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髋围和腰围与慢性疼痛患者的人口统计学因素和疼痛强度的相关性。

Hip and waist circumference correlations with demographic factors and pain intensity in patients with chronic pain.

机构信息

Albany Medical College, Albany, NY 12208, USA.

Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USA.

出版信息

Pain Manag. 2024;14(8):421-429. doi: 10.1080/17581869.2024.2403961. Epub 2024 Oct 3.

Abstract

This study aimed to investigate how demographic factors such as race, age, sex and ethnicity can impact hip circumference (HC) and waist circumference (WC) in patients with chronic pain. We queried the NIH-sponsored All of Us database for patients with documented HC, WC and waist/hip ratio (WHR) data. This cross-sectional study categorized participants into four groups: total cohort, no chronic pain, mild/moderate chronic pain (numeric rating scale < 7) and severe chronic pain (numeric rating scale > 7). Further subgroup analyses were performed based on race, age, sex and ethnicity. We examined the correlation between chronic pain and WC, HC and WHR. ANCOVA analysis was used to determine to investigate demographics. This study included 204,013 participants, with 25.22% having a chronic pain diagnoses. In most subgroups, females had significantly greater HC, while males had greater WC and WHR. WC ( < 0.001 in females,  < 0.01 in males), HC ( < 0.001 in females) and WHR ( < 0.001 in females,  < 0.05 in males) were significantly greater in the severe pain group compared with the mild/moderate pain group. These findings suggest that when assessing HC and WC, demographic variables need to be considered to develop more personalized and comprehensive treatment plans for chronic pain patients.

摘要

这项研究旨在探讨人口统计学因素(如种族、年龄、性别和民族)如何影响慢性疼痛患者的臀围(HC)和腰围(WC)。我们在 NIH 赞助的 All of Us 数据库中查询了有记录的 HC、WC 和腰臀比(WHR)数据的患者。这项横断面研究将参与者分为四组:总队列、无慢性疼痛、轻度/中度慢性疼痛(数字评分量表 < 7)和重度慢性疼痛(数字评分量表 > 7)。根据种族、年龄、性别和民族进一步进行亚组分析。我们检查了慢性疼痛与 WC、HC 和 WHR 之间的相关性。ANCOVA 分析用于确定人口统计学因素。这项研究共纳入了 204013 名参与者,其中 25.22%的人患有慢性疼痛。在大多数亚组中,女性的 HC 明显更大,而男性的 WC 和 WHR 更大。与轻度/中度疼痛组相比,重度疼痛组的 WC(女性 <0.001,男性 <0.01)、HC(女性 <0.001)和 WHR(女性 <0.001,男性 <0.05)明显更大。这些发现表明,在评估 HC 和 WC 时,需要考虑人口统计学变量,为慢性疼痛患者制定更个性化和全面的治疗计划。

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