特发性肌肉骨骼疼痛、肌肉骨骼疼痛综合征和哮喘青少年使用电子设备。
Idiopathic musculoskeletal pain, musculoskeletal pain syndromes, and use of electronic devices in adolescents with asthma.
机构信息
Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança e do Adolescente, Universidade de São Paulo, São Paulo, SP, Brazil.
Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança e do Adolescente, Universidade de São Paulo, São Paulo, SP, Brazil.
出版信息
J Pediatr (Rio J). 2022 May-Jun;98(3):270-275. doi: 10.1016/j.jped.2021.06.002. Epub 2021 Jul 8.
OBJECTIVE
To evaluate idiopathic musculoskeletal pain, musculoskeletal pain syndromes, and use of electronic devices in adolescents with asthma and healthy controls.
METHODS
Cross-sectional study was conducted on 150 asthmatic adolescents and 300 controls. Adolescents completed a self-administered questionnaire regarding painful symptoms, use of electronic devices, and physical activity. Seven musculoskeletal pain syndromes were evaluated, and Asthma Control Test (ACT) was assessed.
RESULTS
Musculoskeletal pain (42% vs. 61%, p = 0.0002) and musculoskeletal pain syndromes (2.7% vs. 15.7%, p = 0.0006) were significantly lower in asthmatic adolescents than in controls. The frequency of pain in the hands and wrists was reduced in asthmatic than in controls (12.6% vs. 31.1%, p = 0.004), in addition to cell phone use (80% vs. 93%, p < 0.0001), simultaneous use of at least two electronic media (47% vs. 91%, p < 0.0001), myofascial syndrome (0% vs. 7.1%, p = 0.043), and tendinitis (0% vs. 9.2%, p = 0.008). Logistic regression analysis, including asthma with musculoskeletal pain as the dependent variable, and female sex, ACT > 20, simultaneous use of at least two electronic devices, cell phone use, and weekends and weekdays of cell phone use, as independent variables, showed that female sex (odds ratio [OR], 2.06; 95% confidence interval [CI], 1.929-6.316; p = 0.0009) and ACT ≥ 20 (OR, 0.194; 95% CI, 0.039-0.967; p = 0.045) were associated with asthma and musculoskeletal pain (Nagelkerke R = 0.206).
CONCLUSIONS
Musculoskeletal pain and musculoskeletal pain syndromes were lower in adolescents with asthma. Female sex was associated with musculoskeletal pain in asthmatic, whereas patients with asthma symptoms and well-controlled disease reported a lower prevalence of musculoskeletal pain.
目的
评估特发性肌肉骨骼疼痛、肌肉骨骼疼痛综合征和电子设备的使用在哮喘青少年和健康对照者中的情况。
方法
对 150 名哮喘青少年和 300 名对照者进行了横断面研究。青少年完成了一份关于疼痛症状、电子设备使用和体育活动的自我管理问卷。评估了七种肌肉骨骼疼痛综合征，并评估了哮喘控制测试（ACT）。
结果
与对照组相比，哮喘青少年的肌肉骨骼疼痛（42%比 61%，p=0.0002）和肌肉骨骼疼痛综合征（2.7%比 15.7%，p=0.0006）明显较低。与对照组相比，哮喘青少年手部和腕部疼痛的频率较低（12.6%比 31.1%，p=0.004），此外，手机使用率较低（80%比 93%，p<0.0001），同时使用至少两种电子媒体的频率较低（47%比 91%，p<0.0001），肌筋膜综合征的发生率较低（0%比 7.1%，p=0.043），肌腱炎的发生率较低（0%比 9.2%，p=0.008）。包括以有肌肉骨骼疼痛的哮喘为因变量，以女性、ACT>20、同时使用至少两种电子设备、使用手机、周末和工作日使用手机为自变量的逻辑回归分析显示，女性（比值比[OR]，2.06；95%置信区间[CI]，1.929-6.316；p=0.0009）和 ACT≥20（OR，0.194；95%CI，0.039-0.967；p=0.045）与哮喘和肌肉骨骼疼痛有关（Nagelkerke R=0.206）。
结论
哮喘青少年的肌肉骨骼疼痛和肌肉骨骼疼痛综合征较低。女性与哮喘青少年的肌肉骨骼疼痛有关，而有哮喘症状和控制良好的患者报告肌肉骨骼疼痛的发生率较低。
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