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24-Hour movement guidelines during adolescence and midlife mortalityAdolescent 24-Hour movement and midlife mortality. 青少年 24 小时运动指南与中年死亡率:青少年 24 小时运动与中年死亡率。
IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2024-09-05 DOI: 10.1016/j.jshs.2024.100982
José Francisco López-Gil, Yasmin Ezzatvar, Antonio García-Hermoso
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引用次数: 0
Enhancing clinical and public health interpretation of accelerometer-assessed physical activity with age-referenced values based on UK Biobank data. 以英国生物库数据为基础,利用年龄参考值加强对加速度计评估的体力活动的临床和公共卫生解释。
IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2024-09-04 DOI: 10.1016/j.jshs.2024.100977
Alex V Rowlands, Andrew P Kingsnorth, Bjørge H Hansen, Stuart J Fairclough, Lynne M Boddy, Benjamin D Maylor, Henrik R Eckmann, Borja Del Pozo Cruz, Nathan P Dawkins, Cameron Razieh, Kamlesh Khunti, Francesco Zaccardi, Tom Yates

Background: Higher accelerometer-assessed volume and intensity of physical activity (PA) have been associated with a longer life expectancy but can be difficult to translate into recommended doses of PA. We aimed to: (a) improve interpretability by producing UK Biobank age-referenced centiles for PA volume and intensity; (b) inform public-health messaging by examining how adding recommended quantities of moderate and vigorous PA affect PA volume and intensity.

Methods: 92,480 UK Biobank participants aged 43-80 years with wrist-worn accelerometer data were included. Average acceleration and intensity gradient were derived as proxies for PA volume and intensity. We generated sex-specific centile curves using Generalized Additive Models for Location Scale and Shape (GAMLSS) and modeled the effect of adding moderate (walking) or vigorous (running) activity on the combined change in the volume and intensity centiles (change in PA profile).

Results: In men, volume was lower as age increased while intensity was lower after age 55; in women, both volume and intensity were lower as age increased. Adding 150 min of moderate PA weekly (5 × 30 min walking) increased the PA profile by 4 percentage points. Defining moderate PA as brisk walking approximately doubled the increase (9 percentage points) while 75 min of vigorous PA weekly (5 × 15 min running) trebled the increase (13 percentage points).

Conclusion: These UK Biobank reference centiles provide a benchmark for interpretation of accelerometer data. Application of our translational methods demonstrate that meeting PA guidelines through shorter duration vigorous activity is more beneficial to the PA profile (volume and intensity) than longer duration moderate activity.

背景:加速计评估的较高体力活动量和强度(PA)与较长的预期寿命有关,但很难转化为推荐的体力活动剂量。我们的目标是(方法:纳入 92480 名年龄在 43-80 岁之间、具有腕戴加速度计数据的英国生物库参与者。得出平均加速度和强度梯度,作为 PA 量和强度的代用指标。我们使用位置尺度和形状的广义加性模型(GAMLSS)生成了特定性别的百分位曲线,并模拟了增加中度(步行)或剧烈(跑步)活动对运动量和强度百分位的综合变化(运动量曲线变化)的影响:结果:男性的运动量随着年龄的增长而降低,而运动强度则在 55 岁之后降低;女性的运动量和运动强度都随着年龄的增长而降低。每周增加 150 分钟的适度运动量(5×30 分钟步行)可将运动量曲线提高 4 个百分点。将中度业余爱好定义为快走,则增加了约一倍(9 个百分点),而每周 75 分钟的剧烈业余爱好(5×15 分钟跑步)则增加了三倍(13 个百分点):结论:这些英国生物库参考百分位数为解释加速度计数据提供了一个基准。应用我们的转化方法证明,通过持续时间较短的剧烈活动来达到运动量指南的要求,比持续时间较长的适度活动更有利于运动量概况(运动量和运动强度)。
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引用次数: 0
Unlocking the secrets of exercise: A pathway to enhanced insulin sensitivity and skeletal muscle health in type 2 diabetes. 揭开运动的秘密:增强 2 型糖尿病患者胰岛素敏感性和骨骼肌健康的途径。
IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2024-09-04 DOI: 10.1016/j.jshs.2024.100980
Juleen R Zierath, Aidan J Brady, Kirstin A Macgregor, Joaquin Ortiz de Zevallos, Ben Stocks
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引用次数: 0
Tibial acceleration alone is not a valid surrogate measure of tibial load in response to stride length manipulation. 单纯的胫骨加速度并不能有效地替代测量胫骨负荷对步长操纵的反应。
IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2024-09-03 DOI: 10.1016/j.jshs.2024.100978
Jean Tu, Olivia L Bruce, W Brent Edwards

