骨骼肌肉疼痛现象在青少年中颇为常见,报告率在4%~40%之间。青少年学生骨骼肌肉疼痛不仅会给青少年带来躯体功能方面的障碍,也会给青少年生活质量带来严重影响,甚至导致成人期的骨骼肌肉疼痛。严重的骨骼肌肉疼痛需要进行疼痛医学治疗,从而增加吗啡药物滥用的风险。体育锻炼对儿童青少年具有多种积极的健康效应,但同时也增加了青少年骨骼肌肉疼痛的风险。Kamada等在日本岛根县的Unnan地区,在所有12~18岁中学生中开展了研究,其中2 403名学生于2008年10月和2009年10月完成了横断面自填式问卷,374名七年级和十年级的学生完成了2次横断面调查,且对第1次调查(基线调查)时无骨骼肌肉疼痛的学生进行了纵向随访研究,分析时进一步调整了潜在的混杂因素。结果表明,最近1周至少在身体某个部位有几次疼痛的总报告率为27.4%。横断面资料分析显示,体育运动与骨关节肌肉疼痛密切相关,每周每增加1h的体 Skeletal muscle pain is quite common in adolescents, with a reported rate of 4% to 40%. Skeletal muscle pain in adolescent students not only poses physical problems to adolescents, but also can adversely affect adolescent quality of life and can even lead to skeletal muscle pain in adulthood. Severe musculoskeletal pain requires pain medical treatment, increasing the risk of morphine abuse. Physical activity has many positive health effects on children and adolescents, but at the same time increases the risk of skeletal muscle pain in adolescents. In Unnan, Shimane Prefecture, Japan, Kamada et al. Conducted a study of all secondary school students aged 12-18 years, of whom 2,403 completed cross-sectional self-administered questionnaires in October 2008 and October 2009, and 374 seven Two cross-sectional surveys were completed for grade and grade 10 students, and longitudinal follow-up studies were conducted on students who did not have skeletal muscle pain at the time of the first survey (baseline survey), further adjusting for potential confounders. The results showed that there was a total of 27.4% of reported pains in at least one part of the body in the last week. Cross-sectional data analysis shows that sports and bone and joint pain is closely related to the muscle, the body increased 1h per week