世界关节炎日推动健身

2012年10月12日是第16个世界关节炎日。今年的主题是“运动促改善(Move to Improve)”，旨在提醒医生和患者重视定期锻炼在关节炎治疗中的益处。

世界关节炎日对锻炼的强调，回应了今年早些时候美国风湿病学会的建议：医生应劝告骨关节炎患者将锻炼作为其治疗的一部分。美国疾病预防控制中心(CDC)认为，锻炼的益处包括减轻疼痛、延迟残疾，以及改善移动力、功能和情绪。


体力活动，例如打太极拳，可给关节炎的治疗带来很大益处。
 
CDC指出，关节炎是美国人致残的最常见原因，近5,000万成年人和30万儿童患有某种类型的关节炎或其他风湿病。到2030年时，预计将有6,700万人罹患关节炎，其中2,500万人将会因该病而出现日常活动受限。一些患者可能错误地担心锻炼会加重其症状，而实际上锻炼有助于控制其残疾。

随着近期一篇报告称骨关节炎与心脏病风险增加有关，人们已经认识到，所有类型的关节炎都伴随着心血管疾病风险的增加。

其他研究已显示，痛风会增加心脏病风险，类风湿性关节炎与缺血性心脏病较早发生之间的关联也已得到确证。

CDC表示，体力活动还有助于关节炎患者应付其他的慢性疾病，例如糖尿病和心脏病。医生们正在越来越多地督促患者健身，尤其是慢性病患者。CDC对所有成年人(包括关节炎患者)建议，应每周锻炼至少2.5 h(或者30 分钟，每周5次)，如有必要可分解为10~15分钟的片段，在一天中合适的时间进行锻炼。

关节炎与风湿病国际(ARI)于1996年确定每年的10月12日为世界关节炎日。每年的主题都有所不同，今年是第二次在主题中强调锻炼的益处。

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By: FRANCES CORREA, Internal Medicine News Digital Network

Oct. 12, 2012, marks the 16th annual World Arthritis Day. This year’s theme – "Move to Improve" – aims to remind both physicians and patients of the benefits of regular exercise in the management of arthritis.

The emphasis on exercise echoes the recommendations earlier this year from the American College of Rheumatology that physicians should counsel people with osteoarthritis to exercise as part of their therapy. These benefits include reducing pain, delaying disability, and improving mobility, function, and mood, according to the Centers for Disease Control and Prevention.

Arthritis is the most-common cause of disability in the United States, according to the CDC. By 2030, the agency projects that 67 million persons will be affected by arthritis and, among those, 25 million will be limited in their usual activities because of the disease. Exercise has the benefit of helping patients limit their disability, although some patients may be concerned, wrongly, that exercise may worsen their symptoms.

All forms of arthritis are associated with an increased risk for cardiovascular disease, with a recent report linking osteoarthritis to a higher risk for heart disease.

Other research has shown gout to increase the risk for heart disease, and the link between rheumatoid arthritis and earlier onset of ischemic heart disease is well established.

Physical activity also can help people with arthritis to manage other chronic conditions, like diabetes and heart disease, according to the CDC. Physicians have been increasingly pushing patients, especially those with chronic conditions, to get fit. The CDC recommends that all adults, including those with arthritis, exercise at least 2.5 hours of exercise weekly (or 30 minutes, 5 times a week), spread out in 10-to-15-minute segments throughout the day, if necessary.

Established in 1996, by Arthritis and Rheumatism International (ARI), World Arthritis Day is celebrated every Oct. 12. Its themes change regularly and this is the second time it has highlighted the benefits of exercise. Previous themes include "Let’s Work Together," in 2009, which focused on work-related challenges, such as working from home and paid employment. Nearly 50 million adults and 300,000 children have some form or arthritis or other rheumatic condition, making arthritis the most common cause of disability in the United States, according to the CDC.