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一般人群中多种化学敏感性描述的生理健康和身体表现。

Physiological Health and Physical Performance in Multiple Chemical Sensitivity-Described in the General Population.

机构信息

Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Nordre Fasanvej 57, Hovedvejen, Entrance 5, 2000 Frederiksberg, Denmark.

Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Universitetsbyen 22-23, 8000 Aarhus C, Denmark.

出版信息

Int J Environ Res Public Health. 2022 Jul 25;19(15):9039. doi: 10.3390/ijerph19159039.

Abstract

Multiple chemical sensitivity (MCS) is a multifactorial somatic disorder characterized by physical reactions triggered by even extremely low levels of different airborne chemicals. In most individuals with MCS, these reactions have substantial negative impact on social, occupational, and everyday life often including limited or no engagement in physical activities. The aim of this study was to explore associations between MCS and objective measurements of anthropometry, cardiorespiratory health, and physical performance. From the Danish population-based cohort DanFunD counting 9656 participants aged 18-76 years, 1.95% ( = 188) were categorized as MCS individuals (MCS All). Of those 188, 109 participants were subcategorized as having MCS without functional somatic disorders (FSD) (MCS with no comorbid FSD). The remaining study population without any FSD were regarded controls. We used adjusted multiple linear regression analyses to evaluate associations between MCS and anthropometry, cardiorespiratory fitness, and physical performance. Compared with the general population, MCS All had less optimal body composition, increased risk of obesity, impaired cardiorespiratory fitness, and physical performance which was not seen in MCS with no comorbid FSD. MCS individuals may be inhibited to maintain an active lifestyle which can increase risk of obesity and consequently have negatively impact on general health, which may not be the case among MCS with no comorbid FSD.

摘要

多重化学敏感性 (MCS) 是一种多因素躯体障碍,其特征是即使极低水平的不同空气化学物质也会引发身体反应。在大多数患有 MCS 的个体中,这些反应对社交、职业和日常生活产生了实质性的负面影响,通常包括身体活动的参与受限或无法参与。本研究旨在探讨 MCS 与人体测量学、心肺健康和身体表现的客观测量之间的关联。在丹麦基于人群的 DanFunD 队列中,有 9656 名年龄在 18-76 岁的参与者,其中 1.95%(=188)被归类为 MCS 个体(MCS 全部)。在这 188 人中,有 109 人被细分为没有功能性躯体障碍(FSD)的 MCS(没有合并 FSD 的 MCS)。其余没有任何 FSD 的研究人群被视为对照组。我们使用调整后的多元线性回归分析来评估 MCS 与人体测量学、心肺功能和身体表现之间的关联。与一般人群相比,MCS 全部的身体成分较差、肥胖风险增加、心肺功能受损和身体表现下降,而没有合并 FSD 的 MCS 则没有出现这些情况。MCS 个体可能会受到抑制,无法保持积极的生活方式,从而增加肥胖的风险,进而对整体健康产生负面影响,而没有合并 FSD 的 MCS 则不会出现这种情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa0a/9331319/8c8126de111d/ijerph-19-09039-g001.jpg

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