1384Factors related to neck and shoulder pain during the COVID-19 pandemic in Japan

Abstract Background Shoulder stiffness is a common health issue in Japan. During the COVID-19 pandemic, people were forced to stay home which possibly escalated the development of shoulder stiffness. We aimed to assess associations of lifestyle changes and newly developed neck and shoulder pain (NSP) during the pandemic. Methods A cross-sectional study was conducted, analyzing the data from the Japan COVID-19 and Society Internet Survey (JACSIS), an internet survey conducted from August to September 2020. Data included sociodemographic, lifestyle and health measures related to NSP during the pandemic. Multivariable logistic regression models were fitted to calculate adjusted odds ratio (AOR) with 95% confidence interval (CI) for newly developed NSP with adjustment for lifestyle, physiological and psychosocial changes. Results After exclusion of participants with existing pain, 25,482 participants (12,673 male, 12,809 female) aged 15-79 years were included in the analysis. Of these, 4.1% reported newly developed NSP. Weight gain and long sedentary time were strongly associated with the NSP (AOR (95%CI): 2.4 (2.0-2.8) and 1.81 (1.4-2.3)). Stratified analyses of 1,751 students and 4,211 teleworkers showed significant associations (AOR (95%CI): 2.1 (1.4-2.8) and 2.5 (1.9-3.2)) compared to non-workers and non-teleworkers, respectively. Conclusions Students and teleworkers became prone to NSP during the pandemic. However, factors which were associated to pain did not differ during the pandemic compared with the previous studies. Key messages Preventive measures for NSP should be taken in students and teleworkers.

Download Full-text

Self-reported neck and shoulder pain in adolescents is associated with episodic and chronic migraine

Cephalalgia ◽

10.1177/0333102415610875 ◽

2015 ◽

Vol 36 (8) ◽

pp. 807-811 ◽

Cited By ~ 13

Author(s):

Mirjam N Landgraf ◽

Rüdiger von Kries ◽

Florian Heinen ◽

Thyra Langhagen ◽

Andreas Straube ◽

...

Keyword(s):

Secondary School ◽

Shoulder Pain ◽

Regression Models ◽

Episodic Migraine ◽

Cross Sectional Study ◽

Multinomial Regression ◽

Attack Frequency ◽

School Students ◽

Cross Sectional ◽

Neck And Shoulder Pain

Aim The aim of this study was to verify the association between self-reported neck/shoulder pain and migraine and to compare findings of chronic and episodic migraine in adolescents. Methods In this cross-sectional study, 601 secondary-school students filled in questionnaires about headache appearance, type and frequency, neck and shoulder pain and lifestyle factors. Results The adjusted strength of the association between reported neck and shoulder pain and migraine (assessed in multinomial regression models) increased with the frequency of migraine: less than once a week (OR = 1.40; 95% CI = (0.85–2.30)), weekly (OR = 2.14; 95% CI = (1.42–3.24)), and at least 15 days/month (OR = 7.27; 95% CI = (3.42–15.44)). Conclusion In adolescents the association between self-reported neck and shoulder pain and migraine is most pronounced in migraine with a high attack frequency.

Download Full-text

The multimorbidity of hypertension and osteoarthritis and relation with sleep quality and hyperlipemia/hyperglycemia in China’s rural population

Scientific Reports ◽

10.1038/s41598-021-96523-0 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Li Ran ◽

Qi Chen ◽

Jingyi Zhang ◽

Xinlong Tu ◽

Xiaodong Tan ◽

...

Keyword(s):

