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退役职业骑师患肌肉骨骼疾病和精神健康问题的风险增加:一项横断面研究。

Increased Risk of Musculoskeletal Disorders and Mental Health Problems in Retired Professional Jockeys: A Cross-Sectional Study.

机构信息

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis, Oxford, United Kingdom of Great Britain and Northern Ireland.

British Horseracing Authority Ltd, Medical, London, United Kingdom of Great Britain and Northern Ireland.

出版信息

Int J Sports Med. 2019 Oct;40(11):732-738. doi: 10.1055/a-0902-8601. Epub 2019 Aug 7.

DOI:10.1055/a-0902-8601
PMID:31390657
Abstract

To examine the prevalence of chronic disease and mental health problems in retired professional, male jockeys compared to an age-matched reference population. A cross-sectional study comparing data from a cohort of retired professional jockeys with an age-matched general population sample. Male participants (age range: 50-89 years old) were used to compare health outcomes of self-reported physician-diagnosed conditions: heart disease, stroke, diabetes, hypertension, osteoporosis, osteoarthritis, depression and anxiety between study populations. Conditional logistic regression models were used to estimate associations between study groups and health outcome. In total, 810 participants (135 retired professional male jockeys and 675 participants from the reference population) were included, with an average age of 64.7±9.9 years old. Increased odds of having osteoporosis (OR=6.5, 95%CI 2.1-20.5), osteoarthritis (OR=7.5, 95%CI 4.6-12.2), anxiety (OR=2.8, 95%CI 1.3-5.9) and depression (OR=2.6, 95%CI 1.3-5.7) were seen in the retired professional jockeys. No differences were found for the remaining health outcomes. Retired professional jockeys had increased odds of musculoskeletal disease and mental health problems compared to the general population. Understanding the prevalence of chronic disease and mental health problems in retired professional jockeys will help inform screening and intervention strategies for jockeys.

摘要

为了检查与年龄匹配的一般人群相比,退休职业男性骑师中慢性疾病和心理健康问题的流行情况。这是一项比较退休职业骑师队列数据与年龄匹配的一般人群样本数据的横断面研究。使用男性参与者(年龄范围:50-89 岁)来比较自我报告的医生诊断疾病的健康结果:研究人群中的心脏病、中风、糖尿病、高血压、骨质疏松症、骨关节炎、抑郁和焦虑。使用条件逻辑回归模型来估计研究组与健康结果之间的关联。总共纳入了 810 名参与者(135 名退休职业男性骑师和 675 名来自参考人群的参与者),平均年龄为 64.7±9.9 岁。退休职业骑师患骨质疏松症(OR=6.5,95%CI 2.1-20.5)、骨关节炎(OR=7.5,95%CI 4.6-12.2)、焦虑(OR=2.8,95%CI 1.3-5.9)和抑郁(OR=2.6,95%CI 1.3-5.7)的可能性增加。在其余健康结果方面没有发现差异。与一般人群相比,退休职业骑师患肌肉骨骼疾病和心理健康问题的可能性更高。了解退休职业骑师中慢性疾病和心理健康问题的流行情况将有助于为骑师制定筛查和干预策略。

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