种族/民族和医生对身体活动的建议对关节炎患者身体活动水平和关节炎症状的影响。
The effects of race/ethnicity and physician recommendation for physical activity on physical activity levels and arthritis symptoms among adults with arthritis.
机构信息
Medical Resident Scholar Program, National Institutes of Health and National Institute on Minority Health and Health Disparities, National Institutes of Health, 9000 Rockville Pike, Building 3, Floor 5, Room E08, Bethesda, MD, 20892, USA.
Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, 9000 Rockville Pike, Building 3, Floor 5, Room E08, Bethesda, MD, 20892, USA.
出版信息
BMC Public Health. 2021 Aug 18;21(1):1564. doi: 10.1186/s12889-021-11570-6.
BACKGROUND
Among U.S. adults with physician-diagnosed arthritis, we examined the association of 1) participant race/ethnicity with meeting physical activity guidelines and arthritis symptoms, and 2) the association of receipt of a physician exercise recommendation with physical activity levels and arthritis symptoms, and whether race/ethnicity moderates these associations.
METHODS
Retrospective, cross-sectional study of National Health Interview Survey pooled data from 2002, 2006, 2009, and 2014 from 27,887 U.S. adults aged ≥18 years with arthritis. Outcomes were meeting aerobic (yes/no) and strengthening guidelines (yes/no), arthritis-associated activity limitations (yes/no) and arthritis-related pain (0-10; higher score = more pain). Predictors were race/ethnicity (White, African American, Latino, and Asian) and receipt of physician recommendation for exercise (yes/no). Covariates included demographic and health characteristics.
RESULTS
Adjusting for covariates, African Americans were more likely (AOR = 1.27; 95% CI 1.12, 1.43) and Asians were less likely (AOR = 0.75; 95% CI 0.61, 0.92) than Whites to meet muscle strengthening activity guidelines. Compared to Whites, African Americans (B = 0.48; 95% CI 0.24, 0.72) and Latinos (B = 0.44; 95% CI 0.15, 0.72) reported more severe, while Asians reported less severe (B = -0.68; 95% CI -1.22, - 0.14) joint pain. Controlling for covariates, physician exercise recommendation was associated with meeting aerobic (AOR = 1.20; 95% CI 1.11, 1.30) and strengthening (AOR = 1.21; 95% CI 1.11, 1.33) guidelines, regardless of race/ethnicity except for a weak negative association with meeting strengthening guidelines (AOR = 0.85; CI 0.74-0.99) among Latinos.
CONCLUSIONS
Disparities in pain exist for African Americans and Latinos with arthritis. Physician exercise recommendation is critical among patients with arthritis to relieve symptom burden.
背景
在美国，有医生诊断为关节炎的成年人中，我们研究了 1）参与者的种族/族裔与符合体力活动指南和关节炎症状之间的关系，以及 2）接受医生运动建议与体力活动水平和关节炎症状之间的关系，以及种族/族裔是否调节这些关系。
方法
这是一项回顾性、横断面研究，使用了来自 2002 年、2006 年、2009 年和 2014 年的全国健康访谈调查汇总数据，研究对象为 27887 名年龄≥18 岁、有医生诊断为关节炎的美国成年人。结果是符合有氧运动（是/否）和强化锻炼指南（是/否）、与关节炎相关的活动限制（是/否）和关节炎相关疼痛（0-10；分数越高表示疼痛越严重）。预测因素是种族/族裔（白人、非裔美国人、拉丁裔和亚裔）和接受医生运动建议（是/否）。协变量包括人口统计学和健康特征。
结果
调整了协变量后，非裔美国人（AOR=1.27；95%CI 1.12, 1.43）更有可能符合肌肉强化活动指南，而亚洲人（AOR=0.75；95%CI 0.61, 0.92）比白人更不可能符合。与白人相比，非裔美国人（B=0.48；95%CI 0.24, 0.72）和拉丁裔（B=0.44；95%CI 0.15, 0.72）报告的关节疼痛更严重，而亚洲人报告的疼痛较轻（B=-0.68；95%CI -1.22, -0.14）。控制了协变量后，无论种族/族裔如何，医生运动建议与符合有氧运动（AOR=1.20；95%CI 1.11, 1.30）和强化运动（AOR=1.21；95%CI 1.11, 1.33）指南相关，除了拉丁裔人符合强化锻炼指南的关联较弱（AOR=0.85；CI 0.74-0.99）。
结论
非裔美国人和拉丁裔关节炎患者的疼痛存在差异。对于关节炎患者，医生的运动建议对于减轻症状负担至关重要。
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