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Beyond Pills: Synergizing Pharmacological and Physical Activity Interventions in Fibromyalgia Treatment. A review 药片之外:纤维肌痛治疗中药理和体育锻炼干预的协同作用。综述
Pub Date : 2024-07-28 DOI: 10.12775/qs.2024.19.53279
Oliwia Bochenek, Mateusz Koper, Aleksandra Nowak, Jessica Kałuża, Adrian Konaszczuk, Klaudia Ratyna, Oliwia Kozyra, Zofia Szypuła, Katarzyna Paluch, M. Skarbek
Introduction and purpose Fibromyalgia (FM) is a chronic condition characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and cognitive impairment, affecting 2-4% of the global population, with a higher prevalence among women and those of lower socioeconomic status. The pathogenesis of FM is complex and multifactorial, involving central sensitization and neurochemical dysregulation. This review highlights the latest advancements in pharmacological and behavioral therapies for fibromyalgia. State of knowledge Management of fibromyalgia currently is based on a combination of medication use and non-pharmacological approaches, primarily based on physical activity and cognitive-behavioral therapy. This review explores advancements in FM treatments, focusing on novel pharmacological agents such as vortioxetine, eslicarbazepine acetate, and tapentadol, which target specific neurochemical pathways to alleviate symptoms. Vortioxetine offers new mechanisms of action with potential cognitive benefits, while eslicarbazepine acetate and tapentadol provide alternative approaches for pain modulation and central sensitization. Additionally, non-pharmacological therapies, including high-intensity interval training (HIIT) and virtual reality (VR) therapy, demonstrate promise in enhancing physical fitness, reducing pain, and improving quality of life for FM patients. Summary Overall, the integration of these novel therapies into comprehensive, individualized treatment plans can optimize outcomes and enhance the quality of life for individuals with FM. Ongoing research and personalized medicine approaches are essential to further refine and validate these emerging treatments.
引言和目的 纤维肌痛(FM)是一种慢性疾病,以广泛的肌肉骨骼疼痛、疲劳、睡眠障碍和认知功能障碍为特征,影响着全球 2%-4% 的人口,在女性和社会经济地位较低的人群中发病率较高。FM 的发病机制复杂且多因素,涉及中枢敏化和神经化学失调。本综述重点介绍纤维肌痛的药物和行为疗法的最新进展。知识现状 目前,纤维肌痛的治疗主要基于药物治疗和非药物治疗相结合的方法,其中非药物治疗主要基于体育锻炼和认知行为疗法。本综述探讨了纤维肌痛治疗方法的进展,重点关注新型药理药物,如伏替西汀、醋酸艾司卡西平和他喷他多,这些药物可通过靶向特定的神经化学通路来缓解症状。伏替西汀提供了具有潜在认知益处的新作用机制,而醋酸艾司卡西平和他喷他多则提供了疼痛调节和中枢敏化的替代方法。此外,包括高强度间歇训练(HIIT)和虚拟现实(VR)疗法在内的非药物疗法在增强 FM 患者体能、减轻疼痛和提高生活质量方面也大有可为。小结 总的来说,将这些新型疗法融入全面的个性化治疗计划中,可以优化治疗效果,提高 FM 患者的生活质量。持续的研究和个性化医疗方法对于进一步完善和验证这些新兴疗法至关重要。
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引用次数: 0
The influence of air pollution on asthma in athletes – a brief review of the literature 空气污染对运动员哮喘的影响--文献简评
Pub Date : 2024-07-28 DOI: 10.12775/qs.2024.19.53184
Barbara Kruczyk, Mateusz Piętak, Monika Stradczuk, Łukasz Mazurek, Zuzanna Czach, Dominika Bachurska, Barbara Rękas, Wojciech Mazurek, Joanna Olędzka, Wojciech Kopacz
Introduction and purpose  Air pollution, stemming from natural occurrences and human activities, significantly threatens global health, particularly impacting respiratory conditions like asthma. Air pollution substantially influences asthma exacerbation in athletes, a group particularly vulnerable due to their high physical activity levels and increased respiratory demands. Key pollutants, including particulate matter (PM), ground-level ozone (O3), sulfur dioxide (SO2), and nitrogen dioxide (NO2), play critical roles in asthma development and exacerbation. The State of Knowledge Asthma, a chronic inflammatory disease influenced by genetic predisposition and environmental factors like air pollution, is characterized by airway hyperresponsiveness, obstruction, and chronic inflammation, leading to symptoms such as shortness of breath, coughing, wheezing, and chest tightness. Research highlights the link between air pollution exposure and asthma development, with PM2.5 exposure associated with increased asthma risk and pollutants exacerbating symptoms, especially in children. Athletes inhaling air pollutants during exercise face increased airway inflammation, mucus production, and bronchospasm, worsening asthma symptoms like wheezing and shortness of breath.  Chronic exposure decreases lung function, increasing reliance on medication and limiting outdoor training on polluted days. Summary Effective asthma management amidst air pollution requires personal, community, and governmental measures. Patients should minimize exposure by wearing N95 masks and choosing low-traffic routes. Governments must monitor pollution, inform the public, and control emissions through alternative fuels and technologies. Adhering to WHO air quality guidelines could prevent many new asthma cases, emphasizing comprehensive air quality management's importance, especially among vulnerable populations like children.
