目的 系统评价高体力活动人群应力性骨折的影响因素。方法 检索中国知网(CNKI)、万方、维普、中国生物医学文献数据库(CBM)、PubMed、Embase、Cochrane Library、Web of Science等数据库与高体力活动人群应力性骨折相关的文献,文献发表时间为2000-01-01至2024-12-31。由两名研究者独立进行文献筛选、资料提取及质量评价。结果 研究纳入23篇文献,累积样本量1 479 201例,Meta分析显示,应力性骨折的影响因素有:既往骨折史(OR=1.66,95%CI:1.30~2.11)、性别(OR=1.25,95%CI:1.20~1.31)、主观感受(OR=1.75,95%CI:1.39~2.20)、过低的BMI(OR=1.80,95%CI:1.63~2.00)、血清25羟维生素D(25-OH-D)过低(OR=3.91,95%CI:2.64~5.80)、训练成绩欠佳(OR=2.21,95%CI:1.67~2.92)、闭经(OR=3.55,95%CI:2.06~6.41)、既往锻炼习惯(OR=0.54,95%CI:0.44~0.67)。结论 既往骨折史、性别、主观感受、过低的BMI、25-OH-D、训练成绩、闭经、既往锻炼史均是高体力活动人群应力性骨折的独立影响因素。
Abstract
Objective To systematically evaluate the influencing factors of stress fracture in high-intensity physical activity population. Methods Literature related to stress fractures in high-intensity physical activity population was retrieved from databases such as CNKI, Wanfang, VIP, CBM, PubMed, Embase, Cochrane Library, Web of Science, etc. with the publication time ranging from January 1,2000 to December 31, 2024. Two researchers independently conducted literature screening, data extraction, and quality evaluation. Two researchers independently conducted literature screening, data extraction, and quality evaluation. Results A total of 23 articles were included with a cumulative sample size of 1,479,201 cases. Meta-analysis showed that the influencing factors of stress fractures were previous fracture history (OR=1.66, 95% CI:1.30-2.11), gender(OR=1.25, 95% CI:1.20-1.31), subjective perception(OR=1.75, 95% CI:1.39-2.20), low BMI (OR=1.8, 95% CI:1.63-2.00), low serum level of 25 hydroxyvitamin D (OR=3.91, 95% CI:2.64-5.80), poor training performance (OR=2.21, 95% CI:1.67-2.92),amenorrhea (OR=3.55, 95% CI:2.06-6.41), and previous exercise habits(OR=0.54, 95% CI:0.44-0.67). Conclusions Previous fracture history, gender, subjective perception, low BMI, serum level of 25 hydroxyvitamin D, training performance, amenorrhea, and previous exercise history are all independent influencing factors of stress fractures in high-intensity physical activity population.
关键词
应力性骨损伤 /
影响因素 /
Meta分析 /
高体力活动人群 /
锻炼习惯
Key words
stress fracture /
influencing factors /
Meta-analysis /
high-intensity physical activity population /
exercise habits
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