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疾病受试者疲劳患病率的比较研究:系统综述和荟萃分析

Comparative study for fatigue prevalence in subjects with diseases: a systematic review and meta-analysis

Nature 等信源发布 2024-10-07 01:42

可切换为仅中文


AbstractFatigue is one of the common symptoms in individuals with diseases or disorders, significantly affecting quality of life (QoL) and the prognosis of diseases. This study aimed to comprehensively compare the features of fatigue across a wide range of diseases. We systematically searched the PubMed and Cochrane Library databases from inception to March 31st, 2021, and conducted a meta-analysis to generate precise estimates.

摘要疲劳是疾病或障碍患者的常见症状之一,严重影响生活质量(QoL)和疾病的预后。这项研究旨在全面比较各种疾病的疲劳特征。我们从开始到2021年3月31日系统地搜索了PubMed和Cochrane图书馆数据库,并进行了荟萃分析以产生精确的估计。

The analyses were stratified by classification of diseases, gender, and severity of fatigue (moderate and severe), and study quality was assessed using the Newcastle–Ottawa Scale (NOS). In total, 214 articles (233 prevalence data) met our eligibility criteria, covering 102,024 participants (mean 438 ± 1,421) across 88 diseases.

分析按疾病分类,性别和疲劳严重程度(中度和重度)进行分层,并使用纽卡斯尔-渥太华量表(NOS)评估研究质量。总共有214篇文章(233份流行率数据)符合我们的资格标准,涵盖88种疾病的102024名参与者(平均4381421名)。

Among these, seventy-eight data sets (52,082 participants) and thirty-nine data sets (10,389 participants) reported gender- and severity-related fatigue prevalence. The overall prevalence among subjects with 88 diseases was 49.4% [95% CI 46.9–52.1]. According to the International Classification of Diseases-10 (ICD-10) classification, the highest prevalence of fatigue (65.9% [95% CI 54.9–79.6]) was observed in patients with mental/behavioral diseases, whereas the lowest prevalence (34.7% [95% CI 24.5–49.2]) was found among those with circulatory system diseases.

其中,78个数据集(52082名参与者)和39个数据集(10389名参与者)报告了与性别和严重程度相关的疲劳患病率。患有88种疾病的受试者的总体患病率为49.4%[95%CI 46.9-52.1]。。

A slight female dominance (43.5% vs. 49.8%) was observed in the total data, with the most notable female predominance (1.8-fold) seen in patients with low back pain. The top disease groups with a moderate to severe level of fatigue included gastroparesis (92.3%), pulmonary hypertension (90.0%), chronic obstructive pulmonary disease (COPD, 83.2%), and multiple sclerosis (80.0%).

在总数据中观察到轻微的女性优势(43.5%比49.8%),在腰痛患者中女性优势最为明显(1.8倍)。中度至重度疲劳程度最高的疾病组包括胃轻瘫(92.3%),肺动脉高压(90.0%),慢性阻塞性肺病(COPD,83.2%)和多发性硬化症(80.0%)。

These results are the first to comprehensively show the comparative features of fatigue .

这些结果首次全面展示了疲劳的比较特征。

IntroductionFatigue is one of the most frequent complaints not only among subjects with diseases, like 50% of cancer patients1, but also in the general population, approximately 16%2. Short-term fatigue can be a predictable physiological response to intense activity and typically does not affect daily life3.

引言疲劳是最常见的投诉之一,不仅在患有疾病的受试者中,如50%的癌症患者1,而且在一般人群中,约占16%2。短期疲劳可能是对剧烈活动的可预测的生理反应,通常不会影响日常生活3。

However, pathological fatigue, especially when chronic and uncontrolled, leads to a poor quality of life (QoL) and impairs daily efficiency4,5.Many factors affect the prevalence of fatigue, including age, sex, ethnicity, occupation, and psychological condition5,6,7,8. For example, females are known to be more susceptible to cancer-related fatigue (CRF), with a prevalence about 2.1 times higher than that of males9.

。例如,已知女性更容易患癌症相关疲劳(CRF),患病率约为男性的2.1倍9。

Health-related factors such as sleep quality, obesity, nutritional status, stress, and illness further influence the frequency and severity of fatigue10,11,12. Among these, the presence of a disorder or disease is the primary determinants of the prevalence and severity of fatigue; for instance, approximately 70% and 82% of individuals with irritable bowel syndrome (IBS) and fibromyalgia, respectively, experience fatigue13,14.

睡眠质量,肥胖,营养状况,压力和疾病等健康相关因素进一步影响疲劳的频率和严重程度10,11,12。其中,疾病或疾病的存在是疲劳患病率和严重程度的主要决定因素;例如,大约70%和82%的肠易激综合征(IBS)和纤维肌痛患者分别经历疲劳13,14。

Additionally, other disease-related factors, such as malnutrition in patients with inflammatory bowel disease (IBD), also affect prevalence of fatigue15.Disease-related fatigue is not only a primary symptom of many disorders but also a factor that influences the clinical course of the disease, including its outcomes.

