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Relationships Between Body Mass Index, Fat Mass, Muscle Mass, and Musculoskeletal Pain in Community Residents

机译:体重指数,脂肪量,肌肉质量与社区居民肌肉骨骼疼痛的关系

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Objective. To evaluate the relationships between fat mass, muscle mass, fatrmuscle mass ratio, metabolic syndrome, and musculoskeletal pain in community residents. Methods. In the Korean Health and Genome Study, , 530 participants (mean ± SD age 60.8 ± 8.60 years) completed pain questionnaires and underwent dual x-ray absorptiometry to calculate body composition. Pain was categorized according to the number of pain regions, such that widespread pain, defined as pain above the waist, below the waist, on both sides of the body, and in the axial region, represented the most severe pain. Metabolic syndrome was defined using the International Diabetes Federation 2005 recommendations, and the association between metabolic syndrome and pain was evaluated by dividing the population into 4 groups, according to the presence/absence of metabolic syndrome and of high body mass index (BMI). Results. Total fat mass and fat:muscle mass ratio were significantly and positively associated with musculoskeletal pain among female subjects only. Compared to the lowest quartile of fatrmuscle mass ratio, the odds ratios for widespread pain among subjects in other quartiles were significantly increased after adjustment for confounders. Widespread pain was more prevalent among subjects with metabolic syndrome whether their BMI was high or normal, especially among female subjects. Conclusion. Increased fat mass and fatrmuscle mass ratio were significantly associated with musculoskeletal pain among women. Widespread pain was significantly associated with a high fatrmuscle mass ratio after adjustment for confounders. Understanding the relationship between fat mass and pain may provide insights into preventative measures and therapeutic strategies for musculoskeletal pain.
机译:客观的。评价社区居民脂肪肿块,肌肉质量,脂肪囊质量比,代谢综合征和肌肉骨骼疼痛的关系。方法。在韩国健康和基因组研究中,530名参与者(平均值±SD 60.8±8.60岁)完成疼痛问卷和接受双X射线吸收测量来计算体组成。根据疼痛区域的数量对疼痛进行分类,使得普遍存在的疼痛,定义为腰部以上的疼痛,在腰部以下,在身体的两侧和轴向区域,表示最严重的疼痛。根据代谢综合征的存在/不存在和高体重指数(BMI),使用国际糖尿病联合会2005年建议定义了代谢综合征,并通过将人口分成4组来评估代谢综合征和疼痛的关联。结果。总脂肪块和脂肪:肌肉质量比例显着且与女性受试者中的肌肉骨骼疼痛显着且正相关。与Fatrmuscle Mass比率最低的四分位数相比,在调整混凝剂后,其他四分位数受试者中受试者中普遍疼痛的优化比率显着增加。在代谢综合征中的受试者中,他们的BMI是否高或正常,特别是在女性受试者中,普遍存在的疼痛更为普遍。结论。脂肪质量和脂肪量质量比增加与女性中的肌肉骨骼疼痛显着相关。对混凝剂调整后,与高脂肪氏症质量比显着相关。了解脂肪群和疼痛之间的关系可能会对预防性措施和肌肉骨骼疼痛的治疗策略提供见解。

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