■足底筋膜炎(PF)是活跃个体的常见病。对PF病因缺乏共识使治疗具有挑战性,并强调了了解预防工作的风险因素的重要性。
■本系统评价和荟萃分析的目的是确定哪些因素可能使身体活跃的个体有发展PF的风险。
■中央,CINAHL,EMBASE,灰色点燃,LILACS,MEDLINE(PubMed),ProQuest,Scopus,SPORTDiscus,和WebofScience在2018年4月进行了搜索,并于2020年4月进行了更新。
■如果研究是调查PF风险因素的原始研究,比较有和没有PF的身体活跃的个体,是用英语写的,并且可以作为全长,同行评审的文章。
■系统评价和荟萃分析。
■第3级,因为纳入的观察性研究中使用了不一致的定义和盲法。
■样品特征数据,研究设计和持续时间,groups,PF诊断,并提取危险因素。使用《加强流行病学观察研究报告》对研究的方法学质量进行了评估。当特定风险因素的均值和标准差出现2次或更多次时,该风险因素被纳入荟萃分析.
■16项研究纳入系统评价,11项危险因素纳入荟萃分析。足屈活动度增加(加权平均差[MD]=7.04°;95%CI,5.88-8.19;P<0.001),身体质量指数(MD=2.13kg/m2;95%CI,1.40-2.86;P<0.001;I2=0.00%),和体重(MD=4.52kg;95%CI,0.55-8.49;P=0.026)是PF的危险因素。
■干预措施侧重于解决更大程度的足底弯曲运动范围,身体质量指数,和体重及其对力吸收足底表面结构的负荷可能是预防和治疗PF活跃个体的良好起点。
UNASSIGNED: Plantar fasciitis (PF) is a common condition in active individuals. The lack of agreement on PF etiology makes treatment challenging and highlights the importance of understanding risk factors for preventive efforts.
UNASSIGNED: The purpose of this systematic
review and meta-analysis was to determine what factors may put physically active individuals at risk of developing PF.
UNASSIGNED: CENTRAL, CINAHL, EMBASE, Gray Lit, LILACS, MEDLINE (PubMed), ProQuest, Scopus, SPORTDiscus, and Web of Science were searched through April 2018 and updated in April 2020.
UNASSIGNED: Studies were included if they were original research investigating PF risk factors, compared physically active individuals with and without PF, were written in English, and were accessible as full-length, peer-reviewed articles.
UNASSIGNED: Systematic
review and meta-analysis.
UNASSIGNED: Level 3, because of inconsistent definitions and blinding used in the included observational studies.
UNASSIGNED: Data on sample characteristics, study design and duration, groups, PF diagnosis, and risk factors were extracted. The methodological quality of the studies was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology statement. When means and standard deviations of a particular risk factor were presented 2 or more times, that risk factor was included in the meta-analysis.
UNASSIGNED: Sixteen studies were included in the systematic
review and 11 risk factors in the meta-analysis. Increased plantarflexion range of motion (weighted mean difference [MD] = 7.04°; 95% CI, 5.88-8.19; P < 0.001), body mass index (MD = 2.13 kg/m2; 95% CI, 1.40-2.86; P < 0.001; I2 = 0.00%), and body mass (MD = 4.52 kg; 95% CI, 0.55-8.49; P = 0.026) were risk factors for PF.
UNASSIGNED: Interventions focused on addressing a greater degree of plantarflexion range of motion, body mass index, and body mass and their load on the force-absorbing plantar surface structures may be a good starting point in the prevention and treatment of active individuals with PF.