n = 1021), 52.9% reported no pain, 17.2% reported pain in a single-site, and 29.9% reported pain in multiple sites. Those with multi-site pain reported significantly lower quality of life than both pain-free youth (p < 0.001) and those with single-site pain (p < 0.001); those with single-site pain had lower quality of life than pain-free youth (p < 0.001). Those with pain reported worse sleep than those without pain (P < 0.05). No differences in sport participation were found (p > 0.10). Those with multi-site pain reported greater intensity (p = 0.005) and duration (p < 0.001) than those with single-site pain. A positive, moderate, and significant correlation (r = 0.437, p < 0.001) was found between the pain duration and number of pain sites.
CONCLUSIONS
A large percentage of youth experience regular pain that affects their self-reported quality of life and sleep, with greater effects in those with multi-site pain.
背景
青少年的肌肉骨骼疼痛很常见，但对于疼痛部位数量对疼痛特征的影响知之甚少。本研究的目的是比较无疼痛、单部位疼痛和多部位疼痛青少年的疼痛特征、生活质量、睡眠、运动参与情况，并探讨疼痛持续时间和疼痛部位数量之间的关系。
方法
通过电子邮件向 7177 名可能的中学生发送在线调查。学生完成了一项包含疼痛（包括位置、持续时间、强度、频率）、健康相关生活质量、睡眠量和质量以及运动参与情况问题的调查。使用单向方差分析或 t 检验分析定量变量，使用 Pearson 卡方检验分析定性变量。使用 Pearson 相关分析调查关系。
结果
在回答者（n=1021）中，52.9%报告无疼痛，17.2%报告单部位疼痛，29.9%报告多部位疼痛。多部位疼痛者的生活质量明显低于无疼痛者（p<0.001）和单部位疼痛者（p<0.001）；单部位疼痛者的生活质量低于无疼痛者（p<0.001）。有疼痛者的睡眠质量比无疼痛者差（P<0.05）。运动参与没有差异（p>0.10）。多部位疼痛者报告的疼痛强度（p=0.005）和持续时间（p<0.001）大于单部位疼痛者。疼痛持续时间和疼痛部位数量之间存在正相关，中等强度且显著（r=0.437，p<0.001）。
结论
很大一部分青少年经历过影响其自我报告生活质量和睡眠的常规疼痛，多部位疼痛者的影响更大。
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