Meeting physical activity guidelines and musculoskeletal injury: the WIN study.
Meeting physical activity guidelines and musculoskeletal injury: the WIN study.
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DOI：
10.1249/mss.0b013e31825a36c6
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发表时间：
2012-10
影响因子：
4.1
通讯作者：
Custodio MA
中科院分区：
文献类型：
--
作者：
Morrow JR Jr;Defina LF;Leonard D;Trudelle-Jackson E;Custodio MA
2008年，美国卫生与公众服务部发布了美国人身体活动指南。该指南是基于适量的中度至剧烈的有氧体力活动和阻力运动，与降低发病率和死亡率风险和增加健康益处有关。然而，体力活动水平的增加与肌肉骨骼损伤的风险增加有关。我们将每周进行的体力活动的数量和类型与肌肉骨骼损伤的风险相关联。前瞻性、观察性研究，每周通过互联网跟踪909名社区居住妇女的中度至剧烈体力活动和抗阻运动行为以及肌肉骨骼损伤，为期3年。主要结局是自我报告的肌肉骨骼损伤（总体、体力活动相关和非体力活动相关），中断典型的日常工作和/或运动行为≥2天或需要医疗保健提供者访视。符合与不符合体力活动指南与体力活动期间更多的肌肉骨骼损伤相关（风险比[HR] = 1.39，95%置信区间[CI] = 1.05 - 1.85，P = 0.02），但与体力活动无关的肌肉骨骼损伤无关（HR = 0.99，95% CI = 0.75 - 1.29，P = 0.92）或整体肌肉骨骼损伤（HR = 1.15，95% CI = 0.95 - 1.39，P = 0.14）。结果表明，肌肉骨骼损伤的风险与体力活动。肌肉骨骼损伤的风险随着体力活动的增加而增加。尽管肌肉骨骼损伤略有增加，但有氧运动和抗阻运动的已知益处不应妨碍医生鼓励患者满足当前的体力活动指南，即中度至剧烈运动和抗阻运动行为，以实现健康益处。
The United States Department of Health and Human Services disseminated physical activity guidelines for Americans in 2008. The guidelines are based on appropriate quantities of moderate-to-vigorous aerobic physical activity and resistance exercise associated with decreased morbidity and mortality risk and increased health benefits. However, increases in physical activity levels are associated with increased risk of musculoskeletal injuries. We related the amount and type of physical activity conducted on a weekly basis with the risk of musculoskeletal injury. Prospective, observational study using weekly Internet tracking of moderate-to-vigorous physical activity and resistance exercise behaviors and musculoskeletal injuries in 909 community-dwelling women for up to 3 years. Primary outcome was self-reported musculoskeletal injuries (total, physical activity-related, and non physical activity-related) interrupting typical daily work and/or exercise behaviors for ≥2 days or necessitating health care provider visit. Meeting versus not meeting physical activity guidelines was associated with more musculoskeletal injuries during physical activity (hazard ratio [HR] = 1.39, 95% confidence interval [CI] = 1.05 – 1.85, P = 0.02), but was not associated with musculoskeletal injuries unrelated to physical activity (HR = 0.99, 95% CI = 0.75 – 1.29, P = 0.92), or with musculoskeletal injuries overall (HR = 1.15, 95% CI = 0.95 – 1.39, P = 0.14). Results illustrate the risk of musculoskeletal injury with physical activity. Musculoskeletal injury risk rises with increasing physical activity. Despite this modest increase in musculoskeletal injuries, the known benefits of aerobic and resistance physical activities should not hinder physicians from encouraging patients to meet current physical activity guidelines for both moderate-to-vigorous exercise and resistance exercise behaviors with the intent of achieving health benefits.