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影响纤维肌痛女性生活质量的身体状况因素预测。

Physical Condition Factors that Predict a Better Quality of Life in Women with Fibromyalgia.

机构信息

Unidad de Biomecánica Clínica (UBIC Research Group), Department of Physiotherapy, Faculty of Physiotherapy, Universitat de València, València 46010, Spain.

Freshage Research Group, Department of Physiotherapy, Faculty of Physiotherapy, Universitat de València, Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable (CIBERFES-ISCIII), Fundación Investigación del Hospital Clínico Universitario de Valencia (INCLIVA), València 46010, Spain.

出版信息

Int J Environ Res Public Health. 2019 Aug 30;16(17):3173. doi: 10.3390/ijerph16173173.

Abstract

What physical qualities can predict the quality of life (QoL) in women with fibromyalgia (FM)? QoL is a very complex outcome affected by multiple comorbidities in people with fibromyalgia. This study aims to determine which physical qualities can predict the quality of life in women with FM. Also, a comparison between the physical qualities of women with FM and healthy counterparts was conducted. In total, 223 women participated in this cross-sectional study, 123 with FM, with ages ranging between 45 and 70 years. The study was conducted at several fibromyalgia associations and specialized medical units. QoL was measured as the main outcome. In addition, functional capacity, muscular strength, maintenance of thoracic posture, postural control, flexibility, pain threshold, and anxiety were measured. Prediction of the QoL was conducted with multiple linear regression analysis and comparison between groups, using the Mann-Whitney U test. There were significant differences between groups in all the variables measured ( < 0.01). The multiple linear regression model showed that factors influencing QoL in women with FM for all the variables measured were functional capacity, handgrip strength and bicep strength, maintenance of thoracic posture, pain threshold, and anxiety ( = 0.53, < 0.05). To conclude, women with FM show a significantly lower QoL than their healthy counterparts, and the factors that predict their perceived QoL are functional capacity, muscular strength, postural maintenance, pain threshold, and anxiety.

摘要

哪些身体特质可以预测纤维肌痛(FM)女性的生活质量(QoL)?QoL 是一个非常复杂的结果,受纤维肌痛患者多种合并症的影响。本研究旨在确定哪些身体特质可以预测 FM 女性的生活质量。此外,还对 FM 女性与健康对照组的身体特质进行了比较。共有 223 名女性参与了这项横断面研究,其中 123 名患有 FM,年龄在 45 至 70 岁之间。该研究在多个纤维肌痛协会和专门的医疗单位进行。QoL 是作为主要结果进行测量的。此外,还测量了功能能力、肌肉力量、维持胸姿、姿势控制、柔韧性、疼痛阈值和焦虑。使用多元线性回归分析和组间曼-惠特尼 U 检验对 QoL 进行预测。所有测量的变量(<0.01)之间的组间均存在显著差异。多元线性回归模型显示,对所有测量变量的 FM 女性 QoL 有影响的因素是功能能力、手握力和肱二头肌力量、维持胸姿、疼痛阈值和焦虑(=0.53,<0.05)。总之,FM 女性的 QoL 明显低于健康对照组,预测其感知 QoL 的因素是功能能力、肌肉力量、姿势维持、疼痛阈值和焦虑。

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