引言和目的 由自然现象和人类活动造成的空气污染严重威胁着全球健康,尤其是对哮喘等呼吸道疾病的影响。空气污染严重影响运动员的哮喘恶化,由于运动员的体力活动量大,对呼吸系统的需求增加,因此特别容易受到空气污染的影响。包括颗粒物(PM)、地面臭氧(O3)、二氧化硫(SO2)和二氧化氮(NO2)在内的主要污染物在哮喘的发展和恶化中起着至关重要的作用。知识现状 哮喘是一种慢性炎症性疾病,受遗传易感性和空气污染等环境因素的影响,其特点是气道高反应性、阻塞和慢性炎症,导致气短、咳嗽、喘息和胸闷等症状。研究强调了空气污染暴露与哮喘发病之间的联系,PM2.5 暴露与哮喘风险增加有关,污染物会加重症状,尤其是对儿童而言。运动员在运动过程中吸入空气污染物,会增加气道炎症、粘液分泌和支气管痉挛,加重喘息和气短等哮喘症状。 长期暴露于空气中会降低肺功能,增加对药物的依赖,并限制在污染天进行户外训练。总结 在空气污染中有效控制哮喘需要个人、社区和政府采取措施。患者应佩戴 N95 口罩并选择交通流量较小的路线,尽量减少接触空气的机会。政府必须监测污染情况,向公众提供信息,并通过替代燃料和技术控制排放。遵守世界卫生组织的空气质量准则可以预防许多新的哮喘病例,这强调了全面空气质量管理的重要性,尤其是在儿童等弱势群体中。
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引用次数: 0
Swimmer’s ear: Prevention, Diagnosis, Treatment, and Management Strategies for Athletes 游泳者的耳朵运动员的预防、诊断、治疗和管理策略
Pub Date : 2024-07-27 DOI: 10.12775/qs.2024.18.53330
Julia Lipska, Julia Hamerska, Laura Hamerska, Bogumił Bocianiak, Joanna Antczak, Anna Kajka, Urszula Fenrych, Karolina Wojtczak, Olga Skupińska, Damian Ruta
Otitis externa, commonly known as a swimmer’s ear, is an inflammation of the external auditory canal, often caused by bacterial infection, primarily affecting individuals engaged in water activities. Acute otitis externa is the most prevalent form among swimmers, characterized by symptoms such as ear pain, itching, and discharge. This article explores the epidemiology, anatomy, pathogenesis, diagnosis, and treatment of otitis externa, highlighting the condition's prevalence in warm, humid climates and its exacerbation by water exposure.Differential diagnosis is crucial to distinguish a swimmer's ear from other ear conditions, such as acute otitis media. Preventive measures, particularly for athletes, include the use of earplugs, drying ears after water exposure, and avoiding ear trauma. Treatment typically involves topical antibiotics, with the addition of corticosteroids to reduce inflammation and pain. Severe cases may require oral antibiotics or surgical intervention.Complications of untreated otitis externa might lead to hearing loss and could be life-threatening. Early diagnosis and appropriate treatment are vital to avoid severe outcomes and ensure optimal recovery for athletes and other affected individuals.AimThe aim of this study is to gather and analyse the current state of knowledge about the pathogenesis, symptoms, diagnosis and the treatment of swimmer’s ear.MethodsThe study contains data available in freely accessible databases like PubMed, the National Library of Medicine, Google Scholar. While searching the keywords such as swimmer’s ear, otitis externa, swimming hygiene, ear infections were used. Articles were selected based on their title, abstract and were written in English.
