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Hashem M, AlMohaini RA, Alharbi TM, Aljurfi MM, Alzmamy SA, Alhussainan FS. Impact of Musculoskeletal Pain on Health-Related Quality of Life Among Adults in Saudi Arabia. Cureus 2024; 16:e57053. [PMID: 38681335 PMCID: PMC11051673 DOI: 10.7759/cureus.57053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/23/2024] [Indexed: 05/01/2024] Open
Abstract
Background Musculoskeletal pain (MSP) is widely recognized as a prevalent public health issue that affects individuals of various genders and age groups. The aim of this study is to assess the influence of musculoskeletal pain on the quality of life (QoL) of adult individuals living in Saudi Arabia. Method This is a cross-sectional study using an online-administered questionnaire that was distributed via online platforms in Saudi Arabia for the duration between January and August 2023. Three questionnaire instruments were used in this study. The 36-item Short Form Health Survey questionnaire (SF-36), The 5-level EQ-5D version (EQ-5D-5L), and Roland-Morris Disability Questionnaire. Binary logistic regression analysis was used to identify predictors of better QoL and having mild to moderate disability. Results A total of 8359 participants were involved in this study. The most commonly reported sites of musculoskeletal pain were the lower back, neck, and shoulder, accounting for 36.8% (n= 3072), 30.5% (n= 2549), and 30.1% (n= 2514), respectively. The mean pain score for the study participants was 4.3 (SD: 2.3), which indicates mild degree of pain. The median EQ-5D-5L index value for the study participants was 0.827 (0.756-1.00), which demonstrates a high quality of life. The mean SF-36 score for the study participants was 63.11 (17.4), which demonstrates moderate quality of life. The median Roland-Morris Disability score for the study participants was 1.00 (0.00-7.00), which demonstrates a low level of pain-related disability. Male gender, younger age (30-39 years), having higher education attainment, having higher monthly income (more than SAR 20000), and having lower BMI (less than 25.8 kg/cm2) were predictors of better QoL (p<0.05). Conclusion Musculoskeletal pain is a multifactorial condition influenced by structural, physical, psychological, social, lifestyle, and comorbid health elements. It ranges from acute to chronic pain and, despite rarely being fatal, has a significant impact on QoL. Musculoskeletal discomfort varies in terms of intensity, affected regions, and demographic and lifestyle factors. This study sheds light on the multifaceted nature of MSP, its impact on QoL, and the significance of early intervention and individualized management strategies to improve the QoL of those affected.
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Affiliation(s)
- Majdi Hashem
- Surgery, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU
| | | | - Turki Melfi Alharbi
- Internal Medicine, College of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, SAU
| | - Muhamad Muslim Aljurfi
- Orthopedics, College of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, SAU
| | - Saad Abdullah Alzmamy
- Internal Medicine, College of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, SAU
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Kraav J, Tamme R, Remmel L, Mäestu E, Zagura M, Jürimäe J, Tillmann V. Arterial Structure in 18-Year-Old Males Is Dependent on Physical Activity at 12 Years and Cumulative Cardiorespiratory Fitness From Puberty to Late Adolescence. Pediatr Exerc Sci 2023; 35:144-154. [PMID: 36509088 DOI: 10.1123/pes.2022-0002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Revised: 08/17/2022] [Accepted: 08/24/2022] [Indexed: 12/14/2022]
Abstract
PURPOSE To evaluate the long-term effect of body composition, physical activity, and cardiorespiratory fitness (CRF) from puberty on arterial health in late adolescent males. METHODS The cumulative burden of physical activity (measured with accelerometer), CRF (VO2peak0.82), and body composition (body mass index, fat mass, and fat percentage) from puberty to late adolescence (sum of 4 time points from 12 to 18 y) was assessed in 102 males. Additional analysis on the first (T1) and last (T4) time points was performed. Intima-media thickness (IMT), carotid-femoral pulse wave velocity, and augmentation index adjusted to heart rate of 75 beats per minute (bpm) as dependent variables were measured at T4 and analyzed in multivariable regression models adjusted for known risk factors including maturation, blood pressure, and smoking habits. RESULTS T1 and cumulative body composition measures were independently associated with IMT, while cumulative (β = -0.011, P = .036) and T4 (β = -0.0.031, P = .001) CRF revealed independent associations with IMT. Individuals with moderate to vigorous physical activity >60 minutes per day at T1 showed relationship (β = -1.091, P = .026) with IMT independently of late adolescent physical activity. No significant relationship was present for arterial function. CONCLUSION Arterial structure in adolescent males is associated with physical activity at 12 years while relationship with CRF can be seen in late adolescence and cumulatively from puberty to late adolescence.
