美国成年人股四头肌力量和膝关节疼痛分析。

IF 3.6 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation Pub Date : 2024-10-01 DOI:10.1016/j.apmr.2024.06.006

Peng Shen PhD , Xiwen Chen PT, MSc , Yun Wu PT, MSc , Qin-Jie Yang PT, MSc , Shuai-Jiang Yu PT, MSc , Xue-Qiang Wang PT, DSc

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引用次数: 0

摘要

目的：研究股四头肌力量与膝关节疼痛的关系：调查股四头肌力量与膝关节疼痛的关系：这项横断面研究基于 1999-2000 年和 2001-2002 年全国健康与营养调查的数据：环境：这是一项基于社区的研究：干预措施：不适用：主要结果测量主要结果测量：自我报告的膝关节疼痛：本研究共纳入 2,619 人，其中 1,287 人（52.66%）为女性，1,543 人（81.66%）为墨西哥裔美国人。平均年龄为（62.48±9.71）岁。调整协变量后，股四头肌力量每增加 20 N/m，膝关节疼痛的几率就会降低（几率比为 0.87；95% CI 为 0.81-0.94）。股四头肌力量处于上四分位数的人比处于下四分位数的人出现膝关节疼痛的几率要低（Q4 vs. Q1 [参考]：几率比，0.28，95% CI，0.15-0.52；ptrend = 0.006）。非线性分析表明，膝关节疼痛呈 L 型关联。亚组分析表明，除性别（pinteraction = 0.046）外，无显著的交互作用。性别交互作用的显著性表明相关性只存在于女性中：结论：研究结果表明，股四头肌力量与膝关节疼痛之间存在负相关。按性别进行的亚组分析表明，这种反向关系在女性亚组中具有统计学意义，但在男性亚组中并不明显。

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Analysis of Quadriceps Strength and Knee Pain

Objective

To investigate the association of quadriceps strength with the presence of knee pain.

Design

This cross-sectional study was based on data from the 1999-2000 to 2001-2002 National Health and Nutrition Examination Survey.

Setting

This was a community-based study.

Participants

This study included 2619 adults with complete data for knee pain, quadriceps strength, and covariates.

Intervention

Not applicable.

Main Outcome Measures

Self-reported knee pain.

Results

This study included 2619 individuals, 1287 (52.66%) of whom were women and 1543 (81.66%) identified as Non-Hispanic White. The mean ±standard deviation age was 62.48±9.71 years. After adjusting for covariates, the odds of knee pain decreased with every 20 N/m increase in quadriceps strength (odds ratio, 0.87; 95% confidence interval, 0.81-0.94). Individuals in the upper quartile of quadriceps strength had lower odds of knee pain than those in the lower quartile (Q4 vs Q1 [reference]: odds ratio, 0.28, 95% confidence interval, 0.15-0.52; P_trend=.006). Nonlinear analyses indicated L-shaped associations for knee pain. The subgroup analyses showed no significant interactions, except for sex (P_interaction=.046). The significance of the sex interaction indicated a correlation exclusively in women.

Conclusions

The results demonstrated an inverse association between quadriceps strength and the presence of knee pain. The subgroup analysis by sex showed that this inverse relationship was statistically significant in the women but not in the men subgroup.

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来源期刊

Archives of physical medicine and rehabilitation 医学-康复医学

CiteScore

6.20

自引率

4.70%

发文量

495

审稿时长

38 days

期刊介绍： The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.