外耳道炎俗称游泳耳,是一种外耳道炎症,通常由细菌感染引起,主要影响从事水上活动的人。急性外耳道炎是游泳者中最常见的一种疾病,主要表现为耳痛、耳痒和流脓等症状。本文探讨了外耳道炎的流行病学、解剖学、发病机理、诊断和治疗,重点介绍了这种疾病在温暖潮湿气候中的发病率,以及它因接触水而恶化的情况。预防措施,尤其是运动员的预防措施,包括使用耳塞、入水后擦干耳朵和避免耳部外伤。治疗方法通常是局部使用抗生素,同时加用皮质类固醇以减轻炎症和疼痛。严重的病例可能需要口服抗生素或手术治疗。未经治疗的外耳道炎并发症可能导致听力损失,并可能危及生命。早期诊断和适当治疗对避免严重后果、确保运动员和其他患者的最佳康复至关重要。本研究旨在收集和分析有关游泳耳病的发病机理、症状、诊断和治疗的现有知识。搜索时使用了游泳耳、外耳道炎、游泳卫生、耳部感染等关键词。根据文章的标题、摘要和英文撰写情况选择文章。
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引用次数: 0
High-Intensity Interval Training - health benefits and risks - literature review 高强度间歇训练--健康益处与风险--文献综述
Pub Date : 2024-07-27 DOI: 10.12775/qs.2024.18.53359
Jakub Plizga, Arkadiusz Jaworski, Filip Grajnert, Agnieszka Gluszczyk, Alicja Surma, Jakub Cecot, Agnieszka Parfianowicz, Konrad Zarzecki, Miłosz Mandryk, Nazar Holdun
High-Intensity Interval Training (HIIT) has become a prominent exercise modality known for its efficiency and effectiveness in improving various health outcomes. This review critically examines the positive and negative health aspects of HIIT, focusing on its impact on cardiovascular health, metabolic function, weight management, psychological well-being, and life expectancy. Evidence suggests that HIIT significantly enhances cardiovascular health by improving VO2 max, reducing blood pressure, and enhancing endothelial function. Metabolically, HIIT improves insulin sensitivity, glucose metabolism, and lipid profiles, while effectively reducing visceral fat and enhancing mitochondrial function. In terms of weight management, HIIT promotes fat loss and muscle maintenance, contributing to favorable body composition. Psychologically, HIIT has been shown to reduce symptoms of anxiety and depression, improve cognitive function, and enhance overall mental health. It has also a positive effect on chronic pain conditions. Emerging studies indicate that HIIT may reduce mortality risk and extend life expectancy by improving cardiovascular and metabolic health. Despite these benefits, HIIT also presents risks such as a higher incidence of musculoskeletal injuries, potential adverse cardiac events in high-risk individuals, and the risk of overtraining and burnout. Special populations, including older adults, children, adolescents, and individuals with chronic conditions, can benefit from HIIT, but modifications and precautions are necessary to ensure safety and effectiveness. The review underscores the importance of individualized HIIT program design, thorough assessment, and continuous monitoring to maximize benefits while minimizing risks. Future research should focus on long-term effects, optimal protocols for diverse populations, and personalized HIIT approaches to enhance safety and efficacy. 