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Affiliation(s)
- Juta Kraav
- Institute of Clinical Medicine, University of Tartu, Tartu,Estonia
| | - Reeli Tamme
- Institute of Clinical Medicine, University of Tartu, Tartu,Estonia
- Children's Clinic, Tartu University Hospital, Tartu,Estonia
| | - Liina Remmel
- Institute of Sports Sciences and Physiotherapy, University of Tartu, Tartu,Estonia
| | - Evelin Mäestu
- Institute of Sports Sciences and Physiotherapy, University of Tartu, Tartu,Estonia
| | - Maksim Zagura
- Department of Biochemistry, Centre of Excellence for Translational Medicine, University of Tartu, Tartu,Estonia
| | - Jaak Jürimäe
- Institute of Sports Sciences and Physiotherapy, University of Tartu, Tartu,Estonia
| | - Vallo Tillmann
- Institute of Clinical Medicine, University of Tartu, Tartu,Estonia
- Children's Clinic, Tartu University Hospital, Tartu,Estonia
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Kanaan SF, Alissa HMK, Jaber AF, Almhdawi KA, Mansour ZM, Alhanada M. Knowledge related to low back pain and its associated factors in patients with low back pain: A cross-sectional study. J Back Musculoskelet Rehabil 2023; 36:217-225. [PMID: 35848012 DOI: 10.3233/bmr-220004] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Patients' knowledge about low back pain (LBP) negatively influences LBP prognosis. Studying the extent of patients' knowledge about LBP may help clinicians design effective LBP treatment strategies. OBJECTIVE To explore the level of LBP knowledge and its associated factors in patients with LBP. METHODS A cross-sectional study with a representative sample. Participants with acute or chronic LBP completed a self-administered questionnaire including sociodemographic and clinical characteristics. We used the Low Back Pain Knowledge Questionnaire (LBP_KQ) to assess knowledge, the Fear-Avoidance Beliefs Questionnaire for LBP (FABQ_LBP) to assess fear of movement, the Oswestry Disability Index (ODI) to assess functional disability, Depression Anxiety Stress Scales (DASS 21) to assess mental health status, and the Numeric Pain Rating Scale (NPRS) to assess pain intensity. RESULTS A total of 271 individuals with LBP completed the study. The mean age of participants was 39.86 (± 11.27), the LBP chronicity median was 18 (IQR = 44) months, and 56.5% of the participants were females. The mean LBP_KQ score was 9.29 (± 3.89)/24. An educational level higher than high school (diploma education (β= 1.202 [95%CI: 5.633 to 11.498], p< 0.001), bachelor or higher education (β= 2.270 [95%CI: 1.107 to 3.433], p< 0.001)), and using pain killers (β= 1.180 [95%CI: 0.140 to 2.221], p= 0.026) were significantly associated with higher LBP_KQ score. While being employed (β=-1.422 [95%CI: -2.462 to -0.382], p= 0.008) and having higher DASS Anxiety score (β=-0.144 [95%CI: -0.240 to -0.048], p= 0.003) were significantly associated with lower LBP_KQ score. CONCLUSIONS Individuals with chronic LBP in Jordan demonstrated relatively low levels of LBP knowledge related to their condition. Rehabilitation personnel, healthcare stakeholders, and policymakers should carefully monitor the level of LBP knowledge and its associated factors.
