生物与医学2022ncbi.nlm.nih.gov
本能睡眠与休息姿势
Instinctive Sleeping and Resting Postures (2000)
入门 · 约 30 分钟读完前置知识：人类进化基础、肌肉骨骼常识
导读
这篇 2000 年的论文探讨人类在自然状态下的本能睡姿与休息姿势，作者基于在部落/森林族群中的观察，认为现代'文明人'使用的软床和睡姿可能并非人类身体天然适应的方式，并暗示这些族群较少出现肌肉骨骼问题。但需注意这并非量化研究，主要是作者的个人观察。
HN 关注点：是因为'我们该怎么睡/坐才健康'与每个人相关，同时讨论焦点集中在论文的科学性是否站得住脚——'原始'生活方式的假设是否成立。
HN 评论精选
这几条评论里：质疑 2 补充 1 亲历 1
质疑质疑论文'野外/原始'的前提：人类可能几十万年前就住房屋、睡床了
'如果你是在'文明'国家受训的医疗专业人士，你很可能对智人这种灵长类在野外如何生存一无所知。'但什么才算'野外'？有证据显示海德堡人早在 38 万年前就在法国南部建造了 7-15 米长的椭圆形居所。人类可能已经住了几十万年'好房子'，谁知道他们睡什么样的床？我们至今没找到那么久远的寝具实物。结论：警惕任何人对现代语境下'野外'含义的随意假设。
lkrubner查看英文原文
"If you are a medical professional and have been trained in a “civilised” country you probably know next to nothing about the primate Homo sapiens and how they survive in the wild." But what is "wild"? Consider: https://books.google.com/books?id=LXmY3Q8qBngC&pg=PT74&lpg=PT74&dq=homo+heidelbergensis+france+structure+15+meters&source=bl&ots=OjlUErbR0u&sig=ACfU3U3f24Ipw1Clulwo9bCUefxCtLwblA&hl=en&sa=X&ved=2ahUKEwia1Mn6iJX3AhXhg-AKHU3IDek4ChDoAXoECB8QAw#v=onepage&q=homo%20heidelbergensis%20france%20structure%2015%20meters&f=false "Homo heidelbergensis (700,000 to 150,000 years in Europe and 600,000 years in Africa)... were probably the builders of one of the oldest known types of constructed habitations found so far, at a site called Terra Amata in southern France. Several large, oval structures, 7 to 15 meters long and 4 to 6 meters wide, date back 380,000 years." So it is possible that humans have been living in nice houses for 380,000 years. And who knows what sort of beds homo heidelbergensis slept in? It's possible humans have preferred comfortable beds for a long time. Who knows? We have not (yet) found examples of bedding from that long ago time period. Conclusion: be wary of anyone who makes assumptions about what constitutes "wild" in the modern context.
质疑批评论文缺乏科学性和引用，只是个人观察，配图也不妥
前提有趣，但我完全不信服这篇论文。作者自己承认'试图做调查但毫无意义，因为部落居民只会给你他们认为你想要的答案'，所以这根本不是科学或量化的研究，只是作者的个人观察。全文唯一的引用只是'人类是 200 种灵长类之一'这一事实；我非常希望看到一些真正的引用来支撑'森林居民和游牧者比文明人肌肉骨骼问题更少'这一根本假设。另外配图选择也让人不适——开头把肯尼亚人和大猩猩对比，之后大多是作者本人只穿内裤的照片。
magneticnorth查看英文原文
It's an interesting premise, but I am not at all convinced by this paper - The author comments "I tried to carry out surveys to collect evidence but they were meaningless, as tribespeople give you the answer they think you want", so this is in no way a scientific or quantified study, just the author's own observations. The only citation in this paper is for the fact that humans are one of 200 kinds of primates; I really wish there were some actual citations for the really fundamental assumption here that the "forest dwellers and nomads" have fewer musculoskeletal health issues compared to "civilised people" (in the authors words). Additionally, the photo selection here is kind of uncomfortable - starts with a Kenyan human compared (similar) to a gorilla, and then is mostly photos of the author himself in only his underwear.
亲历亲历建议：睡硬床更符合进化适应，对骨骼有益
一个重要启示是：试试硬床。即使需要适应期，它很可能对你的骨骼更好，因为进化过程中没有软床，只有偏硬的表面。年纪越大，我需要的床似乎就越硬。
Nomentatus查看英文原文
One big lesson, is - try a firm bed. Even if it takes some getting used to, the chances are it'll be nice to your bones, 'cause evolution didn't know about soft beds, just hard ish ones. The older I get, the firmer the bed I need seems to get.
补充呼吁重视姿势教育，并对相关疗法开展更多科学研究
我希望学校课程能包含正确的姿势指导。即使在健身房锻炼，也没人重视纠正姿势和强化姿势相关肌肉。多年来我意识到，不做姿势矫正，大多数肌肉骨骼疼痛会反复发作。需要对亚历山大技术、普拉提和印度阿育吠陀按摩疗法（很多印度人深信不疑）做更多科学研究。
webmobdev查看英文原文
I wish proper advise on posture was part of the school curriculum. Even when exercising in the gym, nobody pays much attention to correcting postures and strengthening posture muscles. Over the years, I've come to realise that without proper posture corrections, most musculoskeletal pain reoccurs. There needs to be more scientific research on Alexander's Technique, Pilate, and ayurvedic massage therapy (that many in India swear by).
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