Reallocating time spent in sleep, sedentary behavior and physical activity and its association with pain: a pilot sleep study from the Osteoarthritis Initiative.
Reallocating time spent in sleep, sedentary behavior and physical activity and its association with pain: a pilot sleep study from the Osteoarthritis Initiative.
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重新分配睡眠、久坐行为和体力活动的时间及其与疼痛的关系：骨关节炎倡议的一项试点睡眠研究。
DOI：
10.1016/j.joca.2018.07.002
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发表时间：
2018
影响因子：
7
通讯作者：
Lee,J
中科院分区：
文献类型：
--
作者：
Song,J;Dunlop,DD;Semanik,PA;Chang,AH;Lee,YC;Gilbert,AL;Jackson,RD;Chang,RW;Lee,J
目的运动对骨性关节炎(OA)患者有广泛的健康益处，包括缓解疼痛。增加体力活动(PA)需要在一天固定的24小时内减少其他行为的时间。方法在这项横断面研究中，我们使用等时Logistic回归模型检验了在控制社会人口和健康因素的情况下，将一种行为中的时间替换为另一种行为中的相同时间对疼痛的估计效果。根据睡眠不宁的报告进行分层分析。在185名骨关节炎倡议(OAI)参与者的初步研究中，通过加速计监测了睡眠和醒来行为[久坐行为(SB)、轻度PA、中度PA]。结果适度的PA替代相同的睡眠时间或其他类型的清醒行为与较低的疼痛几率密切相关(每10分钟交换身体疼痛干扰几率降低21~25%，膝关节疼痛几率降低17~20%)。这些有益的关联在没有睡眠不安宁的人中尤其明显，但在睡眠不安宁的人中则不明显，尤其是对身体疼痛的干扰。结论促进适度的体力活动的干预可能对解决膝骨性关节炎患者或高危人群的疼痛最有利。除了鼓励中等强度的PA外，疼痛管理策略还可能包括识别和治疗睡眠问题。
ObjectiveBeing physically active has broad health benefits for people with osteoarthritis (OA), including pain relief. Increasing physical activity (PA) requires reducing time in other behaviors within a fixed 24-h day. We examined the potential benefits in relation to pain from trading time in one type of wake or sleep behavior for another.MethodIn this cross-sectional study, we used isotemporal logistic regression models to examine the estimated effect on pain from replacing time in one behavior with equal time in another, controlling for sociodemographic and health factors. Stratified analysis was conducted by the report of restless sleep. Sleep and wake behaviors [sedentary behavior (SB), light PA, moderate PA] were monitored by accelerometer in a pilot study of 185 Osteoarthritis Initiative (OAI) participants. Outcomes were bodily pain interference and knee pain.ResultsModerate PA substituted for an equivalent time in sleep or other types of wake behaviors was most strongly associated with lower odds of pain (bodily pain interference odds reduced 21–25%, knee pain odds reduced 17–20% per 10-min exchange). These beneficial associations were particularly pronounced in individuals without restless sleep, but not in those with restless sleep, especially for bodily pain interference.ConclusionInterventions promoting moderate physical activities may be most beneficial to address pain among people with or at high risk for knee OA. In addition to encouraging moderate-intensity PA, pain management strategies may also include the identification and treatment of sleep problems.
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影响因子：
4.7
作者：
Campbell CM;Buenaver LF;Finan P;Bounds SC;Redding M;McCauley L;Robinson M;Edwards RR;Smith MT
通讯作者：
Smith MT
影响因子：
3.1
作者：
Fanning J;Porter G;Awick EA;Ehlers DK;Roberts SA;Cooke G;Burzynska AZ;Voss MW;Kramer AF;McAuley E
通讯作者：
McAuley E
DOI：
10.2147/oarrr.s148376
发表时间：
2017
期刊：
Open access rheumatology : research and reviews
影响因子：
--
作者：
Legge A;Blanchard C;Hanly JG
通讯作者：
Hanly JG
影响因子：
4.5
作者：
Lee MS;Shin JS;Lee J;Lee YJ;Kim MR;Park KB;Shin D;Cho JH;Ha IH
通讯作者：
Ha IH
影响因子：
3.3
作者：
Ryan, Cormac G.;Wellburn, Shaun;Batterham, Alan M.
通讯作者：
Batterham, Alan M.