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Affiliation(s)
- Saddam F Kanaan
- Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Hadeel M K Alissa
- Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Ala'a F Jaber
- Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Khader A Almhdawi
- Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Zaid M Mansour
- Department of Physical and Occupational Therapy, The Hashemite University, Zarqa, Jordan
| | - Mohammad Alhanada
- Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
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Torres W, Cayres-Santos SU, Urban JB, de Moraes-Chagas LG, Christofaro DGD, Turi-Lynch BC, Codogno JS, Fernandes RA. Participation in Non-professional Sports and Cardiovascular Outcomes Among Adolescents: ABCD Growth Study. Matern Child Health J 2020. [DOI: https:/doi.org/10.1007/s10995-020-02919-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Torres W, Cayres-Santos SU, Urban JB, de Moraes-Chagas LG, Christofaro DGD, Turi-Lynch BC, Codogno JS, Fernandes RA. Participation in Non-professional Sports and Cardiovascular Outcomes Among Adolescents: ABCD Growth Study. Matern Child Health J 2020; 24:787-795. [PMID: 32323117 DOI: 10.1007/s10995-020-02919-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
OBJECTIVES Sports are an important way to improve health during adolescence. However, it is still unclear whether the association between sports, blood pressure, and metabolic profile could be affected by sex, biological maturation, and trunk fatness. The aim of this study was to analyze the association between sports participation and the cluster of cardiovascular markers among adolescents of both sexes. METHODS A cross-sectional study involving 285 adolescents aged from 11 to 17 years of age (202 boys and 83 girls). Cardiovascular variables were composed of systolic blood pressure (SBP), diastolic blood pressure (DBP), resting heart rate (RHR), and carotid (CIMT) and femoral (FIMT) intima-media thickness, which were used to calculate the CardiovascularZ score. Sports participation was assessed through a face-to-face interview. Age of peak height velocity (APHV) was used as a covariate. RESULTS Among girls, the group engaged in sports presented lower values of RHR (sport: - 0.344 [95% CI - 0.650 to - 0.037] versus non-sport: 0.540 [95% CI 0.125 to 0.954]) and CardiovascularZ score (sport: - 0.585 [95% CI - 1.329 to 0.159] versus non-sport: 0.879 [95% CI - 0.127 to 1.884]), explaining 12.2% and 6.1% of all variance, respectively. Among boys, the group engaged in sports presented lower values of DBP (sport: - 0.158 [95% CI - 0.335 to 0.018] versus non-sport: 0.160 [95% CI - 0.091 to 0.412]) and FIMT (sport: - 0.128 [95% CI - 0.300 to - 0.044] versus non-sport: 0.211 [95% CI - 0.032 to 0.454]), explaining 2.2% and 2.6% of all variance, respectively. CONCLUSIONS FOR PRACTICE Adolescents engaged in sports presented healthier cardiovascular parameters, and sports participation seems to affect cardiovascular health differently in boys and girls.
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Affiliation(s)
- Wésley Torres
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil.
| | - Suziane Ungari Cayres-Santos
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Jacqueline Bexiga Urban
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Lucas Gabriel de Moraes-Chagas
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Diego Giulliano Destro Christofaro
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Bruna Camilo Turi-Lynch
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Jamile Sanches Codogno
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Rômulo Araújo Fernandes
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
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Torres W, Cayres-Santos SU, Urban JB, de Moraes-Chagas LG, Christofaro DGD, Turi-Lynch BC, Codogno JS, Fernandes RA. Participation in Non-professional Sports and Cardiovascular Outcomes Among Adolescents: ABCD Growth Study. Matern Child Health J 2020. [DOI: https://doi.org/10.1007/s10995-020-02919-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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COLEDAM D. Early and current physical activity: cross-sectional associations with overweight among adults. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2020; 60:E354-E360. [PMID: 31967093 PMCID: PMC6953456 DOI: 10.15167/2421-4248/jpmh2019.60.4.1265] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Accepted: 07/12/2019] [Indexed: 11/16/2022]
Abstract
Introduction The health benefits of physical activity in all ages are widely known, however the effects of early physical activity on future health are not yet fully understood. The aim of this study was to analyze the cross-sectional associations between previous and current physical activity with overweight among adults. Methods A probabilistic sample of 534 teachers was included in the study. Independent variables were physical activity in childhood, adolescence, and current, and clustering of the variables, all analyzed using a self-report questionnaire. The dependent variable was overweight, estimated by the body mass index, assessed using self-report measures of weight and height. Covariates were sex, age, skin color, income, sedentary behavior, medication use for weight control, and nutritionist counseling. Poisson regression was adopted to estimate Prevalence Ratios (PR) in the multivariate analysis. Results Physical activity at ages 6-10 (PR = 1.03 to 1.13), 12-14 (PR = 0.96 to 0.98), and 15-17 (PR = 0.76 to 0.90) years was not associated with overweight. Participants who do not meet the recommendation of current physical activity have a higher likelihood of being overweight (PR = 1.55 to 2.17) and the magnitude of the association increased when analyzing those who were not physically active through all periods analyzed (PR = 3.69 to 4.69). Conclusion Performing physical activity only in early life does not seem to promote health benefits in the sample analyzed. Although current physical activity is associated with the outcome, the promotion of both early and current physical activity seems to be a better strategy to prevent overweight among adults.