Sleep Quality ◽

Regression Models ◽

Joint Effect ◽

Cross Sectional Study ◽

Poor Sleep ◽

Sectional Study ◽

Additive Interaction ◽

Cross Sectional ◽

Logistic Regression Models ◽

Remote Rural Area

AbstractHypertension (HTN) and osteoarthritis (OA) are frequent in middle-aged and elderly people, and the co-occurrence of these two diseases is common. However, the pathogenesis of the multimorbidity of both diseases and the relation with sleep quality, hyperlipemia, and hyperglycemia is unclear. We conducted a cross-sectional study to make sense of the multimorbidity of HTN and OA and the relation with sleep quality, hyperlipemia, and hyperglycemia. The relation between sleep quality and OA and its joint effect with hyperlipemia or hyperglycemia was evaluated with logistic regression models. The additive interaction was assessed with the relative excess risk due to interaction (REEI), the attributable proportion (AP), and the synergy index (S). According to this research in a remote rural area, approximately 34.2% of HTN patients are accompanied with OA and 49.1% are suffering poor sleep. Both hyperlipemia/hyperglycemia and sleep quality were related to OA prevalence with crude ORs of 1.43 (95% CI 1.014–2.029) and 1.89 (95% CI 1.411–2.519, P < 0.001) respectively. An observed additive effect was found greater than the sum of the effects of sleep quality and hyperlipemia/hyperglycemia posed on OA prevalence alone. This additive interaction was observed in females (OR = 3.19, 95% CI 1.945–5.237) as well as males ≥ 65 years old (OR = 2.78, 95% CI 1.693–4.557), with RERI, AP, and S significant. Therefore, poor sleep and hyperlipemia/hyperglycemia are associated with OA, and further studies on the additive interaction among females and males ≥ 65 are warranted.

Download Full-text

Awareness, Attitudes, and Practices Toward Meningococcal B Vaccine among Pediatricians in Italy

Medicina ◽

10.3390/medicina54060100 ◽

2018 ◽

Vol 54 (6) ◽

pp. 100

Author(s):

Pietro Ferrara ◽

Lucia Stromillo ◽

Luciana Albano

Keyword(s):

Regression Models ◽

Positive Attitude ◽

Daily Practice ◽

Cross Sectional Study ◽

Vaccination Schedule ◽

Online Questionnaire ◽

Cross Sectional ◽

Logistic Regression Models ◽

Attitudes And Practices ◽

4Cmenb Vaccine

Background and objectives: Vaccination against bacterial pathogens is decisive for preventing invasive meningococcal disease and pediatricians play a pivotal role in vaccination compliance and coverage. The aim of this study was to investigate awareness, attitude, and practices toward the vaccine against Meningococcal B serogroup (4CMenB) among a sample of Italian pediatricians. Materials and Methods: A cross-sectional study was carried out using an online questionnaire from March to May 2015. Three multivariate logistic regression models were built to identify factors associated with the outcomes of interest. Results: The data showed that 95.5% of the interviewees correctly responded about the availability of 4CMenB vaccine in Italy, while only 28.0% knew the vaccination schedule for children aged two years or under. This knowledge was significantly higher in younger pediatricians and in those who worked a higher number of hours per week. Pediatricians self-reported a positive attitude toward the utility and safety of 4CMenB vaccine. Those pediatricians with a strong positive attitude toward the utility of the vaccine, who knew the vaccination schedules for children of two years or under, and who declared a satisfactory or good knowledge about the vaccine were more likely to inform parents about its availability in Italy, recommend the vaccination, and verify patients’ vaccination status, in their daily practice. Conclusions: The study highlights factors that currently influence pediatricians’ practices regarding the 4CMenB vaccine. The results showed the possible actions recommended to improve physicians’ awareness and behaviors in order to improve the vaccination compliance and invasive meningococcal diseases prevention.

Download Full-text

Association between Eating Away from Home and Hyperuricemia: A Population-Based Nationwide Cross-Sectional Study in China

BioMed Research International ◽

10.1155/2019/2792681 ◽

2019 ◽

Vol 2019 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Zifeng Liu ◽

Xiaoting Su ◽

Mianli Xiao ◽

Peien Zhou ◽

Jianwei Guo ◽

...

