儿童肥胖对关节对线的影响：系统评价和荟萃分析。
The Impact of Childhood Obesity on Joint Alignment: A Systematic Review and Meta-Analysis.
机构信息
PROFITH "PROmoting FITness and Health through Physical Activity" Research Group, Sport and Health University Research Institute (iMUDS), Department of Physical and Sports Education, Faculty of Sport Sciences, University of Granada, Granada, Spain.
Department of Rehabilitation Sciences, KU Leuven-University of Leuven, Belgium.
出版信息
Phys Ther. 2021 Jul 1;101(7). doi: 10.1093/ptj/pzab066.
OBJECTIVE
It has been suggested that overweight/obesity (OW/OB) impairs the normal alignment of children and adolescents' musculoskeletal system. However, to date, no study has systematically reviewed or quantified the effect of OW/OB on the development of joint malalignments in children and adolescents. The purpose of this study was to systematically review the association between OW/OB and joint alignment in children and adolescents and to quantify the evidence on whether children and adolescents with OW/OB have a higher risk of developing joint malalignments than their peers of normal weight.
METHODS
PubMed and Web of Science databases were systematically searched from inception to March 9, 2020. Studies investigating the association between OW/OB and joint alignment in children and adolescents were selected. Nonoriginal articles, participants with movement pattern diseases, and adolescents studied while pregnant were excluded. Two independent reviewers conducted the study selection and data extraction. Qualitative synthesis of evidence and random effect meta-analyses (risk ratio [RR]) were performed.
RESULTS
Seventy-three studies (5 longitudinal and 68 cross-sectional) met the inclusion criteria involving 1,757,107 children and adolescents. There was consistent evidence supporting associations of OW/OB with rounded shoulder, lumbar hyperlordosis, genu valgum, and flatfoot. Our meta-analysis showed that children and adolescents with OW/OB had a significantly higher risk of lumbar hyperlordosis (RR = 1.41), genu valgum (RR = 5.92), flatfoot (RR = 1.49), and any joint malalignment (RR = 1.68) when compared with their peers of normal weight. The presence of genu valgum and flatfoot were the most robust results.
CONCLUSION
Based on these findings, OW/OB is associated with the presence of joint malalignments in children and adolescents.
IMPACT
This is the first study that has systematically reviewed the effect of OW/OB on the development of joint malalignments in children and adolescents.
目的
有人认为超重/肥胖（OW/OB）会影响儿童和青少年的骨骼肌肉系统的正常排列。然而，迄今为止，尚无研究系统地综述或量化 OW/OB 对儿童和青少年关节错位发展的影响。本研究旨在系统地综述 OW/OB 与儿童和青少年关节排列之间的关系，并量化证据表明 OW/OB 儿童和青少年发生关节错位的风险是否高于体重正常的同龄人。
方法
从建库至 2020 年 3 月 9 日，我们系统地检索了 PubMed 和 Web of Science 数据库。选择了研究 OW/OB 与儿童和青少年关节排列之间关系的研究。排除非原创文章、有运动模式疾病的参与者以及研究怀孕期间青少年的文章。两名独立的审查员进行了研究选择和数据提取。进行了定性综合证据和随机效应荟萃分析（风险比 [RR]）。
结果
符合纳入标准的 73 项研究（5 项纵向研究和 68 项横断面研究）共涉及 1757107 名儿童和青少年。有一致的证据支持 OW/OB 与圆肩、腰椎过度前凸、膝内翻和扁平足有关。我们的荟萃分析表明，与体重正常的同龄人相比，OW/OB 儿童和青少年发生腰椎过度前凸（RR=1.41）、膝内翻（RR=5.92）、扁平足（RR=1.49）和任何关节错位（RR=1.68）的风险显著更高。膝内翻和扁平足的存在是最可靠的结果。
结论
基于这些发现，OW/OB 与儿童和青少年关节错位的存在有关。
影响
这是第一项系统地综述 OW/OB 对儿童和青少年关节错位发展影响的研究。
Zotero 插件