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Affiliation(s)
- D.H.C. COLEDAM
- Correspondence: Diogo Henrique Constantino Coledam, Federal Institute of Education, Science and Technology of São Paulo, 100 Zélia de Lima Rosa av. Boituva, São Paulo, Brazil - Tel. +55 15 33638610 - E-mail:
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Silva DR, Werneck AO, Collings PJ, Fernandes RA, Barbosa DS, Ronque ERV, Sardinha LB, Cyrino ES. Physical activity maintenance and metabolic risk in adolescents. J Public Health (Oxf) 2019; 40:493-500. [PMID: 28927241 DOI: 10.1093/pubmed/fdx077] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2016] [Accepted: 06/14/2017] [Indexed: 11/13/2022] Open
Abstract
Aim Examine the association between child and adolescent physical activity maintenance categories and metabolic profile in adolescence. Methods This cross-sectional study was conducted with 1152 adolescents (57.4% female) aged 10-16 years from Londrina, Brazil. Physical activity was self-reported in childhood (7-10 years old, retrospective data) and adolescence through questionnaires. Cardiorespiratory fitness (20 m shuttle-run test), body fat (skinfolds), waist circumference, blood pressure (automatic instrument) and blood variables (fasting glucose, HDL-cholesterol and triglycerides) were measured at adolescence. Results Frequency of physical activity in childhood and adolescence was 50.3 and 17.2%, respectively, and only 25.7% of boys and 10.9% of girls were active at both ages. Adolescents who were physically active in childhood alone were less likely [OR = 0.71 (95% CI: 0.52-0.97)] to present low cardiorespiratory fitness in adolescence compared to those who were non-active in childhood. Regardless of controlled, actives in childhood and adolescence were less likely to present low cardiorespiratory fitness [OR = 0.50 (95% CI: 0.34-0.73)], high blood pressure [OR = 0.52 (95% CI: 0.32-0.85)] and high metabolic risk score [OR = 0.44 (95% CI: 0.22-0.90)] compared to the non-actives at both ages. Conclusions Actives through childhood to adolescence are less likely to present low cardiorespiratory fitness, high blood pressure and high metabolic risk.
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Affiliation(s)
- Danilo R Silva
- Department of Physical Education, Federal University of Sergipe-São Cristóvão, Sergipe, Brazil.,Study and Research Group in Metabolism, Nutrition, and Exercise (GEPEMENE), State University of Londrina (UEL), Londrina, Paraná, Brazil
| | - André O Werneck
- Study and Research Group in Metabolism, Nutrition, and Exercise (GEPEMENE), State University of Londrina (UEL), Londrina, Paraná, Brazil
| | - Paul J Collings
- Bradford Institute for Health Research, Bradford NHS Foundation Trust, Bradford, UK
| | - Rômulo A Fernandes
- Scientific Research Group Related to Physical Activity (GICRAF), Laboratory of Investigation in Exercise (LIVE), Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Décio S Barbosa
- Department of Pathology, Clinical and Toxicological Analysis, Center of Health Sciences, University Hospital, State University of Londrina-UEL, Londrina, Brazil
| | - Enio R V Ronque
- Department of Physical Education, Federal University of Sergipe-São Cristóvão, Sergipe, Brazil
| | - Luís B Sardinha
- Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal
| | - Edilson S Cyrino
- Study and Research Group in Metabolism, Nutrition, and Exercise (GEPEMENE), State University of Londrina (UEL), Londrina, Paraná, Brazil
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Werneck AO, Silva DR, Collings PJ, Fernandes RA, Ronque ERV, Sardinha LB, Cyrino ES. Prenatal, biological and environmental factors associated with physical activity maintenance from childhood to adolescence. CIENCIA & SAUDE COLETIVA 2019; 24:1201-1210. [PMID: 30892539 DOI: 10.1590/1413-81232018243.11442017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Accepted: 06/23/2017] [Indexed: 11/22/2022] Open
Abstract
Our aim was to identify prenatal, biological and environmental correlates of child to adolescence physical activity maintenance in 1,186 Brazilian youth (525 boys) aged between 10 and 16 years. Current and former physical activity levels were obtained cross-sectionally through questionnaires. As potential correlates, parent's activity levels, socioeconomic status and offspring's birth weight were self-reported by parents. Somatic maturation was estimated by the peak of height velocity. Logistic regression analyses revealed that, regardless of chronological age, males were more likely to be active in childhood (OR = 1.73 [CI 95% = 1.33 to 2.27]) and to maintain physical activity (adjusted by chronological age, sex, birth weight and mother's physical activity) (OR = 3.58 [CI 95% = 2.32 to 5.54]), as well as late maturing adolescents (OR = 2.52 [CI 95% = 1.02 to 6.22]). Adolescents whose mother was inactive (OR = 0.31 [CI 95% = 0.11 to 0.86]) also had a lower probability of maintaining physical activity. Thus, girls, adolescents born with low weight and those with inactive mother are less likely to maintain physical activity levels from childhood to adolescence.
