Liangliang Zhang, Bo Zhang, Wenzhang Yuan, Jiefeng Hu, Junying Yuan, Xuejie Wang
{"title":"颈痛患者的有氧和肌肉强化活动与健康相关生活质量之间的关系:2001-2004 年全国健康与营养调查。","authors":"Liangliang Zhang, Bo Zhang, Wenzhang Yuan, Jiefeng Hu, Junying Yuan, Xuejie Wang","doi":"10.2147/JPR.S484798","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>P</i>>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 (<i>P<sub>trend</sub></i> <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 (<i>P<sub>trend</sub></i> <0.05).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":16661,"journal":{"name":"Journal of Pain Research","volume":"17 ","pages":"3553-3564"},"PeriodicalIF":2.5000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11537042/pdf/","citationCount":"0","resultStr":"{\"title\":\"Association Between Aerobic and Muscle-Strengthening Activities and Health-Related Quality of Life in Patients with Neck Pain: The National Health and Nutrition Examination Survey 2001-2004.\",\"authors\":\"Liangliang Zhang, Bo Zhang, Wenzhang Yuan, Jiefeng Hu, Junying Yuan, Xuejie Wang\",\"doi\":\"10.2147/JPR.S484798\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>P</i>>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 (<i>P<sub>trend</sub></i> <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 (<i>P<sub>trend</sub></i> <0.05).</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":16661,\"journal\":{\"name\":\"Journal of Pain Research\",\"volume\":\"17 \",\"pages\":\"3553-3564\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11537042/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pain Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/JPR.S484798\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pain Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JPR.S484798","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Association Between Aerobic and Muscle-Strengthening Activities and Health-Related Quality of Life in Patients with Neck Pain: The National Health and Nutrition Examination Survey 2001-2004.
Purpose: 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.
Methods: 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.
Results: 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 (P>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 (Ptrend <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 (Ptrend <0.05).
Conclusion: 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.
期刊介绍:
Journal of Pain Research is an international, peer-reviewed, open access journal that welcomes laboratory and clinical findings in the fields of pain research and the prevention and management of pain. Original research, reviews, symposium reports, hypothesis formation and commentaries are all considered for publication. Additionally, the journal now welcomes the submission of pain-policy-related editorials and commentaries, particularly in regard to ethical, regulatory, forensic, and other legal issues in pain medicine, and to the education of pain practitioners and researchers.