Orthopedics Department, The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300000, People's Republic of China.
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, 300000, People's Republic of China.
Sci Rep. 2024 Sep 4;14(1):20574. doi: 10.1038/s41598-024-71766-9.
It is known that physical activity is beneficial for the prevention of osteoarthritis (OA), but specific discussions on which types and levels of physical activity are more effective in reducing the incidence of OA are restricted. This study is aimed at exploring the correlation concerning the types of physical activity, levels of physical activity, and the incidence of OA by assessing the participation in five typical forms of physical activity (vigorous work activity, vigorous recreational activity, moderate work activity, moderate recreational activity, and walking or bicycling). Cross-sectional study was conducted. Self-reported data on specific types of physical activity were obtained from individuals in the National Health and Nutrition Examination Survey (NHANES) from 2007 to 2020 with the use of the Physical Activity Questionnaire (PAQ). The incidence of OA was assessed through the "Health Conditions" questionnaire section of NHANES. Weighted logistic regression analysis was employed to study the correlation between physical activity types and levels, and the incidence of OA. Different kinds of physical activity and physical activity levels have varying impacts on the incidence of OA. Among the types of physical activity, vigorous recreational activity and moderate recreational activity are found to have a preventive effect on OA. In terms of physical activity levels, low physical activity levels of moderate work activity are associated with an increased risk of OA, while moderate physical activity levels are confirmed to have a protective effect against OA in the age groups of 20-44 and 45-64. However, gender-stratified analyses reveal that both low and moderate physical activity levels provide protection against OA in males, with moderate physical activity levels showing a more significant protective effect.
众所周知，身体活动有益于预防骨关节炎（OA），但具体讨论哪种类型和水平的身体活动更能有效降低 OA 的发病率受到限制。本研究旨在通过评估五种典型形式的身体活动（剧烈工作活动、剧烈娱乐活动、中度工作活动、中度娱乐活动和步行或骑自行车），探讨身体活动类型、身体活动水平与 OA 发病率之间的相关性。本研究为横断面研究。使用身体活动问卷（PAQ），从 2007 年至 2020 年的国家健康和营养检查调查（NHANES）中获得了个体特定类型身体活动的自我报告数据。通过 NHANES 的“健康状况”问卷部分评估 OA 的发病率。采用加权逻辑回归分析研究身体活动类型和水平与 OA 发病率之间的相关性。不同类型的身体活动和身体活动水平对 OA 的发病率有不同的影响。在身体活动类型中，剧烈娱乐活动和中度娱乐活动对 OA 具有预防作用。就身体活动水平而言，中度工作活动的低身体活动水平与 OA 的风险增加相关，而在 20-44 岁和 45-64 岁年龄组中，中度身体活动水平被证实对 OA 具有保护作用。然而，性别分层分析表明，低身体活动水平和中等身体活动水平都能为男性预防 OA，中等身体活动水平具有更显著的保护作用。
