Zhang Liangliang, Zhang Bo, Yuan Wenzhang, Hu Jiefeng, Yuan Junying, Wang Xuejie
Department of Rehabilitation, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China.
J Pain Res. 2024 Nov 1;17:3553-3564. doi: 10.2147/JPR.S484798. eCollection 2024.
Different types of activities have independent and additive benefits for adult health. This study intended to assess the association between aerobic activity and muscle-strengthening activities and health-related quality of life (HRQoL) and physical and mental health in patients with neck pain.
This cross-sectional study included data on patients with neck pain from the National Health and Nutrition Examination Survey (NHANES) dataset between 2001 and 2004. Weighted logistic regression analyses were applied to estimate the odds ratio (OR) and 95% confidence interval (CI) for the associations between aerobic activity, muscle-strengthening activities, and their combination, and HRQoL, physically unhealthy days (≥14 days/month), and mentally unhealthy days (≥14 days/month). Subgroup analyses were performed according to age, gender, and screen time.
A total of 794 patients with neck pain were included, of whom 504 had good HRQoL and 290 had poor HRQoL. Aerobic activity (OR=0.35, 95% CI: 0.21-0.57) and muscle-strengthening activities (OR=0.50, 95% CI: 0.26-0.98) were associated with good HRQoL in patients with neck pain, but only aerobic activity (OR=0.42, 95% CI: 0.28-0.63) was linked to shorter physical unhealthy days. No associations were found between aerobic activity, muscle-strengthening activities, and mentally unhealthy days (>0.05). The trends for the combined result of aerobic activity and muscle-strengthening activities on HRQoL, physically unhealthy days, and mentally unhealthy days were significant ( <0.001). Subgroup analyses found that the combined result of aerobic and muscle-strengthening activities was only more significant on HRQoL in patients aged <60 years or ≥60 years, males or females, and patients with screen time <3 hours or ≥3 hours ( <0.05).
Aerobic and muscle-strengthening activities were associated with good prognosis in patients with neck pain, but the effect of aerobic activity may be more pronounced.
不同类型的活动对成年人健康具有独立且累加的益处。本研究旨在评估有氧运动和肌肉强化活动与颈部疼痛患者的健康相关生活质量（HRQoL）以及身心健康之间的关联。
这项横断面研究纳入了2001年至2004年期间美国国家健康与营养检查调查（NHANES）数据集中颈部疼痛患者的数据。采用加权逻辑回归分析来估计有氧运动、肌肉强化活动及其组合与HRQoL、身体不健康天数（≥14天/月）和精神不健康天数（≥14天/月）之间关联的优势比（OR）和95%置信区间（CI）。根据年龄、性别和屏幕使用时间进行亚组分析。
共纳入794例颈部疼痛患者，其中504例HRQoL良好，290例HRQoL较差。有氧运动（OR = 0.35，95% CI：0.21 - 0.57）和肌肉强化活动（OR = 0.50，95% CI：0.26 - 0.98）与颈部疼痛患者的良好HRQoL相关，但只有有氧运动（OR = 0.42，95% CI：0.28 - 0.63）与较短的身体不健康天数相关。未发现有氧运动、肌肉强化活动与精神不健康天数之间存在关联（>0.05）。有氧运动和肌肉强化活动对HRQoL、身体不健康天数和精神不健康天数的综合结果趋势具有显著性（<0.001）。亚组分析发现，有氧运动和肌肉强化活动的综合结果仅在年龄<60岁或≥60岁、男性或女性以及屏幕使用时间<3小时或≥3小时的患者的HRQoL方面更显著（<0.05）。
有氧运动和肌肉强化活动与颈部疼痛患者的良好预后相关，但有氧运动的效果可能更显著。
