每逢佳節前後，骨科門診總是多了不少抱怨肩頸不舒服的民眾。不少經驗老到的醫師也發現，只要血脂肪、膽固醇控制不佳，病患就常會有『脖子肩膀緊緊』的不適感。
日本一項研究顯示，低密度脂蛋白膽固醇(LDL-C)越高，患有肩頸疼痛的機會就越高。深入探究原因，目前學界認為脂肪代謝時，產生的氧化壓力，會造成神經慢性發炎及退化，因此可能與異常的肩頸僵硬、痠痛有關。無獨有偶，芬蘭研究也顯示肥胖或代謝症候群也與肩頸痛有關。另一項日本研究更顯示，代謝症候群會影響脊椎椎間盤的健康程度。
或許，你在吃完第一顆蛋黃酥，或吃下一片醬烤里肌夾土司後，想再拿下一個的時候，除了想想腰圍，也可以摸摸那隱隱作痛的脖子，稍稍節制一下。
<P.S.> 如果你的肩頸老是痠痛，頸椎又經檢查沒有明顯病變的話，不妨找你的家庭醫師檢驗一下三高吧!
【參考文獻】
Kumagai G, Wada K, Tanaka T, Kudo H, Asari T, Chiba D, Ota S, Nakaji S, Ishibashi Y.
Associations between neck symptoms and LDL cholesterol in a cross-sectional population-based study. J Orthop Sci. 2018 Mar;23(2):277-281.
Makela M, Heliovaara M, Sievers K, Impivaara O, Knekt P, Aromaa A.
Prevalence, determinants, and consequences of chronic neck pain in Finland. Am J Epidemiol 1991 Dec 1;134(11):1356e67.
Mantyselka P, Kautiainen H, Vanhala M.
Prevalence of neck pain in subjects with metabolic syndromeea cross-sectional population-based study. BMC Musculoskelet Disord 2010 Jul;30(11):171.
Viggiano E, Monda M, Viggiano A, Viggiano A, Aurilio C, De Luca B.
Persistent facial pain increases superoxide anion production in the spinal trigeminal nucleus. Mol Cell Biochem 2010 Jun;339(1e2):149e54.
Suri P, Hunter DJ, Rainville J, Guermazi A, Katz JN.
Quantitative assessment of abdominal aortic calcification and associations with lumbar intervertebral
disc height loss: the Framingham Study. Spine J 2012 Apr;12(4):315e23.
Leino-Arjas P, Kaila-Kangas L, Solovieva S, Riihimaki H, Kirjonen J, Reunanen A.
Serum lipids and low back pain: an association? A follow-up study of a working population sample. Spine (Phila Pa 1976) 2006 Apr 20;31(9):1032e7.
Teraguchi M, Yoshimura N, Hashizume H, Muraki S, Yamada H, Oka H, Minamide A, Ishimoto Y, Nagata K, Kagotani R, Tanaka S, Kawaguchi H, Nakamura K, Akune T, Yoshida M.
Metabolic syndrome components are associated with intervertebral disc degeneration: the Wakayama Spine Study. PLoS One 2016;11(2):e0147565.