Purpose: This study aimed to evaluate the relationship between peak tibial acceleration and peak ankle joint contact forces in response to stride length manipulation during level-ground running.

Methods: Twenty-seven physically active participants ran 10 trials at preferred speed in each of 5 stride length conditions: preferred, ±5 %, and ±10 % of preferred stride length. Motion capture, force platform, and tibial acceleration data were directly measured, and ankle joint contact forces were estimated using an inverse-dynamics-based static optimization routine.

Results: In general, peak axial tibial accelerations (p < 0.001) as well as axial (p < 0.001) and resultant (p < 0.001) ankle joint contact forces increased with stride length. When averaged within the 10 strides of each stride condition, moderate positive correlations were observed between peak axial acceleration and joint contact force (r = 0.49) as well as peak resultant acceleration and joint contact force (r = 0.51). However, 37% of participants illustrated either no relationship or negative correlations. Only weak correlations across participants existed between peak axial acceleration and joint contact force (r = 0.12) as well as peak resultant acceleration and ankle joint contact force (r = 0.18) when examined on a step-by-step basis.

Conclusion: These results suggest that tibial acceleration should not be used as a surrogate for ankle joint contact force on a step-by-step basis in response to stride length manipulations during level-ground running. A 10-step averaged tibial acceleration metric may be useful for some runners, but an initial laboratory assessment would be required to identify these individuals.

目的:本研究旨在评估在平地跑步过程中,胫骨加速度峰值和踝关节接触力峰值与步长调节之间的关系:方法:27 名身体活跃的参与者在 5 种步长条件下(首选、首选步长的 ±5% 和 ±10%)分别以首选速度进行了 10 次试验。直接测量运动捕捉、力平台和胫骨加速度数据,并使用基于反动力学的静态优化程序估算踝关节接触力:一般来说,轴向胫骨加速度峰值(p < 0.001)以及轴向(p < 0.001)和结果(p < 0.001)踝关节接触力随着步长的增加而增加。如果对每种步长条件下的 10 步进行平均,则可观察到轴向加速度峰值与关节接触力(r = 0.49)以及结果加速度峰值与关节接触力(r = 0.51)之间存在中等程度的正相关。然而,37% 的参与者之间没有关系或呈负相关。在逐级检查时,不同参与者的轴向加速度峰值与关节接触力(r = 0.12)以及结果加速度峰值与踝关节接触力(r = 0.18)之间仅存在微弱的相关性:这些结果表明,在平地跑步过程中,胫骨加速度不应作为踝关节接触力的代用指标。10步平均胫骨加速度指标可能对某些跑步者有用,但需要进行初步实验室评估以确定这些人。
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引用次数: 0
Health communication strategies in the digital era: Insights from the Paris Olympics. 数字时代的健康传播战略:巴黎奥运会的启示。
IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2024-09-03 DOI: 10.1016/j.jshs.2024.100979
Yijun Chen
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引用次数: 0
Hopping backward to move forward: Single-leg backward hopping can better detect decreased quadriceps strength induced by a fatigue protocol compared to forward and vertical hopping. 后跳向前与向前跳和垂直跳相比,单腿向后跳能更好地检测疲劳方案导致的股四头肌力量下降。
IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2024-09-03 DOI: 10.1016/j.jshs.2024.100976
Yu Song, Lauren Salsgiver, Kaden Van Valkenburg, Natalie Christofferson, Yessica Lo, Zhichen Feng, Brenna McGuinness, Boyi Dai

