与颈肩部疼痛相关的因素：瑞典五个郡 16000 名成年人的横断面研究。
Factors associated with neck and shoulder pain: a cross-sectional study among 16,000 adults in five county councils in Sweden.
机构信息
Centre for Clinical Research Sörmland, Uppsala University, SE- 631 88, Eskilstuna, Sweden.
Department of Health, Medicine and Caring Sciences, Physiotherapy, Linköping University, Linköping, Sweden.
出版信息
BMC Musculoskelet Disord. 2021 Oct 12;22(1):872. doi: 10.1186/s12891-021-04753-0.
BACKGROUND
Neck and shoulder pain is common in the general population, but studies on factors related to the risk of neck and shoulder pain have produced inconclusive results. Known factors related to pain include general physical activity, exercise, sleep disorders, and lifestyle, but further research is needed to improve our ability to prevent neck and shoulder pain. The aim was to investigate whether neck and shoulder pain are associated with physical domains (i.e., aerobic physical activities, general physical activities, and sitting time), sleep disturbances, general health, job satisfaction, and/or working time.
METHODS
This population-based, cross-sectional study was conducted in Sweden in 2017 and included 16,167 individuals, aged 18 to 63 years. We administered a questionnaire to determine neck and shoulder pain, the time spent in general physical activity or aerobic physical activity, the time spent sitting, sleep disturbances, general health, job satisfaction, and the time spent working. Factors associated with neck and shoulder pain were explored using logistic regression.
RESULTS
Significant factors associated with neck and shoulder pain were: overall health, sleep quality, and aerobic exercise. The odds of sustaining neck and shoulder pain increased with moderate or poor health (odds ratios [ORs]: 2.3 and 2.8, respectively) and sleep disorders (OR: 1.7). Conversely, aerobic physical activity performed more than 60 min/week at a level that enhanced respiratory and heart rate was associated with a reduced risk of experiencing neck and shoulder pain (OR: 0.8).
CONCLUSIONS
Although no causal relationships could be determined in the present study, the results highlight important associations between aerobic exercise, undisturbed sleep, good health, and the absence of upper body pain. Exercises that enhance breathing and heart rate were associated with a reduced risk of experiencing neck or shoulder pain, but there was no association between general physical activity and upper body pain. Therefore, clinicians may not recommend low-intensity activities, such as walking, for preventing or improving neck and shoulder pain.
背景
颈肩部疼痛在普通人群中很常见，但与颈肩部疼痛风险相关的因素的研究结果尚无定论。已知与疼痛相关的因素包括一般体力活动、运动、睡眠障碍和生活方式，但需要进一步研究以提高我们预防颈肩部疼痛的能力。本研究旨在调查颈肩部疼痛是否与身体活动（即有氧运动、一般体力活动和久坐时间）、睡眠障碍、一般健康、工作满意度和/或工作时间有关。
方法
本研究为基于人群的横断面研究，于 2017 年在瑞典进行，共纳入 16167 名年龄在 18 至 63 岁的个体。我们通过问卷调查来确定颈肩部疼痛、一般体力活动或有氧运动时间、久坐时间、睡眠障碍、一般健康、工作满意度和工作时间。使用逻辑回归来探讨与颈肩部疼痛相关的因素。
结果
与颈肩部疼痛相关的显著因素包括整体健康状况、睡眠质量和有氧运动。健康状况中等或较差（比值比[OR]：2.3 和 2.8）以及睡眠障碍（OR：1.7）的个体发生颈肩部疼痛的几率增加。相反，每周进行超过 60 分钟、能增强呼吸和心率的有氧运动与发生颈肩部疼痛的风险降低相关（OR：0.8）。
结论
尽管本研究无法确定因果关系，但结果强调了有氧运动、睡眠不受干扰、身体健康和无上半身疼痛之间的重要关联。增强呼吸和心率的运动与发生颈或肩部疼痛的风险降低相关，但一般体力活动与上半身疼痛之间没有关联。因此，临床医生可能不建议进行低强度活动（如散步）来预防或改善颈肩部疼痛。
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