Correlation analysis of exercise volume and musculoskeletal disorders in people with income level differences: Research based on the 2011–2018 NHANES dataset | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Correlation analysis of exercise volume and musculoskeletal disorders in people with income level differences: Research based on the 2011–2018 NHANES dataset Xiangjun Pan, Shibo Liu, Bo Chen, Zehao Yu, Wang Hao, Xiongfeng Tang, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4513090/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 14 Oct, 2024 Read the published version in BMC Public Health → Version 1 posted 10 You are reading this latest preprint version Abstract Objectives Socioeconomic factors significantly impact human health; however, the impact of exercise and income on musculoskeletal system health remains unclear. Our study aims to explore the relationship between exercise and income with musculoskeletal system health in young and middle-aged adults. Design This cross-sectional study used data from 7,515 adults aged 20–59 years, which were obtained from the US NHANES, 2011–2018. Participants' musculoskeletal system health was evaluated on the basis of them having osteopenia, osteoporosis, or sarcopenia. Methods Ordinal regression was used to explore the correlation between income level, exercise volume, and musculoskeletal system health. Mediating effect analysis was used to assess whether the exercise volume affected the impact of income levels on musculoskeletal system health. Ordinal regression and restricted cubic spline curve were used to further analyze the relationship between exercise and income level. Results In the analysis of adjusted all covariates, the probability of having good musculoskeletal system health in high-income participants was higher than that of low- or middle-income participants. The probability of having good musculoskeletal system health in the actively exercising group higher than that of the participants exercised insufficiently or sufficiently. Mediating effect of exercise masked the effect of income on musculoskeletal system health. Participants with low income levels tended to spend more time exercising that those who had high income levels; exercise volume and income level had a significant non-linear relationship. Conclusion The findings presented will help identify young and middle-aged adults who are most at risk of developing musculoskeletal health problem and will likely benefit from certain lifestyle interventions. Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 14 Oct, 2024 Read the published version in BMC Public Health → Version 1 posted Editorial decision: Revision requested 01 Aug, 2024 Reviews received at journal 31 Jul, 2024 Reviewers agreed at journal 19 Jul, 2024 Reviews received at journal 28 Jun, 2024 Reviewers agreed at journal 18 Jun, 2024 Reviewers invited by journal 03 Jun, 2024 Editor invited by journal 03 Jun, 2024 Submission checks completed at journal 03 Jun, 2024 Editor assigned by journal 03 Jun, 2024 First submitted to journal 01 Jun, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4513090","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":313169965,"identity":"b076512d-09a5-4278-b503-aa65af7fddc5","order_by":0,"name":"Xiangjun Pan","email":"","orcid":"","institution":"The Orthopaedic Medical Center, Second Hospital of Jilin University","correspondingAuthor":false,"prefix":"","firstName":"Xiangjun","middleName":"","lastName":"Pan","suffix":""},{"id":313169966,"identity":"457d65ec-8808-4378-9411-fdc7e2038490","order_by":1,"name":"Shibo Liu","email":"","orcid":"","institution":"The Orthopaedic Medical Center, Second Hospital of Jilin University","correspondingAuthor":false,"prefix":"","firstName":"Shibo","middleName":"","lastName":"Liu","suffix":""},{"id":313169967,"identity":"6d818c7b-8cc3-4395-976d-d8be15aafd24","order_by":2,"name":"Bo Chen","email":"","orcid":"","institution":"The Orthopaedic Medical Center, Second Hospital of Jilin University","correspondingAuthor":false,"prefix":"","firstName":"Bo","middleName":"","lastName":"Chen","suffix":""},{"id":313169968,"identity":"d207117d-ba1c-44f7-88a5-cac1a709d8c3","order_by":3,"name":"Zehao Yu","email":"","orcid":"","institution":"The Orthopaedic Medical Center, Second Hospital of Jilin University","correspondingAuthor":false,"prefix":"","firstName":"Zehao","middleName":"","lastName":"Yu","suffix":""},{"id":313169969,"identity":"5bfd2c64-09d6-4ca8-8df1-130a240aaac4","order_by":4,"name":"Wang Hao","email":"","orcid":"","institution":"The Orthopaedic Medical Center, Second Hospital of Jilin University","correspondingAuthor":false,"prefix":"","firstName":"Wang","middleName":"","lastName":"Hao","suffix":""},{"id":313169970,"identity":"962cd3c8-d14b-486e-8e41-67f675d88f6a","order_by":5,"name":"Xiongfeng Tang","email":"","orcid":"","institution":"The Orthopaedic Medical Center, Second Hospital of Jilin University","correspondingAuthor":false,"prefix":"","firstName":"Xiongfeng","middleName":"","lastName":"Tang","suffix":""},{"id":313169971,"identity":"25e69b46-5a22-41bc-ac87-97b8c8c0885e","order_by":6,"name":"Yanguo Qin","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAuElEQVRIiWNgGAWjYDACZhBRwSYDoiRI0HKGjYcELSDA2MZAgha+47zHJL/O4+MxOMB88DYPg10eQS2Sh/nSpGW3sQG1sCVb8zAkFxPUYnCYx0xaEqwFyOBhOJDYQJyWOSAt/N+I1yL5sQFsCxtxWiQP8xhbMxxj45E8zGZsOccgmbAWvvNnDG/+qDkmx3e8+eGNNxV2hLUwHGBgAbrnGDRODQiqB2th/viDoYYYpaNgFIyCUTBSAQDmzTOm6MYQhQAAAABJRU5ErkJggg==","orcid":"","institution":"The Orthopaedic Medical Center, Second Hospital of Jilin University","correspondingAuthor":true,"prefix":"","firstName":"Yanguo","middleName":"","lastName":"Qin","suffix":""}],"badges":[],"createdAt":"2024-06-01 10:06:06","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4513090/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4513090/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s12889-024-20179-4","type":"published","date":"2024-10-14T15:57:47+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":67149018,"identity":"3c02fc75-38a4-4d97-8a45-2e1a0355f6c1","added_by":"auto","created_at":"2024-10-21 16:10:58","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":614454,"visible":true,"origin":"","legend":"","description":"","filename":"Manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4513090/v1_covered_90ab659e-0bb5-46b7-bb57-ed2f7f04bc6b.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Correlation analysis of exercise volume and musculoskeletal disorders in people with income level differences: Research based on the 2011–2018 NHANES dataset","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"
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