Background: Deficits in quadriceps strength of the injured leg have been observed in patients following anterior cruciate ligament (ACL) reconstructions and may contribute to ACL re-injury risk. Single-leg forward hopping is a widely used task for assessing knee function in patients following ACL reconstructions as it has been shown not to be particularly challenging to the knee. This study aimed to quantify the effect of decreased quadriceps strength induced by a fatigue protocol on hopping performance and lower limb mechanics in single-leg forward, vertical, and backward hopping.

Methods: Thirty-four injury-free participants performed single-leg forward, vertical, and backward hopping on both legs pre- and post-fatigue, with 1 leg experiencing a fatigue protocol. Peak moments, power, and work of hip, knee, and ankle joints were quantified during the jumping phase. Hopping performance and bilateral asymmetries in performance were assessed.

Results: Single-leg backward hopping demonstrated the greatest knee moments, power, and work compared to forward and vertical hopping, regardless of leg and fatigue. Fatigue protocol resulted in significantly less knee moments, power, and work, and decreased performance of the fatigued leg among all tasks. Bilateral symmetries in hopping performance decreased in post-fatigue, with the greatest decrease in backward hopping.

Conclusion: The greater sensitivity of the backward hopping to detect quadriceps fatigue suggests it may act as a better or at least an additional metric to evaluate quadriceps strength deficits. The findings may contribute to the development of a clinically applicable and valid strength assessment to monitor the rehabilitation progress in patients following ACL reconstructions.

背景:前交叉韧带(ACL)重建术后的患者受伤腿部股四头肌力量不足,可能会导致前交叉韧带再次损伤的风险。单腿向前跳是一项广泛用于评估前交叉韧带重建术后患者膝关节功能的任务,因为它已被证明对膝关节没有特别的挑战性。本研究旨在量化疲劳方案导致的股四头肌力量下降对单腿向前、垂直和向后跳的跳动表现和下肢力学的影响:34名没有受伤的参与者在疲劳前和疲劳后进行了双腿单脚向前、垂直和向后跳,其中一条腿进行了疲劳训练。在跳跃阶段,对髋关节、膝关节和踝关节的峰值力矩、功率和功进行了量化。对跳跃成绩和双侧成绩不对称进行了评估:结果:与向前跳和垂直跳相比,单腿向后跳表现出最大的膝关节力矩、功率和功,与腿和疲劳无关。疲劳协议导致膝关节力矩、功率和功明显降低,疲劳腿在所有任务中的表现都有所下降。疲劳后双侧跳跃表现的对称性下降,其中后向跳跃的下降幅度最大:结论:后跳对检测股四头肌疲劳的灵敏度更高,这表明它可以作为评估股四头肌力量缺陷的更好或至少是额外的指标。这些发现可能有助于开发一种临床适用且有效的力量评估方法,以监测前交叉韧带重建后患者的康复进展。
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引用次数: 0
Effort minimization: A permanent, dynamic, and surmountable influence on physical activity. 努力最小化:对体育锻炼的永久、动态和不可逾越的影响。
IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2024-09-02 DOI: 10.1016/j.jshs.2024.100971
Silvio Maltagliati, Layan Fessler, Qian Yu, Zhihao Zhang, Yanxia Chen, Olivier Dupuy, Ryan S Falck, Neville Owen, Liye Zou, Boris Cheval
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引用次数: 0
Global prevalence and gender inequalities in at least 60 min of self-reported moderate-to-vigorous physical activity 1 or more days per week: An analysis with 707,616 adolescents. 每周1天或1天以上自我报告的中等至剧烈体育活动至少60分钟的全球患病率和性别不平等:对707616名青少年的分析。
IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2024-09-01 Epub Date: 2023-11-03 DOI: 10.1016/j.jshs.2023.10.011
Raphael H O Araujo, André O Werneck, Clarice L Martins, Luciana L Barboza, Rafael M Tassitano, Nicolas Aguilar-Farias, Gilmar M Jesus, Robinson Ramírez-Vélez, Riki Tesler, Adewale L Oyeyemi, Ellen C M Silva, Robert G Weaver, Mark S Tremblay, Javier Brazo-Sayavera, Grégore I Mielke, Danilo R P Silva