高强度间歇训练(HIIT)因其在改善各种健康状况方面的效率和有效性而成为一种著名的锻炼方式。本综述认真研究了高强度间歇训练对健康的积极和消极影响,重点关注其对心血管健康、新陈代谢功能、体重管理、心理健康和预期寿命的影响。有证据表明,通过提高最大容氧量、降低血压和增强内皮功能,HIIT 能显著增强心血管健康。在新陈代谢方面,HIIT 可改善胰岛素敏感性、糖代谢和血脂状况,同时有效减少内脏脂肪,增强线粒体功能。在体重管理方面,HIIT 可以促进脂肪的减少和肌肉的保持,有助于形成良好的身体结构。在心理方面,事实证明,HIIT 可以减轻焦虑和抑郁症状,改善认知功能,提高整体心理健康水平。它对慢性疼痛也有积极的作用。新的研究表明,HIIT 可以通过改善心血管和新陈代谢健康来降低死亡风险和延长预期寿命。尽管有这些益处,但 HIIT 也存在风险,如肌肉骨骼损伤的发生率较高,高危人群可能出现不良心脏事件,以及过度训练和倦怠的风险。特殊人群,包括老年人、儿童、青少年和慢性病患者,都能从 HIIT 中获益,但为了确保安全和效果,有必要对其进行调整并采取预防措施。综述强调了个性化 HIIT 项目设计、全面评估和持续监测的重要性,以便在最大限度地提高效益的同时降低风险。未来的研究应侧重于长期效果、针对不同人群的最佳方案以及个性化的 HIIT 方法,以提高安全性和有效性。
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引用次数: 0
influence of physical activity on the health and treatment of schizophrenia patients 体育活动对精神分裂症患者的健康和治疗的影响
Pub Date : 2024-07-27 DOI: 10.12775/qs.2024.18.53323
Katarzyna Kuśmierczyk, Marta Jurga, Patrycja Karkos, Marta Kras, Bartłomiej Gastoł, Karolina Mikołap, Arkadiusz Staroń, Michał Ciołkosz, Elena Sztemberg, Filip Grajnert
Schizophrenia is a chronic and severe mental illness that affects multiple areas of life. Patients with schizophrenia are prone to developing serious and even fatal disorders when it comes to their physical health. They have a higher mortality risk and an average of 14,5 years of potential life lost compared to the general population. Physical activity decreases mortality, reduces cardiovascular risk, and improves mental health. Within this article, we explore the topic of physical activity and its influence on the physical and mental health of schizophrenia patients and their treatment.
精神分裂症是一种影响生活多个方面的慢性严重精神疾病。精神分裂症患者的身体健康很容易出现严重甚至致命的障碍。与普通人相比,他们的死亡风险更高,平均损失 14.5 年的潜在寿命。体育锻炼可以降低死亡率、减少心血管风险并改善心理健康。在本文中,我们将探讨体育锻炼及其对精神分裂症患者身心健康和治疗的影响。
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引用次数: 0
Dangers in the use of systemic and local drugs expressed in eye disorders – a literature review 使用全身性和局部性药物治疗眼疾的危险--文献综述
Pub Date : 2024-07-27 DOI: 10.12775/qs.2024.18.53337
Paweł Ziemba, Aleksandra Janocha, Aneta Jerzak, Katarzyna Jakubowska
Introduction and purpose Medications that have been available for many years are commonly used to treat various illnesses. However, nearly all of them can also have toxic effects on other organs, including the eyes, in addition to their therapeutic benefits. In this review, we discuss chosen drug-induced eye disorders, their specific clinical characteristics, and the mechanisms by which certain drugs can damage the ocular system. Isotretinoin and certain chemotherapy drugs are known to contribute to the development of dry eye syndrome. Atimalarial drugs, amiodarone, nonsteroidal anti-inflammatory drugs and chlorpromazine cause the formation of corneal deposits. Prolonged use of glucocorticoids leads to the development of characteristic posterior subcapsular cataracts. The development of cataracts can also be caused by the use of antipsychotic medications. Paradoxically, drugs used topically to treat glaucoma or other eye diseases may trigger an acute attack of angle-closure glaucoma. Materials and methods The methodology for conducting literature search involved utilizing medical subject headings terms to explore PubMed. Search terms included: “drug-induced dry eye disease”, “drug-induced cataract”, “drug-induced glaucoma”, “drug-induced corneal damage”. Conclusions Educating patients about the potential ocular side effects of newly introduced treatment is crucial so that they can quickly consult an ophthalmologist if symptoms occur. Adjusting the dosage or discontinuing the drug may alleviate ocular symptoms, but these changes must be considered in light of the overall risk posed by the underlying disease. Every treatment should aim to offer the patient maximum benefits while minimizing any adverse impact on their quality of life.