Keyword(s):

Regression Models ◽

Population Based ◽

Cross Sectional Study ◽

Noncommunicable Diseases ◽

Sectional Study ◽

Nutrition Survey ◽

Cross Sectional ◽

Logistic Regression Models ◽

Health And Nutrition ◽

Home Food

Hyperuricemia (HU) is a risk factor for different kinds of chronic noncommunicable diseases, and eating away from home (EAFH) may play an important role in their development, which has been ignored greatly so far. This study aimed to investigate the association between EAFH and HU in different models. A cross-sectional study involving 8,322 participants of the China Health and Nutrition Survey (CHNS) was conducted. Logistic regression models were used to analyze the data. We found that participants who consumed more away-from-home food had a higher risk for HU, and the adjusted odds ratio (aOR) and 95% confidence interval (CI) (for each increment in grades of EAFH) were 1.11 (1.02, 1.20) in a multiadjusted model (adjusted for age, gender, province, net individual income, body mass index, smoking, leisure-time physical activities, energy intake, and sleep duration). As for stratified analyses, the aOR (95% CI) of EAFH was 1.12 (1.01, 1.24) for men and 1.06 (0.92, 1.21) for women. Similar results can be found in the middle-aged and obese population, with aOR (95% CI) of EAFH as 1.17 (1.05, 1.30) and 1.15 (1.03, 1.29), respectively. In conclusion, EAFH is positively associated with the prevalence of HU.

Download Full-text

Ultra-processed food consumption and the risk of short telomeres in an elderly population of the Seguimiento Universidad de Navarra (SUN) Project

American Journal of Clinical Nutrition ◽

10.1093/ajcn/nqaa075 ◽

2020 ◽

Vol 111 (6) ◽

pp. 1259-1266 ◽

Cited By ~ 1

Author(s):

Lucia Alonso-Pedrero ◽

Ana Ojeda-Rodríguez ◽

Miguel A Martínez-González ◽

Guillermo Zalba ◽

Maira Bes-Rastrollo ◽

...

Keyword(s):

Regression Models ◽

Elderly Population ◽

Cross Sectional Study ◽

Dietary Factors ◽

The Sun ◽

Processed Food ◽

Cross Sectional ◽

Logistic Regression Models ◽

High Consumption ◽

Sun Project

Abstract Background Telomere length (TL) is a marker of biological age that may be affected by dietary factors through oxidation and inflammation mechanisms. In addition, ultra-processed food (UPF) consumption has increased worldwide and it has been associated with the risk of developing several diseases. Objectives We aimed to evaluate the association between UPF consumption and the risk of having short telomeres in an elderly population of the Seguimiento Universidad de Navarra (SUN) Project. Methods This is a cross-sectional study of 886 participants (645 men and 241 women) aged 57–91 y recruited from the SUN Project (Spain, 1999–2018). TL was measured from saliva samples by real-time qPCR at baseline and UPF consumption was collected using a validated 136-item FFQ and classified according to the NOVA system. We evaluated the association between consumption of energy-adjusted UPF categorized into quartiles (low, medium-low, medium-high, and high consumption) and the risk of having short telomeres (<20th percentile) using logistic regression models. Results Those participants with the highest UPF consumption had almost twice the odds of having short telomeres compared with those with the lowest consumption (adjusted OR: 1.82; 95% CI: 1.05, 3.22; P-trend = 0.03). Conclusions A higher consumption of UPF (>3 servings/d) was associated with higher risk of having shorter telomeres in an elderly Spanish population of the SUN Project. This trial was registered at clinicaltrials.gov as NCT02669602.

Download Full-text

Gingivitis Susceptibility and its Relation to Periodontitis in Men

Journal of Dental Research ◽

10.1177/154405910608501213 ◽

2006 ◽

Vol 85 (12) ◽

pp. 1134-1137 ◽

Cited By ~ 17

Author(s):

T. Dietrich ◽

E. Krall Kaye ◽

M.E. Nunn ◽

T. Van Dyke ◽

R.I. Garcia

Keyword(s):

Regression Models ◽

Cross Sectional Study ◽

Multiple Logistic Regression ◽

Sectional Study ◽

Cross Sectional ◽

Bleeding On Probing ◽

Attachment Loss ◽

Logistic Regression Models ◽

Quit Smoking ◽

Former Smokers

The objective of this cross-sectional study was to evaluate whether gingivitis susceptibility is associated with periodontitis. We analyzed data of 462 men in the VA Dental Longitudinal Study aged 47 to 92 years who had never smoked or had quit smoking 5+ years previously. Multiple logistic regression models, with tooth-level bleeding on probing at sites with attachment loss ≤ 2 mm as the dependent variable, were derived with adjustment for plaque, calculus, crown coverage, age, income, education, marital status, body mass index, diabetes, and vitamin C intake, and stratification by age (< 65, 65+ years). Periodontitis and mean attachment loss were positively associated with bleeding on probing, with stronger associations among men < 65 years old (for periodontitis, OR 2.1; 95% CI 1.5, 3.1) than men 65+ years of age (OR 1.2; 95% CI 0.9, 1.6). Our results suggest that among never and former smokers, gingivitis susceptibility is higher among men with periodontitis compared with that in men without periodontitis.

