Relationship of running to musculoskeletal pain with age - A six-year longitudinal study
Relationship of running to musculoskeletal pain with age - A six-year longitudinal study
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DOI：
10.1002/art.1780390109
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发表时间：
1996-01-01
影响因子：
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通讯作者：
Hubert, H
中科院分区：
文献类型：
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作者：
Fries, JF;Singh, G;Hubert, H
客观的。通过纵向研究来确定持续多年的长跑是否与随年龄增长而增加的肌肉骨骼疼痛有关。方法。对 410 名跑步者俱乐部成员和 289 名社区对照组（研究开始时年龄为 53-75 岁）进行了一项为期 5 年的前瞻性纵向研究。受试者还分为曾经跑步者 (n = 488) 和从未跑步者 (n = 211)。主要因变量是水平双锚模拟量表所示的疼痛评分；该变量的数据从 1987 年开始提供，通过协方差分析对年龄、教育水平、吸烟、饮酒、关节炎史和其他主要医疗状况进行统计调整，对先前报告的定期剧烈体育活动与 9 年后残疾和死亡率降低之间的关联进行了进一步分析。结果。与对照组相比，运动组的肌肉骨骼疼痛程度稍低，女性的差异具有统计学意义，但男性的差异不显着。跑步者俱乐部成员的男性平均调整疼痛评分为 18.3 (SEM 0.8)，对照组为 20.2 (1.2)，曾经跑步者为 18.6 (0.8)，从不跑步者为 20.3 (1.6)。跑步者俱乐部成员为 17.5 (1.8)，对照组为 22.8 (1.4) (P < 0.05)，曾经跑步者为 17.2，而从不跑步者为 23.7 (1.5) (P < 0.002)，经过 9 年的观察，跑步者俱乐部成员的残疾继续发展速度仅为对照组的三分之一，9 年内的死亡率共有 51 人死亡，其中 41 人属于对照组，只有 10 人属于跑者俱乐部成员。结论。多年的剧烈跑步活动与随着年龄的增长而增加的肌肉骨骼疼痛无关，并且疼痛可能会适度减轻，特别是在女性中。剧烈的身体活动与残疾程度的大大降低和死亡率的降低有关。
Objective. To determine, by longitudinal study, whether long-distance running, maintained for many years, is associated with increased musculoskeletal pain with age.Methods. A 5-year prospective longitudinal study of 410 runners' club members and 289 community controls, age 53-75 years at study initiation, was conducted, Subjects were also categorized as ever-runners (n = 488) and never-runners (n = 211). The primary dependent variable was pain score as indicated on a horizontal double-anchored analog scale; data for this variable were available beginning in 1987, Statistical adjustment for age, education level, smoking, alcohol consumption, history of arthritis, and presence of other major medical conditions was done by analysis of covariance, Further analyses of previously reported associations of regular vigorous physical activity with decreased disability and mortality after 9 years were performed.Results. The degree of musculoskeletal pain was slightly lower in the exercise group compared with controls, and the difference was statistically significant for women but not for men, Average adjusted pain scores for men were 18.3 (SEM 0.8) in runners' club members, 20.2 (1.2) in controls, 18.6 (0.8) in ever-runners, and 20.3 (1.6) in never-runners, For women, these scores were 17.5 (1.8) in runners' club members versus 22.8 (1.4) in controls (P < 0.05), and 17.2 in ever runners versus 23.7 (1.5) in never-runners (P < 0.002), Disability had continued to develop in runners' club members at a rate only one-third that in the controls after 9 years of observation, Mortality over 9 years consisted of 51 deaths, of which 41 were in the control group and only 10 were among runners' club members.Conclusion. Vigorous running activity over many years is not associated with an increase in musculoskeletal pain with age, and there may be a moderate decrease in pain, particularly in women, Vigorous physical activity is associated with greatly decreased levels of disability and with decreased mortality rates.