简介和目的 已上市多年的药物通常用于治疗各种疾病。然而,几乎所有药物除了治疗作用外,还可能对包括眼睛在内的其他器官产生毒性作用。在这篇综述中,我们将讨论部分药物引起的眼部疾病、其具体的临床特征以及某些药物损害眼部系统的机制。众所周知,异维A酸和某些化疗药物会导致干眼症的发生。抗疟药物、胺碘酮、非甾体抗炎药物和氯丙嗪会导致角膜沉积物的形成。长期使用糖皮质激素会导致特征性后囊下白内障的形成。使用抗精神病药物也会导致白内障的发生。矛盾的是,局部使用治疗青光眼或其他眼病的药物可能会引发闭角型青光眼的急性发作。材料和方法 文献检索的方法包括利用医学主题词来搜索 PubMed。检索词包括"药物诱发干眼病"、"药物诱发白内障"、"药物诱发青光眼"、"药物诱发角膜损伤"。结论 教育患者了解新引进的治疗方法可能对眼部产生的副作用至关重要,以便他们在出现症状时能迅速咨询眼科医生。调整剂量或停药可能会减轻眼部症状,但这些改变必须与潜在疾病造成的总体风险结合起来考虑。每种治疗方法都应力求为患者带来最大益处,同时尽量减少对其生活质量的不利影响。
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引用次数: 0
Diet and physical activity in pregnancy carbohydrate metabolism disorders 妊娠期碳水化合物代谢紊乱的饮食和体力活动
Pub Date : 2024-07-27 DOI: 10.12775/qs.2024.18.53361
Katarzyna Molenda, Karol Bochyński, Kamila Giżewska, Barbara Borodziuk, Filip Borodziuk, Katarzyna Ciuba, Konrad Białogłowski, Paulina Dąbrowska, Michał Żuber, Michał Dacka
Carbohydrate metabolism disorders are a serious problem during pregnancy. They are a complication in approximately 15-20% of pregnancies. The body has difficulty processing and using carbohydrates, leading to abnormal levels of glucose (sugar) in the blood. Two common pregnancy-related disorders are gestational diabetes mellitus (GDM) and pre-existing diabetes. Hypoglycemia and insulin resistance are also very common problems during pregnancy. Complications affect both the mother and the child, so it is important to know them and be able to prevent their occurrence and complications. The purpose of this literature review is to evaluate the influence of carbohydrate metabolism disorders during pregnancy and diet and physical exercise in the light of most up to date research.
碳水化合物代谢紊乱是孕期的一个严重问题。大约 15-20% 的孕妇会出现这种并发症。身体难以处理和利用碳水化合物,导致血液中的葡萄糖(糖)水平异常。两种常见的妊娠相关疾病是妊娠糖尿病(GDM)和原有糖尿病。低血糖和胰岛素抵抗也是孕期非常常见的问题。并发症对母婴都有影响,因此了解并预防并发症的发生非常重要。本文献综述的目的是根据最新研究成果,评估孕期碳水化合物代谢紊乱对饮食和体育锻炼的影响。
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引用次数: 0
Asthma - a healthcare, environment and green transformation - associated disease 哮喘--一种与医疗保健、环境和绿色转型相关的疾病
Pub Date : 2024-07-26 DOI: 10.12775/qs.2024.18.53276
Sylwia Mazur, Natalia Dąbrowska, Magdalena Madera, Roksana Zdunek, Krzysztof Marcinkowski, Karolina Strus, Aleksandra Kublińska, Emilia Nagórska
Air pollution both anthropogenic and from natural sources impacts human health and is a rising problem for healthcare around the world. Key pollutants, such as particulate matter, carbon monoxide, ozone, nitrogen dioxide, and sulphur dioxide, contribute especially to respiratory illnesses. This review examines recent studies in the field of asthma and air pollution correlation, particularly mechanisms of air pollution-related damage, asthma symptoms exacerbations and the risk of developing the disease due to poor air quality. Studies show that pollutants affect the immune system by triggering pro-inflammatory responses and oxidative stress, particularly in individuals with asthma. The review present findings of exacerbation of asthma symptoms and increased frequency of asthma attacks along with higher rates of hospital admissions and emergency room visits due to exposure to common air pollutants. Additionally, prenatal and early-life exposure to traffic-related air pollution proved to significantly increase the risk of developing asthma in children. The review also critically identifies data gaps and methodological inconsistencies in some investigations. The complex relationship between air pollution and asthma is for sure an interesting field to explore furtherly. Analysed materials emphasize the critical need for global measures to reduce air pollution, including stricter air quality regulations and public awareness initiatives.