Download Full-text

The relationship between spiritual health and social trust among students

Journal of Mind and Medical Sciences ◽

10.22543/7674.81.p100107 ◽

2021 ◽

Vol 8 (1) ◽

pp. 100-107

Author(s):

Farzin Rezaei ◽

Hero Hassan ◽

Arezoo Fallahi ◽

Reza Gheshlagh ◽

Shahram Sadeghi ◽

...

Keyword(s):

Regression Models ◽

Social Trust ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Spiritual Health ◽

Cross Sectional ◽

Logistic Regression Models ◽

Iranian Students ◽

The Relationship ◽

The City

Social trust and spiritual health play an important role in social communication. The aim of this study was to determine the relationship between spiritual health and social trust among Iranian students. This cross-sectional study was conducted in the city of Sanandaj, in the West of Iran, in 2018. 686 students from 5 universities were included in the study through simple random sampling. The data were collected using established, reliable instruments for the assessment of social trust and spiritual health. Logistic regression models were applied to assess the association between social trust and spiritual health. We reported estimated logits and Odds Ratios (OR) with corresponding 95% confidence intervals (95% CI). The students with a literate father had substantially higher odds of social trust (OR=1.98, 95% CI=1.19-3.28, p<0.01). Also, similar findings were obtained for students with a literate mother compared to those with an illiterate mother (OR=2.09, 95% CI=1.33-3.28, p<0.01). The odds of social trust also increased with the father’s employment status (OR=13.06, 95% CI=4.16-41, p<0.01). The odds of social trust increased with religious health (OR=1.05, 95% CI=1.03-1.08, p<0.01). It is essential to increase spiritual health and the parents’ literacy to promote social trust among the students.

Download Full-text

Uncontrolled Diabetes as an Associated Factor with Dynapenia in Adults Aged 50 Years or Older: Sex Differences

The Journals of Gerontology Series A ◽

10.1093/gerona/glz257 ◽

2019 ◽

Vol 75 (6) ◽

pp. 1191-1197

Author(s):

Clarice Cavalero Nebuloni ◽

Roberta de Oliveira Máximo ◽

Cesar de Oliveira ◽

Tiago da Silva Alexandre

Keyword(s):

Grip Strength ◽

Regression Models ◽

Glycated Hemoglobin ◽

Epidemiological Studies ◽

Cross Sectional Study ◽

Cross Sectional ◽

Logistic Regression Models ◽

Uncontrolled Diabetes ◽

Diabetes Status ◽

Hba1c Levels

Abstract Background Epidemiological studies demonstrate an association between diabetes and low neuromuscular strength (NMS). However, none have grouped participants into nondiabetics (ND), undiagnosed diabetics (UDD), controlled diabetics (CD), and uncontrolled diabetics (UCD) or investigated what glycated hemoglobin levels (HbA1c) are associated with low NMS (dynapenia) by sex. Methods We analyzed the association between UDD, CD, and UCD and dynapenia, the extent to which the different groupings of these individuals modifies this association and the association between HbA1c levels and NMS, by sex, in a cross-sectional study involving 5,290 participants ≥50 years from the ELSA study. In the first two analyses, logistic regression models were used with dynapenia (grip strength <26 kg in men and <16 kg in women) as outcome and diabetes (ND, UDD, CD, and UCD) as exposure. Next, linear regression was performed with grip strength as the outcome, and the participants were classified based on HbA1c level as exposure. The models were adjusted by sociodemographic, behavioral, and clinical characteristics. Results Compared to ND, only UCD was associated with dynapenia (men OR = 2.37 95% CI 1.36–4.14; women OR = 1.67 95% CI 1.01–2.79). This association was less clear, particularly in women, when CD and UCD groups were merged. HbA1c ≥6.5% in men and ≥8.0% in women were associated with lower NMS. Conclusions UCD increases the chance of dynapenia in both sexes. The different groupings based on diabetes status modify the association between UCD and dynapenia. The threshold of HbA1c associated with reduced NMS is lower in men compared to women.