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Affiliation(s)
- André Oliveira Werneck
- Grupo de Estudo e Pesquisa em Metabolismo, Nutrição e Exercício , Universidade Estadual de Londrina . Rodovia Celso Garcia Cid - Pr 445 Km 380, Campus Universitário. 86057-970 Londrina PR Brasil .
| | - Danilo Rodrigues Silva
- Grupo de Estudo e Pesquisa em Metabolismo, Nutrição e Exercício , Universidade Estadual de Londrina . Rodovia Celso Garcia Cid - Pr 445 Km 380, Campus Universitário. 86057-970 Londrina PR Brasil .
| | - Paul James Collings
- Bradford Institute for Health Research , Bradford Teaching Hospitals Foundation Trust . Bradford UK
| | - Rômulo Araújo Fernandes
- Departamento de Educação Física , Faculdade de Ciências e Tecnologia de Presidente Prudente , Universidade Estadual Paulista . Presidente Prudente SP Brasil
| | - Enio Ricardo Vaz Ronque
- Grupo de Estudo e Pesquisa em Metabolismo, Nutrição e Exercício , Universidade Estadual de Londrina . Rodovia Celso Garcia Cid - Pr 445 Km 380, Campus Universitário. 86057-970 Londrina PR Brasil .
| | | | - Edilson Serpeloni Cyrino
- Grupo de Estudo e Pesquisa em Metabolismo, Nutrição e Exercício , Universidade Estadual de Londrina . Rodovia Celso Garcia Cid - Pr 445 Km 380, Campus Universitário. 86057-970 Londrina PR Brasil .
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Low back pain and some associated factors: is there any difference between genders? Braz J Phys Ther 2019; 24:79-87. [PMID: 30782429 DOI: 10.1016/j.bjpt.2019.01.012] [Citation(s) in RCA: 67] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 01/04/2019] [Accepted: 01/30/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To compare men and women with low back pain and identify the prevalence and some of its associated factors in a population-based sample of adults aged 20 and over a seven day period. METHODS Cross-sectional study based on a population survey. 600 individuals were interviewed on the following: (1) characteristics of the participants (i.e. demographic, socioeconomic, and labor aspects); (2) physical activity level (IPAQ); (3) musculoskeletal symptoms (Nordic Questionnaire). Descriptive, bivariate, and Poisson regression analyses were performed. RESULTS Overall prevalence of LBP was 28.8%, being 39.0% in men and 60.9% in women. The measured associated factors in men were age between 36 and 59 years (PR=3.00 [1.31-6.88]) and over 60 (PR=4.52 [2.02-10.12]), smoking (PR=2.47 [1.20-5.11]), fewer years of formal education (0-4 years) (PR=6.37 [2.15-18.62]), and hypertension (PR=2.27 [1.15-4.50]). For women, the associated factors were occupational activities that involved heavy lifting (PR=1.80 [1.03-3.16]), standing posture leaning forward (PR=2.04 [1.20-3.44]), sitting posture leaning forward (PR=2.17 [1.24-3.82]), and sitting at the computer three or more days per week (PR=4.00 [1.44-11.11]). Widowed or divorced participants were more likely to report LBP, in both men (PR=3.06 [1.40-6.66]) and women (PR=2.11 [1.15-3.88]). CONCLUSION This study reveals high prevalence of low back pain in a seven day period. Older age, low education, hypertension, and smoking were associated with LBP in men. Occupational and ergonomic factors were associated with LBP in women. Marital status was associated with LBP in both genders.