Background: Guidelines recommend that adolescents should accumulate an average of 60 min per day of moderate-to-vigorous physical activity (MVPA). However, using only this cut-off could hide important information. For instance, from a population-level point of view, increasing physical activity for those with no or low physical activity could provide more health benefits than increasing physical activity for those with intermediate levels. Also, including a more sensitive cut-point of ≥1 days per week could be an additional strategy for identifying those with low access/opportunities for physical activity practice. Thus, the current study aims to estimate the prevalence of ≥60 min of MVPA ≥1 days per week among adolescents globally, and to describe any relevant gender inequalities.

Methods: We used representative datasets from 146 countries/territories collected between 2003 and 2019. MVPA was self-reported. Participants were grouped into younger (≤14 years old) and older (>14 years old) adolescents. Crude Poisson regression models were used to identify the relative differences in ≥60 min of MVPA ≥1 days per week between boys and girls, and random-effects meta-analysis models were used to identify the pooled estimates. Analyses were stratified by country and region.

Results: Approximately 80% of both younger and older adolescents reported ≥60 min of MVPA ≥1 days per week. This prevalence was ≥94% in Europe and Central Asia and North America, while the estimates for the other regions were <77%. The prevalence of ≥60 min of MVPA ≥1 days per week was higher among boys than girls, with the largest differences occurring among the oldest adolescents (Prevalence ratio≤14y = 1.04 (95% confidence interval (95%CI)): 1.03‒1.04) vs. Prevalence ratio>14y = 1.09 (95%CI: 1.08‒1.10)).

Conclusion: Approximately 8 out of 10 adolescents reported accumulating ≥60 min of MVPA ≥1 days per week, with notable differences between regions. Gender differences were observed in several countries, especially among the oldest adolescents. Priorities for physical activity promotion among adolescents should include increasing access/opportunities for physical activity among those who do not achieve ≥60 min of MVPA ≥1 days per week and reducing gender inequalities.