人为和自然来源的空气污染都会影响人类健康,是全球日益严重的医疗保健问题。颗粒物、一氧化碳、臭氧、二氧化氮和二氧化硫等主要污染物尤其会引发呼吸系统疾病。本综述探讨了哮喘与空气污染相关领域的最新研究,特别是与空气污染相关的损害机制、哮喘症状加重以及因空气质量差而患病的风险。研究表明,污染物会引发促炎反应和氧化应激,从而影响免疫系统,尤其是哮喘患者。综述显示,由于暴露于常见的空气污染物,哮喘症状加剧,哮喘发作频率增加,入院率和急诊就诊率上升。此外,产前和生命早期暴露于与交通相关的空气污染中也被证明会显著增加儿童患哮喘的风险。综述还批判性地指出了一些调查中存在的数据缺口和方法不一致的问题。空气污染与哮喘之间的复杂关系无疑是一个值得进一步探索的有趣领域。分析材料强调,迫切需要采取全球性措施来减少空气污染,包括制定更严格的空气质量法规和提高公众意识的举措。
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引用次数: 0
Physical activity as a prescription for diabetic retinopathy 体育锻炼是治疗糖尿病视网膜病变的良方
Pub Date : 2024-07-26 DOI: 10.12775/qs.2024.18.53313
Dominika Poborowska, Weronika Kahan, Katarzyna Polańska, Oliwia Najjar, Marta Wojaczek, Emilia Bąk, Weronika Szafrańska, Jacek Fordymacki, Tomasz Gańko
Introduction and purpose Diabetic retinopathy is one of the leading causes of vision loss in diabetic patients.The purpose of this work is to confront the problem of retinopathy and present the beneficial effects of physical activity on retinal health in patients in this risk group.  State of knowledge This paper reviews the literature on the problem of microangiopathic complicationsof diabetes, diabetic retinopathy, and the effect of physical activity on changing the incidence of this complication. According to the WHO, diabetic retinopathy is the leading cause of preventable blindness and visual impairment. Trends in diabetes and its associated complications are steadily increasing. Diabetic retinopathy occurs in about one-thirdof diabetics. It can be prevented by controlling blood glucose, blood pressure and lipid levels. Following a proper diet and physical activity can maintain adequate glucose levels, thereby reducing the incidence of diabetes complications. Material and method  The literature available on Google Schoolar and "PubMed" was reviewed. The focus was on presenting the problem of microangiopathic complications of diabetes mellitus detailing diabetic retinopathy, diagnosis, treatment methods, pathogenesis of the condition and prevention of this complication through the beneficial effect of regular physical activity in diabetic patients.  Summary Our review succeeded in presenting the current status of the problem of retinopathy, the development of diagnosis and treatment of diabetic retinopathy. On the basis of a number of studies presented in this review, we managed to prove the positive aspect of physical exercise on prevention, treatmentand reduction of the effects and complications of diabetes. In our review, we concluded that increasing physical activity in daily lifestyle is one of the methods of treating diabetesby lowering blood glucose levels, thereby reducing the risk of diabetic retinopathyas a complication of diabetes.
