【摘要】：[目的]上尿路結(jié)石是一種與多種風(fēng)險因素相關(guān)聯(lián)的復(fù)雜性疾病,但是休閑運(yùn)動在上尿路結(jié)石形成中扮演的角色尚未明確,為了探索他們的關(guān)系,我們在亞洲人群中展開了一項(xiàng)橫斷面研究。[方法]病例組來源于廣西地區(qū)12所公立醫(yī)院泌尿外科診斷為上尿路結(jié)石的住院病人,選取參加當(dāng)?shù)蒯t(yī)療中心健康體檢的人群作為對照組進(jìn)行橫斷面觀察研究,通過相同的標(biāo)準(zhǔn)調(diào)查問卷采集每一位研究對象的基本信息和生活行為資料,使用代謝當(dāng)量評分(METs)量化評估研究對象每周運(yùn)動量。運(yùn)用分層分析、多因素條件logistic回歸比較分層后每周休閑運(yùn)動量后與上尿路結(jié)石形成風(fēng)險的關(guān)聯(lián)。[結(jié)果]總共納入對照組成員1782名、病例組1517名。經(jīng)過矯正年齡、民族、BMI、收縮壓、飲水量和痛風(fēng)、糖尿病、高血壓、額外補(bǔ)充鈣劑等病史,每周參加較多休閑體育運(yùn)動的人群(PA5 9.9;10 19.9;20 29.9;30METs/wk)相對于每周參加較低休閑運(yùn)動的人群(PA≤4.9 METs/wk),伴隨著較低的上尿路結(jié)石發(fā)病風(fēng)險(aOR=0.15,0.32,0.24,0.34;95%CI=0.08 0.15,0.23 0.43,0.15 0.40,0.22 0.53;P0.001)。[結(jié)論]在我們的橫斷面研究中,休閑體育運(yùn)動,尤其是每周低到中度體育運(yùn)動量與降低的上尿路結(jié)石形成風(fēng)險相關(guān)。
[Abstract]:[objective] Upper urinary calculi are a complex disease associated with multiple risk factors, but the role of leisure exercise in the formation of upper urinary calculi is not clear, in order to explore their relationship, We conducted a cross-sectional study in Asian populations. [methods] the case group came from 12 public hospitals in Guangxi. The patients who were diagnosed as upper urinary calculi in urology department were selected as the control group. The basic information and life behavior data of each of the subjects were collected by the same standard questionnaire, and the amount of exercise per week was quantitatively evaluated by metabolic equivalent score (METs). Using stratification analysis, multivariate conditional logistic regression was used to compare the relationship between the weekly leisure exercise after stratification and the risk of upper urinary tract stone formation. [results] A total of 1782 members were included in the control group and 1517 in the case group. After correcting the history of age, nationality, BMI, systolic blood pressure, drinking water and gout, diabetes mellitus, hypertension, additional calcium supplement and so on, the people who participated in more leisure sports every week (PA5 9. 9 ~ 10 ~ 19. 9 ~ 20 + 29. 9); 30METs/wk) was associated with a lower risk of upper urinary calculi (aOR=0.15,0.32,0.24,0.34;) compared to those who participated in lower leisure activities per week (PA 鈮，

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