背景:指南建议青少年每天平均应累积60分钟的中等至剧烈体育活动(MVPA)。然而,只使用这个截止日期可能会隐藏重要信息。例如,从人口水平来看,与中等水平的人增加体育活动相比,增加无体育活动或低体育活动的人的体育活动可以带来更多的健康益处。此外,包括每周至少1天的更敏感的切入点可能是识别那些身体活动练习机会/机会较少的人的额外策略。因此,目前的研究旨在估计全球青少年每周1天或1天以上MVPA≥60分钟的患病率,并描述任何相关的性别不平等。方法:我们使用了2003年至2019年间收集的146个国家/地区的代表性数据集。MVPA是自我报告的。参与者被分为年龄较小(≤14岁)和年龄较大(>14岁)的青少年。粗泊松回归模型用于确定男孩和女孩每周1天或1天以上MVPA≥60分钟的相对差异,随机效应荟萃分析模型用于确定合并估计值。分析按国家和地区进行了分层。结果:大约80%的年轻和老年青少年报告每周1天或1天以上的MVPA≥60分钟。在欧洲、中亚和北美,这一患病率≥94%,而其他地区的估计值≤14y:1.04(95%置信区间(95%CI):1.03-1.04)vs.PR>14y:1.09(95%CI:1.08-1.10))。结论:大约80%的青少年报告每周至少1天累积≥60分钟的MVPA,各地区之间存在显著差异。一些国家存在性别差异,尤其是年龄最大的青少年。促进青少年体育活动的优先事项应包括增加那些每周1天或1天以上未达到≥60分钟MVPA的人进行体育活动的机会,并减少性别不平等。
{"title":"Global prevalence and gender inequalities in at least 60 min of self-reported moderate-to-vigorous physical activity 1 or more days per week: An analysis with 707,616 adolescents.","authors":"Raphael H O Araujo, André O Werneck, Clarice L Martins, Luciana L Barboza, Rafael M Tassitano, Nicolas Aguilar-Farias, Gilmar M Jesus, Robinson Ramírez-Vélez, Riki Tesler, Adewale L Oyeyemi, Ellen C M Silva, Robert G Weaver, Mark S Tremblay, Javier Brazo-Sayavera, Grégore I Mielke, Danilo R P Silva","doi":"10.1016/j.jshs.2023.10.011","DOIUrl":"10.1016/j.jshs.2023.10.011","url":null,"abstract":"<p><strong>Background: </strong>Guidelines recommend that adolescents should accumulate an average of 60 min per day of moderate-to-vigorous physical activity (MVPA). However, using only this cut-off could hide important information. For instance, from a population-level point of view, increasing physical activity for those with no or low physical activity could provide more health benefits than increasing physical activity for those with intermediate levels. Also, including a more sensitive cut-point of ≥1 days per week could be an additional strategy for identifying those with low access/opportunities for physical activity practice. Thus, the current study aims to estimate the prevalence of ≥60 min of MVPA ≥1 days per week among adolescents globally, and to describe any relevant gender inequalities.</p><p><strong>Methods: </strong>We used representative datasets from 146 countries/territories collected between 2003 and 2019. MVPA was self-reported. Participants were grouped into younger (≤14 years old) and older (>14 years old) adolescents. Crude Poisson regression models were used to identify the relative differences in ≥60 min of MVPA ≥1 days per week between boys and girls, and random-effects meta-analysis models were used to identify the pooled estimates. Analyses were stratified by country and region.</p><p><strong>Results: </strong>Approximately 80% of both younger and older adolescents reported ≥60 min of MVPA ≥1 days per week. This prevalence was ≥94% in Europe and Central Asia and North America, while the estimates for the other regions were <77%. The prevalence of ≥60 min of MVPA ≥1 days per week was higher among boys than girls, with the largest differences occurring among the oldest adolescents (Prevalence ratio<sub>≤14y</sub> = 1.04 (95% confidence interval (95%CI)): 1.03‒1.04) vs. Prevalence ratio<sub>>14y</sub> = 1.09 (95%CI: 1.08‒1.10)).</p><p><strong>Conclusion: </strong>Approximately 8 out of 10 adolescents reported accumulating ≥60 min of MVPA ≥1 days per week, with notable differences between regions. Gender differences were observed in several countries, especially among the oldest adolescents. Priorities for physical activity promotion among adolescents should include increasing access/opportunities for physical activity among those who do not achieve ≥60 min of MVPA ≥1 days per week and reducing gender inequalities.</p>","PeriodicalId":48897,"journal":{"name":"Journal of Sport and Health Science","volume":null,"pages":null},"PeriodicalIF":9.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response to Commentary by Dr. Matthew J. Clarkson on "Concerns on the application of blood-flow restriction resistance exercise and thrombosis risk in hemodialysis patients". 回应 Matthew J. Clarkson 博士关于 "血液透析患者应用血流限制阻力运动和血栓风险的担忧 "的评论。
IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2024-09-01 Epub Date: 2024-04-30 DOI: 10.1016/j.jshs.2024.04.010
Hugo de Luca Corrêa, Lysleine Alves Deus, Dahan da Cunha Nascimento, Nicholas Rolnick, Rodrigo Vanerson Passos Neves, Andrea Lucena Reis, Thais Branquinho de Araújo, Carmen Tzanno-Martins, Fernanda Silveira Tavares, Luiz Sinésio Silva Neto, Cláudio Avelino Rodrigues Santos, Paolo Lucas Rodrigues-Silva, Fernando Honorato Souza, Vitória Marra da Motta Vilalva Mestrinho, Rafael Lavarini Dos Santos, Rosangela Vieira Andrade, Jonato Prestes, Thiago Dos Santos Rosa
{"title":"Response to Commentary by Dr. Matthew J. Clarkson on \"Concerns on the application of blood-flow restriction resistance exercise and thrombosis risk in hemodialysis patients\".","authors":"Hugo de Luca Corrêa, Lysleine Alves Deus, Dahan da Cunha Nascimento, Nicholas Rolnick, Rodrigo Vanerson Passos Neves, Andrea Lucena Reis, Thais Branquinho de Araújo, Carmen Tzanno-Martins, Fernanda Silveira Tavares, Luiz Sinésio Silva Neto, Cláudio Avelino Rodrigues Santos, Paolo Lucas Rodrigues-Silva, Fernando Honorato Souza, Vitória Marra da Motta Vilalva Mestrinho, Rafael Lavarini Dos Santos, Rosangela Vieira Andrade, Jonato Prestes, Thiago Dos Santos Rosa","doi":"10.1016/j.jshs.2024.04.010","DOIUrl":"10.1016/j.jshs.2024.04.010","url":null,"abstract":"","PeriodicalId":48897,"journal":{"name":"Journal of Sport and Health Science","volume":null,"pages":null},"PeriodicalIF":9.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between physical activity and risk of gastroesophageal reflux disease: A systematic review and meta-analysis. 体育锻炼与胃食管反流病风险之间的关系:系统回顾和荟萃分析。
IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2024-09-01 Epub Date: 2024-03-27 DOI: 10.1016/j.jshs.2024.03.007
Chuting Yu, Tinglu Wang, Ye Gao, Yunfei Jiao, Huishan Jiang, Yan Bian, Wei Wang, Han Lin, Lei Xin, Luowei Wang