此外,其他与疾病相关的因素,如炎症性肠病(IBD)患者的营养不良,也会影响疲劳的患病率15。与疾病相关的疲劳不仅是许多疾病的主要症状,也是影响疾病临床进程的因素,包括其结果。

Increased fatigue has been associated with the progression of dialysis initiation in patients with chronic kidney disease16, and with increased mortality in individuals with chronic obstructive pulmonary disease (COPD)17. Moreover, fatigue has been linked to the prognosis of diseases, with potentially higher recurrence ra.

疲劳增加与慢性肾脏病患者透析开始的进展16以及慢性阻塞性肺疾病(COPD)患者的死亡率增加17有关。此外,疲劳与疾病的预后有关,ra的复发率可能更高。

Availability of data and materials

数据和材料的可用性

Data and materials are available from the corresponding author upon reasonable request.

根据合理的要求,通讯作者可以提供数据和材料。

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NCGC. Pharmacological interventions: Myalgic encephalomyelitis (or encephalopathy) / chronic fatigue syndrome: diagnosis and management: Evidence review F. London (2021).Download referencesFundingThis research was supported by the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (NRF-2018R1A6A1A03025221) and Bio&Medical Technology Development Program (NRF-2022M3A9E4095338).Author informationAuthors and AffiliationsKorean Medical College of Daejeon University, 62, Daehak-ro, Dong-gu, Daejeon, Republic of KoreaNa-Hyun Park, Ye-Eun Kang, Ji-Hae Yoon & Byung-Jin ParkDepartment of Health Service Management, Daejeon University, 96-3 Yongun-dong, Dong-gu, Daejeon, 300-716, Republic of KoreaYo-Chan AhnDepartment of Korean Rehabilitation Medicine, College of Korean Medicine, Daejeon University, Daedeok-daero 176, Seo-gu, Daejeon, 35235, Republic of KoreaEun-Jung LeeResearch Center for CFS/ME, Daejeon Oriental Hospital of Daejeon University, 176 Daedeok-daero, Seo-gu, Daejeon, 35235, Republic of KoreaChang-Gue SonAuthorsNa-Hyun ParkView author publicationsYou can also search for this author in.

NCGC。药物干预:肌痛性脑脊髓炎(或脑病)/慢性疲劳综合征:诊断和管理:证据综述F.London(2021)。下载参考文献资助这项研究得到了韩国国家研究基金会(NRF)的支持,该基金会由科学,ICT和未来规划部(NRF-2018R1A6A1A03025221)和生物与医学技术发展计划(NRF-2022M3A9E4095338)资助。作者信息作者和所属机构大田大学韩国医学院,62岁,大田东固大哈罗,大田韩国玄园,叶恩康,海永和秉真公园大田大学卫生服务管理系,96-3 Yongun Dong,Dong gu,Daejeon,300-716,大韩民国陈安韩国康复医学系,大田大学韩国医学院,大田大德大罗176,Seo gu,大田,35235,大韩民国大田东方医院CFS/ME研究中心大田大学,176 Daedeok daero,Seo gu,Daejeon,35235,大韩民国Gue SonAuthorsNa Hyun ParkView作者出版物您也可以在中搜索这位作者。

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PubMed Google ScholarContributionsNHP, YEK and JHY had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. YCA conducted statistical analysis. NHP, EJL and CGS designed the study and drafted the manuscript.

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BJP contributed to manuscript revisions and submission process. CGS obtained the funding and supervised the whole process of this study. All authors read and approved the final manuscript.Corresponding authorCorrespondence to.

BJP为稿件修订和提交过程做出了贡献。CGS获得了资金并监督了这项研究的整个过程。所有作者都阅读并批准了最终稿件。对应作者对应。

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Reprints and permissionsAbout this articleCite this articlePark, NH., Kang, YE., Yoon, JH. et al. Comparative study for fatigue prevalence in subjects with diseases: a systematic review and meta-analysis.

转载和许可本文引用本文新罕布什尔州帕克。,康,叶,尹,JH。等。疾病患者疲劳患病率的比较研究:系统综述和荟萃分析。

Sci Rep 14, 23348 (2024). https://doi.org/10.1038/s41598-024-74683-zDownload citationReceived: 05 April 2024Accepted: 27 September 2024Published: 07 October 2024DOI: https://doi.org/10.1038/s41598-024-74683-zShare this articleAnyone you share the following link with will be able to read this content:Get shareable linkSorry, a shareable link is not currently available for this article.Copy to clipboard.

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KeywordsClassification of diseasesFatiguePrevalenceSystematic reviewMeta-analysis

关键词疾病分类患病率系统评价Meta分析

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