Association of Chronic Widespread Pain With Objectively Measured Physical Activity in Adults: Findings From the National Health and Nutrition Examination Survey
Association of Chronic Widespread Pain With Objectively Measured Physical Activity in Adults: Findings From the National Health and Nutrition Examination Survey
复制标题
DOI：
10.1016/j.jpain.2014.01.489
复制
发表时间：
2014-05-01
期刊：
影响因子：
4
通讯作者：
Patel, Kushang V.
中科院分区：
文献类型：
--
作者：
Dansie, Elizabeth J.;Turk, Dennis C.;Patel, Kushang V.
慢性广泛性疼痛（CWP）是一种常见的和潜在的衰弱性疾病。CWP成人的体力活动（PA）模式主要是使用主观的，自我报告的措施进行了调查。目前的研究旨在通过2003年至2004年全国健康和营养检查调查中的加速度测量法获得的客观测量值来描述社区居住的CWP、慢性区域疼痛或无慢性疼痛个体的PA特征。分析了3，952名20岁及以上参与者的数据，以评估疼痛状态与PA客观测量值之间的关系。男性和女性的CWP患病率分别为3.3%和5.4%。在男性和女性中，CWP组每分钟的平均活动计数和中度至剧烈PA所花费的时间显著低于无慢性疼痛组。有趣的是，久坐不动、轻度和生活方式活动的时间与疼痛状态无关。统计交互作用检验表明，慢性疼痛对每分钟计数的影响在男性中比在女性中更强。尽管建议增加中度至剧烈PA作为CWP的疼痛管理策略，但这项具有全国代表性的研究结果表明，患有CWP的成年人比没有慢性疼痛的人参与较少的中度至剧烈PA。在全国代表性样本中使用PA的客观测量，这项研究表明，患有CWP的成年人参与减少，每日和中度至剧烈PA相比，没有慢性疼痛的人。研究结果表明，临床医生应强调增加PA在CWP患者的重要性。(C)2014年美国疼痛协会American Pain Society
Chronic widespread pain (CWP) is a common and potentially debilitating disorder. Patterns of physical activity (PA) in adults with CWP have primarily been investigated using subjective, self-report measures. The current study sought to characterize PA among community-dwelling individuals with CWP, chronic regional pain, or no chronic pain using objective measurements obtained via accelerometry in the 2003 to 2004 National Health and Nutrition Examination Survey. Data from 3,952 participants ages 20 and older were analyzed to assess relationships between pain status and objective measurements of PA. Prevalence of CWP was 3.3% and 5.4% in men and women, respectively. In men and women, the average activity counts per minute and time spent in moderate-to-vigorous PA were significantly lower for the CWP group than for the no chronic pain group. Interestingly, time spent in sedentary, light, and lifestyle activities was not associated with pain status. Statistical interaction tests indicated that the effects of chronic pain on counts per minute were stronger in men than in women. Despite recommendations for increased moderate-to-vigorous PA as a pain management strategy for CWP, results from this nationally representative study indicate that adults with CWP participate in less moderate-to-vigorous PA than individuals without chronic pain.Perspective: Using objective measurement of PA in a nationally representative sample, this study demonstrates that adults with CWP participate in reduced, daily and moderate-to-vigorous PA in comparison to people with no chronic pain. Findings indicate that clinicians should emphasize the importance of increasing PA in patients with CWP. (C) 2014 by the American Pain Society