Background: Lifestyle plays an important role in preventing and managing gastroesophageal reflux disease (GERD). In response to the conflicting results in previous studies, we performed a systematic review and meta-analysis to investigate this association.

Methods: Relevant studies published until January 2023 were retrieved from 6 databases, and the prevalence of symptomatic gastroesophageal reflux (GER) or GERD was determined from the original studies. A random effects model was employed to meta-analyze the association by computing the pooled relative risk (RR) with 95% confidence intervals (95%CIs). Furthermore, subgroup and dose-response analyses were performed to explore subgroup differences and the association between cumulative physical activity (PA) time and GERD.

Results: This meta-analysis included 33 studies comprising 242,850 participants. A significant negative association was observed between PA and the prevalence of symptomatic GER (RR = 0.74, 95%CI: 0.66-0.83; p < 0.01) or GERD (RR = 0.80, 95%CI: 0.76-0.84; p < 0.01), suggesting that engaging in PA might confer a protective benefit against GERD. Subgroup analyses consistently indicated the presence of this association across nearly all subgroups, particularly among the older individuals (RR<40 years:RR≥40 years = 0.85:0.69, p < 0.01) and smokers (RRsmoker:RRnon-smoker = 0.67:0.82, p = 0.03). Furthermore, a dose-response analysis revealed that individuals who engaged in 150 min of PA per week had a 72.09% lower risk of developing GERD.

Conclusion: Maintaining high levels of PA decreased the risk of GERD, particularly among older adults and smokers. Meeting the recommended PA level of 150 min per week may significantly decrease the prevalence of GERD.