导言和目的 糖尿病视网膜病变是导致糖尿病患者视力丧失的主要原因之一。本作品的目的是直面视网膜病变问题,并介绍体育锻炼对这一风险群体患者视网膜健康的有益影响。 知识现状 本文回顾了有关糖尿病微血管病变并发症--糖尿病视网膜病变问题的文献,以及体育锻炼对改变这一并发症发病率的影响。世卫组织指出,糖尿病视网膜病变是导致可预防的失明和视力损害的主要原因。糖尿病及其相关并发症的发病率呈稳步上升趋势。大约三分之一的糖尿病患者会出现糖尿病视网膜病变。糖尿病视网膜病变可以通过控制血糖、血压和血脂水平来预防。适当的饮食和体育锻炼可以保持足够的血糖水平,从而降低糖尿病并发症的发病率。材料和方法 查阅了 Google Schoolar 和 "PubMed "上的文献。重点介绍了糖尿病微血管病变并发症的问题,包括糖尿病视网膜病变、诊断、治疗方法、发病机理以及通过糖尿病患者定期体育锻炼预防该并发症的益处。 摘要 我们的综述成功地介绍了视网膜病变问题的现状、糖尿病视网膜病变诊断和治疗的发展。根据本综述中介绍的大量研究,我们成功地证明了体育锻炼对预防、治疗和减少糖尿病影响和并发症的积极作用。我们在综述中得出结论,在日常生活方式中增加体育锻炼是通过降低血糖水平治疗糖尿病的方法之一,从而降低糖尿病并发症--糖尿病视网膜病变的风险。
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引用次数: 0
Effects of Plantar Fasciitis on Health 足底筋膜炎对健康的影响
Pub Date : 2024-07-26 DOI: 10.12775/qs.2024.19.53442
Guangxin Cheng, Hechong Yang
Purpose:Plantar fasciitis is a common condition.Despite the lack of a clear cause for this condition, it could be linked to excessive exercise and standing periods over time, as well as muscle strain from stress and obesity.This study aims to lower the prevalence of plantar fasciitis and enhance patients' plantar function by comprehensively understanding the clinical symptoms, risk factors, diagnostic and treatment options, and the most recent information on prevention of plantar fasciitis. ln order to offer specific reference plans for the clinical treatment of individuals suffering from plantar fasciitis, with a focus on middle-aged and older patients as well as athletes. Methodology:There was a search conducted through PubMed, Embase, Web of Science, and the Cochrane Database of Systematic Reviews for published systematic reviews and meta-analyses up until February 25, 2024. Description of state of knowledge:The band of tissue known as the plantar fascia, which runs from the heel to the toes, is crucial for preserving the structure of the foot, supporting the arch, and absorbing shock. Overuse, trauma, or inflammation of the plantar fascia are the usual causes of plantar fasciitis. Plantar pain is the primary symptom, which is followed by stiffness, increasing pain, and an irregular gait.It is especially aggravated after waking up in the morning, prolonged standing, or exercise, and is relieved by walking a few steps or pulling. Conclusions:Plantar fasciitis is a sterile infection, with multiple factors influencing its clinical presentation. Its management requires a multidisciplinary approach that includes surgical treatment, pharmacologic management, physical factor therapy, and lifestyle changes. Early diagnosis, as well as appropriate treatment, is essential to optimize the patient's prognosis and maintain physical function.
目的:足底筋膜炎是一种常见疾病。尽管缺乏明确的病因,但它可能与长期过度运动和站立,以及压力和肥胖导致的肌肉劳损有关。本研究旨在通过全面了解足底筋膜炎的临床症状、危险因素、诊断和治疗方案以及预防足底筋膜炎的最新信息,降低足底筋膜炎的发病率,增强患者的足底功能,从而为临床治疗足底筋膜炎患者提供具体的参考方案,重点关注中老年患者和运动员。研究方法:通过PubMed、Embase、Web of Science和Cochrane系统综述数据库对截至2024年2月25日已发表的系统综述和荟萃分析进行检索。知识现状:被称为足底筋膜的组织带从脚跟一直延伸到脚趾,对于保护足部结构、支撑足弓和吸收冲击力至关重要。过度使用、外伤或足底筋膜发炎是足底筋膜炎的常见病因。足底疼痛是主要症状,随后会出现僵硬、疼痛加剧和步态不规则。清晨起床、长时间站立或运动后,疼痛尤其会加剧,走几步或牵拉一下即可缓解。结论:足底筋膜炎是一种无菌感染,临床表现受多种因素影响。其治疗需要采用多学科方法,包括手术治疗、药物治疗、物理因素治疗和改变生活方式。早期诊断和适当治疗对优化患者预后和维持身体功能至关重要。
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Quality in Sport
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