体力活动人群中性别与骨关节炎的关系:系统评价。

The Association Between Sex and Osteoarthritis in the Physically Active Population: A Systematic Review.

机构信息

Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH University Hospital, Aachen, Germany.

Department of Medicine, Surgery and Dentistry, University of Salerno, Baronissi, Italy.

出版信息

Sports Med Arthrosc Rev. 2022 Jun 1;30(2):87-91. doi: 10.1097/JSA.0000000000000346. Epub 2022 May 4.

Abstract

PURPOSE

Intense sporting activity and certain types of work increase the risk of early osteoarthritis (OA). OA can be idiopathic or associated to certain predisposing factors: female sex, obesity, history of joint injury, and joint overuse. The role of gender among the active population as a predisposing factor for OA is not well clear. This study investigated whether the risk of OA changes with age in both sexes in physically active individuals.

MATERIALS AND METHODS

This systematic review was conducted according to the PRISMA guidelines 2020. PubMed, Google Scholar, Embase, and Web of Science databases were accessed in April 2021. No time constrains were used for the search. All the published clinical studies reporting data about relationship between physical activity and OA were included.

RESULTS

Data from 7 articles were retrieved including 360,053 patients (271,903 males; 88,150 females). The mean age was 48.2±16.7 years. Males, under the age of 60 had a higher risk of developing OA. People undertaking intense physical activity, such as professional athletes or heavy workers, are more prone to develop early OA.

CONCLUSION

Physically active males demonstrated a higher risk of developing OA.

摘要

目的

剧烈运动和某些类型的工作会增加早期骨关节炎(OA)的风险。OA 可能是特发性的,也可能与某些易感因素有关:女性、肥胖、关节损伤史和关节过度使用。在活跃人群中,性别作为 OA 的易感因素的作用尚不清楚。本研究调查了在活跃人群中,性别是否会随着年龄的增长而改变 OA 的风险。

材料和方法

本系统评价按照 2020 年 PRISMA 指南进行。2021 年 4 月检索了 PubMed、Google Scholar、Embase 和 Web of Science 数据库。搜索没有时间限制。纳入了所有报告有关体力活动与 OA 之间关系的已发表临床研究的数据。

结果

共检索到 7 篇文章,包括 360053 名患者(271903 名男性;88150 名女性)。平均年龄为 48.2±16.7 岁。60 岁以下的男性患 OA 的风险更高。从事剧烈体力活动的人,如职业运动员或重体力劳动者,更容易患上早期 OA。

结论

男性体力活动者发生 OA 的风险更高。

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