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Walker TJ, Heredia NI, Lee M, Laing ST, Fisher-Hoch SP, McCormick JB, Reininger BM. The combined effect of physical activity and sedentary behavior on subclinical atherosclerosis: a cross-sectional study among Mexican Americans. BMC Public Health 2019; 19:161. [PMID: 30727990 PMCID: PMC6366018 DOI: 10.1186/s12889-019-6439-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Accepted: 01/14/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Physical activity and sedentary behavior are considered independent risk factors for chronic disease. However, we do not fully understand their interrelation with key health outcomes such as subclinical atherosclerosis. This study examines the combined effects of sedentary behavior and physical activity on carotid intima-media thickness (cIMT) and presence of carotid plaque in a Mexican American population on the Texas-Mexico border. METHODS This cross-sectional study was conducted using retrospective data from a sample (n = 612) of participants from the Cameron County Hispanic Cohort. Carotid ultrasound was used to measure cIMT and presence of carotid plaque. Self-reported questionnaires were used to assess leisure time physical activity and sedentary behavior (TV/movie sitting and total sitting). A series of multivariable regression models were used to assess study aims. An interaction term between physical activity and sedentary behavior was included in models for each respective outcome. Models were controlled for demographic and health-related variables. RESULTS There were no significant associations found between physical activity, sedentary behavior and mean cIMT, or cIMT thickness ≥ 75th percentile for age and gender. However, there was a significant interaction between physical activity and TV/movie sitting with presence of carotid plaque. Participants who reported moderate levels of physical activity had significantly lower odds for presence of plaque compared to participants with no activity when TV/movie sitting time was ≤3 h per day. However, there was no significant difference in odds for presence of plaque between physical activity groups when TV/movie sitting exceeded 3 h/day. These results were consistent with models examining total sitting time. CONCLUSIONS Our results indicate that for Mexican Americans, there is a combined effect of sedentary behavior and physical activity on presence of carotid plaque. Participating in moderate physical activity is optimal for having lower levels of carotid plaque in addition to avoiding excessive levels of TV/movie sitting (≥3 h/day) and/or total sitting (≥8.5 h/day).
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Affiliation(s)
- Timothy J. Walker
- Department of Health Promotion and Behavioral Sciences, Center for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston School of Public Health, 7000 Fannin St, Houston, TX 77030 USA
| | - Natalia I. Heredia
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, 1400 Pressler, Houston, TX 77030 USA
| | - MinJae Lee
- Division of Clinical and Translational Sciences, Department of Internal Medicine, The University of Texas McGovern Medical School; Biostatistics/Epidemiology/Research Design (BERD) Core, Center for Clinical and Translational Sciences (CCTS), The University of Texas Health Science Center at Houston, 6410 Fannin St, Houston, TX 77030 USA
| | - Susan T. Laing
- Division of Cardiology, Department of Internal Medicine, McGovern Medical School at the University of Texas Health Science Center at Houston, 6431 Fannin St, Houston, TX 77030 USA
| | - Susan P. Fisher-Hoch
- Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston School of Public Health, Brownsville Regional Campus, 1 W University Blvd, Brownsville, TX 78520 USA
| | - Joseph B. McCormick
- Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston School of Public Health, Brownsville Regional Campus, 1 W University Blvd, Brownsville, TX 78520 USA
| | - Belinda M. Reininger
- Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston School of Public Health, Brownsville Regional Campus, 1 W University Blvd, Brownsville, TX 78520 USA
