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[背痛与肥胖之间的联系]

[The connection between back pain and obesity].

作者信息

Enge Martin, Kraft Clayton N

机构信息

Klinik für Orthopädie, Unfall- und Handchirurgie, HELIOS Klinikum Krefeld, Lutherplatz 40, 47805, Krefeld, Deutschland.

出版信息

Orthopadie (Heidelb). 2025 Apr;54(4):267-270. doi: 10.1007/s00132-025-04612-z. Epub 2025 Jan 30.

DOI:10.1007/s00132-025-04612-z
PMID:39883120
Abstract

BACKGROUND

Obesity is increasingly being recognized as a significant risk factor for the development and worsening of back pain. In order to make possible adjustments to therapies and lifestyle, the relationship must first be understood.

METHOD

This article attempts to explain the relationship between obesity and back pain based on the existing literature.

RESULTS

The significant underlying factors are biomechanical overload and altered posture due to increased body fat percentages. Systemic reactions to the adipose tissue itself are also under discussion. Nevertheless, the connections between obesity and back pain are likely to be more complex than previously assumed.

CONCLUSION

The relationship between obesity and back pain is multifactorial. Obesity increases the risk of back pain due to biomechanical stress, systemic inflammation, and altered posture. Further research is needed to respond to the anticipated increase in the number of obese patients.

摘要

背景

肥胖日益被视为背痛发生和加重的重要风险因素。为了对治疗方法和生活方式进行可能的调整,必须首先了解这种关系。

方法

本文试图根据现有文献解释肥胖与背痛之间的关系。

结果

重要的潜在因素是由于体脂百分比增加导致的生物力学过载和姿势改变。对脂肪组织本身的全身反应也在讨论中。然而,肥胖与背痛之间的联系可能比以前认为的更为复杂。

结论

肥胖与背痛之间的关系是多因素的。肥胖由于生物力学压力、全身炎症和姿势改变而增加背痛风险。需要进一步研究以应对肥胖患者数量预期的增加。

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本文引用的文献

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The association between obesity and postoperative outcomes in a broad surgical population: A 7-year American College of Surgeons National Surgical Quality Improvement analysis.广泛外科手术人群中肥胖与术后结局的关联:一项为期7年的美国外科医师学会国家外科质量改进分析。
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Do the associations of body mass index and waist circumference with back pain change as people age? 32 years of follow-up in a British birth cohort.
体重指数和腰围与背痛的关联是否会随着人们年龄的增长而变化?一项英国出生队列的 32 年随访研究。
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Dietary Interventions for Treatment of Chronic Pain: Oxidative Stress and Inflammation.治疗慢性疼痛的饮食干预:氧化应激与炎症
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Adipsin Concentrations Are Associated with Back Pain Independently of Adiposity in Overweight or Obese Adults.在超重或肥胖成年人中,脂肪酶浓度与背痛相关,且独立于肥胖状态。
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