体力活动与肌肉骨骼疼痛的关系：来自 ASAP 调查的国际数据分析。
Association between physical activity and musculoskeletal pain: an analysis of international data from the ASAP survey.
机构信息
Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA.
Spaulding Rehabilitation Hospital, Charlestown, Massachusetts, USA.
出版信息
BMJ Open. 2022 Sep 19;12(9):e059525. doi: 10.1136/bmjopen-2021-059525.
OBJECTIVE
To explore the association of physical activity (PA) with musculoskeletal pain (MSK pain).
DESIGN
Cross-sectional study SETTING: 14 countries (Argentina, Australia, Austria, Brazil, Chile, France, Germany, Italy, the Netherlands, Singapore, South Africa, Spain, Switzerland and the USA).
PARTICIPANTS
Individuals aged 18 or older.
PRIMARY AND SECONDARY OUTCOME MEASURES
PA volumes were assessed with an adapted version of the Nordic Physical Activity Questionnaire-short. Prevalence of MSK pain was captured by means of a 20-item checklist of body locations. Based on the WHO recommendation on PA, participants were classified as non-compliers (0-150 min/week), compliers (150-300 min/week), double compliers (300-450 min/week), triple compliers (450-600 min/week), quadruple compliers (600-750 min/week), quintuple compliers (750-900 min/week) and top compliers (more than 900 min/week). Multivariate logistic regression was used to obtain adjusted ORs of the association between PA and MSK pain for each body location, correcting for age, sex, employment status and depression risk.
RESULTS
A total of 13 741 participants completed the survey. Compared with non-compliers, compliers had smaller odds of MSK pain in one location (thoracic pain, OR 0.77, 95% CI 0.64 to 0.93). Double compliance was associated with reduced pain occurrence in six locations (elbow, OR 0.70, 95% CI 0.50 to 0.98; forearm, OR 0.63, 95% CI 0.40 to 0.99; wrist, OR 0.74, 95% CI 0.57 to 0.98; hand, OR 0.57, 95% CI 0.40 to 0.79; fingers, OR 0.72, 95% CI 0.52 to 0.99; abdomen, OR 0.61, 95% CI 0.41 to 0.91). Triple to top compliance was also linked with lower odds of MSK pain (five locations in triple compliance, three in quadruple compliance, two in quintuple compliance, three in top compliance), but, at the same time, presented increased odds of MSK pain in some of the other locations.
CONCLUSION
A dose of 300-450 min WHO-equivalent PA/week was associated with lower odds of MSK pain in six body locations. On the other hand, excessive doses of PA were associated with higher odds of pain in certain body locations.
目的
探讨身体活动（PA）与肌肉骨骼疼痛（MSK 疼痛）之间的关联。
设计
横断面研究
地点
14 个国家（阿根廷、澳大利亚、奥地利、巴西、智利、法国、德国、意大利、荷兰、新加坡、南非、西班牙、瑞士和美国）。
参与者
年龄在 18 岁或以上的个人。
主要和次要结果测量
使用北欧体力活动问卷的改编版评估 PA 量。MSK 疼痛的患病率通过身体部位的 20 项清单来捕捉。根据世卫组织关于 PA 的建议，参与者被分为非达标者（每周 0-150 分钟）、达标者（每周 150-300 分钟）、双达标者（每周 300-450 分钟）、三达标者（每周 450-600 分钟）、四达标者（每周 600-750 分钟）、五达标者（每周 750-900 分钟）和最高达标者（每周超过 900 分钟）。使用多变量逻辑回归，在调整年龄、性别、就业状况和抑郁风险后，获得每个身体部位 PA 与 MSK 疼痛之间关联的调整比值比（OR）。
结果
共有 13741 名参与者完成了调查。与非达标者相比，达标者在一个部位（胸疼）发生 MSK 疼痛的几率较小（OR 0.77，95%CI 0.64-0.93）。双重达标与六个部位疼痛发生率降低有关（肘部，OR 0.70，95%CI 0.50-0.98；前臂，OR 0.63，95%CI 0.40-0.99；手腕，OR 0.74，95%CI 0.57-0.98；手，OR 0.57，95%CI 0.40-0.79；手指，OR 0.72，95%CI 0.52-0.99；腹部，OR 0.61，95%CI 0.41-0.91）。三到最高达标者也与 MSK 疼痛发生几率降低有关（三重达标者五个部位，四重达标者三个部位，五重达标者两个部位，最高达标者三个部位），但同时也与某些其他部位的疼痛几率增加有关。
结论
每周 300-450 分钟世卫组织等效 PA 量与 6 个身体部位的 MSK 疼痛几率降低有关。另一方面，过量的 PA 与某些身体部位的疼痛几率增加有关。
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