Download Full-text

Influence of Outdoor Temperature and Relative Humidity on Incidence and Etiology of Hyponatremia

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/jc.2018-01507 ◽

2018 ◽

Vol 104 (4) ◽

pp. 1304-1312 ◽

Cited By ~ 3

Author(s):

Clara O Sailer ◽

Bettina Winzeler ◽

Nicole Nigro ◽

Luca Bernasconi ◽

Beat Mueller ◽

...

Keyword(s):

Relative Humidity ◽

Regression Models ◽

Prospective Observational Study ◽

Cross Sectional Study ◽

Plasma Sodium ◽

Outdoor Temperature ◽

Cross Sectional ◽

Electrolyte Disturbance ◽

Logistic Regression Models ◽

Hot Weather

Abstract Context Hyponatremia is the most common electrolyte disturbance in hospitalized patients. Known risk factors are heart or renal failure, excessive drinking, or the use of diuretics. The incidence of hyponatremia may also be influenced by climate. Objective Analyzing the influence of outdoor temperature and relative humidity on the incidence and etiology of hyponatremia. Design Cohort A: cross-sectional study from January 2011 to December 2016. Cohort B: prospective observational study from June 2011 to August 2013. Setting Emergency departments of two tertiary centers. Patients Cohort A: patients with plasma sodium ≤145 mmol/L (n = 222,217). Cohort B: consecutive patients (n = 294) with profound hyponatremia (plasma sodium ≤125 mmol/L). Main Outcome Measure The effects of outdoor temperature and relative humidity on the incidence of mild (sodium 126 to 134 mmol/L) and profound hyponatremia (sodium ≤125 mmol/L) were investigated via logistic regression models. The effects of outdoor temperature and relative humidity on hyponatremia etiology were evaluated. Results In cohort A, 9.9% had mild and 1.08% had profound hyponatremia. Outdoor temperature was significantly associated with the incidence of profound but not mild hyponatremia (P < 0.01, P = 0.3). Relative humidity was not associated with the incidence of hyponatremia. In cohort B, diuretic-induced hyponatremia occurred more frequently with higher outdoor temperatures, whereas other etiologies showed no clear variation with outdoor temperature or relative humidity. Conclusions Higher outdoor temperature, but not relative humidity, seems to be associated with the incidence of profound hyponatremia. Our data suggest that diuretics should be used with caution during hot weather.

Download Full-text

Association between the HTR2C rs1414334 C/G gene polymorphism and the development of the metabolic syndrome in patients treated with atypical antipsychotics

PeerJ ◽

10.7717/peerj.2163 ◽

2016 ◽

Vol 4 ◽

pp. e2163 ◽

Cited By ~ 3

Author(s):

José María Rico-Gomis ◽

Antonio Palazón-Bru ◽

Irene Triano-García ◽

Luis Fabián Mahecha-García ◽

Ana García-Monsalve ◽

...

Keyword(s):

Metabolic Syndrome ◽

Logistic Regression ◽

Regression Models ◽

Atypical Antipsychotics ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Logistic Regression Models ◽

The Metabolic Syndrome

Few studies have assessed the association between the rs1414334 C/G polymorphism in the HTR2C gene and the development of the metabolic syndrome in patients treated with atypical antipsychotics. To provide further evidence, a cross-sectional study was conducted in Spain between 2012 and 2013 in 166 patients with these characteristics. In these patients, the association between the polymorphism and the presence of the metabolic syndrome was determined by implementing binary logistic regression models adjusted for variables associated with the metabolic syndrome. We did not confirm previous claims that the C allele of the polymorphism was linked to the metabolic syndrome: the association was in the opposite direction and non-significant. This conclusion held after taking gender and lifestyle variables into account.

Download Full-text