背景:生活方式在预防和控制胃食管反流病(GERD)方面发挥着重要作用。针对以往研究中相互矛盾的结果,我们进行了一项系统回顾和荟萃分析,以调查这种关联:方法:我们从 6 个数据库中检索了截至 2023 年 1 月发表的相关研究,并从原始研究中确定了有症状的胃食管反流(GER)或胃食管反流病的患病率。采用随机效应模型,通过计算汇总相对风险(RR)和 95% 置信区间(95%CIs),对两者之间的关联进行元分析。此外,还进行了亚组和剂量反应分析,以探讨亚组差异以及累积体力活动时间与胃食管反流病之间的关联:这项荟萃分析包括 33 项研究,共有 242 850 名参与者。观察到体育锻炼与无症状胃食管反流病(RR = 0.74,95%CI:0.66-0.83;p < 0.01)或胃食管反流病(RR = 0.80,95%CI:0.76-0.84;p < 0.01)的患病率之间存在明显的负相关,这表明参加体育锻炼可能对胃食管反流病有保护作用。亚组分析一致表明,几乎所有亚组都存在这种关联,尤其是老年人(RR:RR≥40 岁 = 0.85:0.69,p < 0.01)和吸烟者(RR吸烟者:RR非吸烟者 = 0.67:0.82,p = 0.03)。此外,剂量反应分析表明,每周进行 150 分钟体育锻炼的人患胃食管反流病的风险降低了 72.09%:结论:保持高水平的体育锻炼可降低胃食管反流病的发病风险,尤其是老年人和吸烟者。达到每周 150 分钟的推荐体育锻炼水平可显著降低胃食管反流病的发病率。
{"title":"Association between physical activity and risk of gastroesophageal reflux disease: A systematic review and meta-analysis.","authors":"Chuting Yu, Tinglu Wang, Ye Gao, Yunfei Jiao, Huishan Jiang, Yan Bian, Wei Wang, Han Lin, Lei Xin, Luowei Wang","doi":"10.1016/j.jshs.2024.03.007","DOIUrl":"10.1016/j.jshs.2024.03.007","url":null,"abstract":"<p><strong>Background: </strong>Lifestyle plays an important role in preventing and managing gastroesophageal reflux disease (GERD). In response to the conflicting results in previous studies, we performed a systematic review and meta-analysis to investigate this association.</p><p><strong>Methods: </strong>Relevant studies published until January 2023 were retrieved from 6 databases, and the prevalence of symptomatic gastroesophageal reflux (GER) or GERD was determined from the original studies. A random effects model was employed to meta-analyze the association by computing the pooled relative risk (RR) with 95% confidence intervals (95%CIs). Furthermore, subgroup and dose-response analyses were performed to explore subgroup differences and the association between cumulative physical activity (PA) time and GERD.</p><p><strong>Results: </strong>This meta-analysis included 33 studies comprising 242,850 participants. A significant negative association was observed between PA and the prevalence of symptomatic GER (RR = 0.74, 95%CI: 0.66-0.83; p < 0.01) or GERD (RR = 0.80, 95%CI: 0.76-0.84; p < 0.01), suggesting that engaging in PA might confer a protective benefit against GERD. Subgroup analyses consistently indicated the presence of this association across nearly all subgroups, particularly among the older individuals (RR<sub><40 years</sub>:RR<sub>≥40 years</sub> = 0.85:0.69, p < 0.01) and smokers (RR<sub>smoker</sub>:RR<sub>non-smoker</sub> = 0.67:0.82, p = 0.03). Furthermore, a dose-response analysis revealed that individuals who engaged in 150 min of PA per week had a 72.09% lower risk of developing GERD.</p><p><strong>Conclusion: </strong>Maintaining high levels of PA decreased the risk of GERD, particularly among older adults and smokers. Meeting the recommended PA level of 150 min per week may significantly decrease the prevalence of GERD.</p>","PeriodicalId":48897,"journal":{"name":"Journal of Sport and Health Science","volume":null,"pages":null},"PeriodicalIF":9.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Sport and Health Science
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