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Nunes HEG, Silva DAS. Sports practice from childhood to adolescence: behavior patterns and associated factors. MOTRIZ: REVISTA DE EDUCACAO FISICA 2019. [DOI: 10.1590/s1980-6574201900030006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Werneck AO, Silva DR, Agostinete RR, Fernandes RA, Ronque ERV, Cyrino ES. Social, behavioral and biological correlates of cardiorespiratory fitness according to sex, nutritional status and maturity status among adolescents. A cross-sectional study. SAO PAULO MED J 2018; 136:237-244. [PMID: 29947698 PMCID: PMC9907740 DOI: 10.1590/1516-3180.2017.0405190218] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2018] [Accepted: 02/19/2018] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Our aim was to analyze multilevel correlates of cardiorespiratory fitness (CRF) according to sex, nutritional status and maturity status among adolescents. DESIGN AND SETTING Cross-sectional study conducted in public schools. METHODS This was a cross-sectional study on 1,209 adolescents aged between 10 and 17 years. CRF was estimated from the 20-meter shuttle run test. Anthropometric data on body mass index and waist circumference were obtained. Somatic maturation was assessed from the peak height velocity. Questionnaires were used to evaluate socioeconomic variables (family income, parents' education level and number of siblings) and behavioral variables (physical activity, screen time and alcohol and tobacco consumption) among the parents and adolescents. RESULTS Boys, adolescents with normal weight and on-time maturers presented greater CRF (P < 0.05). Concerning socioeconomic correlates, girls (tobacco smoking, alcohol consumption, physical activity and screen time), adolescents with normal weight (alcohol consumption, physical activity and screen time), and on-time maturers (alcohol consumption, physical activity during childhood and habitual physical activity) demonstrated higher numbers of behavioral correlates with CRF. Normal-weight adolescents presented a higher number of biological correlates (chronological age, age at peak height velocity and waist circumference). CONCLUSIONS Different correlates were observed according to sex, nutritional status and somatic maturation status. However, habitual physical activity, waist circumference and chronological age seemed to be the strongest factors associated with cardiorespiratory fitness among adolescents.
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Affiliation(s)
- André Oliveira Werneck
- Undergraduate Student, Centro de Educação Física e Esporte (CEFE), Universidade Estadual de Londrina (UEL), Londrina (PR), Brazil
| | - Danilo Rodrigues Silva
- PhD. Professor, Department of Physical Education, Universidade Federal de Sergipe (UFS), São Cristóvão (SE), Brazil
| | - Ricardo Ribeiro Agostinete
- Doctoral Student, Department of Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho, São Paulo (SP), Brazil
| | - Rômulo Araújo Fernandes
- PhD. Professor, Department of Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho, São Paulo (SP), Brazil
| | - Enio Ricardo Vaz Ronque
- PhD. Professor, Centro de Ciências da Saude (CCS), Universidade Estadual de Londrina (UEL), Londrina (PR), Brazil
| | - Edilson Serpeloni Cyrino
- PhD. Professor, Centro de Ciências da Saude (CCS), Universidade Estadual de Londrina (UEL), Londrina (PR), Brazil
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Mantovani AM, Lima MCS, Agostinete RR, Ito IH, Codogno JS, Lynch KR, Fernandes RA. Sports Practice and Bone Mass in Prepubertal Adolescents and Young Adults: A Cross-sectional Analysis. MOTRIZ: REVISTA DE EDUCACAO FISICA 2016. [DOI: 10.1590/s1980-6574201600040018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Affiliation(s)
- Alessandra Madia Mantovani
- Laboratory of InVestigation in Exercise – LIVE; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil
| | | | - Ricardo Ribeiro Agostinete
- Laboratory of InVestigation in Exercise – LIVE; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil
| | - Igor Hideki Ito
- Laboratory of InVestigation in Exercise – LIVE; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil
| | - Jamile Sanches Codogno
- Laboratory of InVestigation in Exercise – LIVE; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil
| | - Kyle Robinson Lynch
- Laboratory of InVestigation in Exercise – LIVE; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil
| | - Rômulo Araújo Fernandes
- Laboratory of InVestigation in Exercise – LIVE; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil
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Sport participation in pediatric age affects modifications in diabetes markers in adulthood. Int J Diabetes Dev Ctries 2016. [DOI: 10.1007/s13410-016-0516-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Physical inactivity of adults and 1-year health care expenditures in Brazil. Int J Public Health 2015; 60:309-16. [DOI: 10.1007/s00038-015-0657-z] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2014] [Revised: 01/10/2015] [Accepted: 01/19/2015] [Indexed: 10/24/2022] Open
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