Musculoskeletal Pain in Elderly in a City in Southern Brazil: Prevalence and associated factors

Musculoskeletal pain in the elderly affects functional capacity and influences increased frailty, comorbidities and mortality. The aim of the study was to evaluate the prevalence of musculoskeletal pain and associated factors in the elderly population. This is a cross-sectional study, using data from the Elderly Cohort Project in Bagé-RS: health situation and relationship with the Family Health Strategy (FHS), carried out during the 2016/2017 follow-up. The sample consisted of 735 elderly people, aged 68 or over, residing in the area covered by primary health care services in the urban area of the municipality of Bagé / RS. The Nordic Musculoskeletal Questionnaire (NMQ) was used to analyze prevalence of pain in the upper limbs, spine and lower limbs and to verify associated factors. Information on the symptoms in these regions of the body was used. The majority elderly of whom were female (65.4%) aged between 68 and 79 years (68.7%) and white skin color (82.2%). Prevalence of musculoskeletal pain in the spine was 42.5%, 33.7% in the upper limbs and 31.0% in the lower limbs. In the crude and adjusted analysis association of pain was maintained with the presence of multimorbidity, greater satisfaction with health and use of emergency services in the last year. The results of this study reinforcing the pattern of pain and musculoskeletal symptoms in the elderly and justifying the need for training professionals and health services to serve this growing portion of the population.

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PERCEIVED STRESS AND MUSCULOSKELETAL PAIN AMONG UNDERGRADUATE HEALTH STUDENTS

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2020-0076 ◽

2021 ◽

Vol 30 ◽

Author(s):

Bruna Xavier Morais ◽

Graziele de Lima Dalmolin ◽

Cecília Mariane Pinheiro Pedro ◽

Julia Zancan Bresolin ◽

Rafaela Andolhe ◽

...

Keyword(s):

Occupational Therapy ◽

Musculoskeletal Pain ◽

Perceived Stress ◽

Vertebral Column ◽

Speech Therapy ◽

High Stress ◽

Cross Sectional Study ◽

Lower Limbs ◽

Upper Limbs ◽

Cross Sectional

ABSTRACT Objective: to assess the association between the presence of perceived stress and reports of musculoskeletal pain among undergraduate health students. Method: a cross-sectional study carried out with undergraduate health students (Nursing, Pharmacy, Physiotherapy, Speech Therapy, Medicine, Occupational Therapy, and Dentistry) in a public university of southern Brazil. Data collection took place in the period from April to June 2017. An instrument with sociodemographic, habits, health profile, and academic variables was used; as well as the Brazilian version of the Standardized Nordic Questionnaire and the Perceived Stress Scale. Descriptive and inferential statistics were employed for the analysis. Results: a total of 792 students took part in the study. The students with a high stress level presented more chances for the occurrence of musculoskeletal pain in the vertebral column region (OR=2.92; 95% CI=1.30-6.55), upper limbs (OR=3.27; 95% CI=1.80-5.92) and lower limbs (OR=3.10; 95% CI=1.81-5.29). The variables “not having time for leisure” and “sometimes having time for leisure” presented higher chances of pain in the vertebral column region (OR=2.92; 95% CI=1.30-6.55), upper limbs (OR=3.27; 95% CI=1.80-5.92) and lower limbs (OR=3.10; 95% CI=1.81-5.29). The variables “not having time for leisure” and “sometimes having time for leisure” presented higher chances of pain in the vertebral (OR=3.11; 95% CI=1.84-5.25), Occupational Therapy (OR=2.57; IC95%=1,51-4,38) and Physiotherapy (OR=1.82; 95% CI=1.00-3.31) and being overweight (OR=1.59; 95% CI=1.09-2.31) presented higher chances of pain in the lower limbs. Conclusion: the association between perceived stress and the occurrence of musculoskeletal pain among the students was evidenced, revealing the importance of implementing programs aiming at the students’ health.

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Prevalence of musculoskeletal pain in dental students and associated factors

Brazilian Journal of Oral Sciences ◽

10.20396/bjos.v18i0.8657270 ◽

2019 ◽

Vol 18 ◽

pp. e191668

Author(s):

Renata Reis dos Santos ◽

Cléa Adas Saliba Garbin ◽

Julia Arruda Batista ◽

Tânia Adas Saliba ◽

Artênio José Isper Garbin

Keyword(s):

Physical Activity ◽

Undergraduate Students ◽

General Health ◽

Associated Factors ◽

Education Institution ◽

Dental Students ◽

The Body ◽

Musculoskeletal Symptoms ◽

Cross Sectional ◽

The Past

Aim: The objective of this research was to evaluate the prevalence of painful symptoms among dental academics, as well as their associated factors. Methods: A cross-sectional study was carried out at a public higher education institution, and the study population (n = 303) included undergraduate students who studied at least one subject that included clinical activities. For data collection, two self-administered questionnaires were delivered to the participants, the first of which consisted of sociodemographic variables, academic life, harmful habits, physical activity practice, and general health. The validated Nordic Musculoskeletal Questionnaire was used to identify musculoskeletal symptoms, the need to seek health resources, and to assess whether the disorders interfered with the work activities of academics. Results: The presence of pain in the past 12 months was observed in 199 participants (82.6%). Several variables, including gender, number of courses performed, physical activity, and general health status, had an association with painful symptoms in at least one area of the body (GA) over the past 12 months. In addition, variable general health was associated with pain symptoms in any area of the body (DG) over the past seven days. Conclusion: There was a high prevalence of musculoskeletal symptoms, especially in the upper limbs, and there were associations between muscular pain and the number of disciplines studied and between muscular pains and the general health of the students.

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Gestational syphilis: associated factors, risk behavior and neonatal repercussions

Revista Enfermagem Atual In Derme ◽

10.31011/reaid-2019-v.87-n.25-art.211 ◽

2019 ◽

Vol 87 (25) ◽

Author(s):

Juliana das Dores Ferreira ◽

Amanda Santos Fernandes Coelho ◽

Janaína Valadares Guimarães ◽

Maíra Ribeiro Gomes de Lima ◽

Marilia Cordeiro de Sousa ◽

...

Keyword(s):

Prenatal Care ◽

Risk Behavior ◽

Skin Color ◽

Associated Factors ◽

Social Inequalities ◽

Health Risk Behaviors ◽

Chi Square ◽

Cross Sectional ◽

White Skin ◽

Sexually Transmitted

Objetivo: analisar o comportamento de risco, os fatores associados e as repercussões neonatais em gestantes com sífilis.Método: estudo transversal, descritivo e retrospectivo, composto por 107 casos de sífilis gestacional em um hospital referência em gestação de alto risco, no período entre janeiro de 2016 e abril de 2017. Para análise estatística, foram aplicadosos testes de qui-quadrado de Yates e Exato de Fisher. Resultados: maior ocorrência em mulheres jovens (56,1%), de cornão branca (81%), sem companheiro (53%), procedentes de outros municípios (65%), com menor escolaridade (62%) esem exercer atividade remunerada (82%). Apesar de realizarem o pré-natal (95%), obtiveram um tratamento inadequadopara a infecção (60%) e sem adesão dos parceiros sexuais (48%). Houve um predomínio de recém-nascidos pré-termos(51%), classificados com baixo peso ao nascer (35%) e vivos (90%). Houve uma associação estatisticamente significante entre o comportamento de risco com a escolaridade de até 8 anos de estudos (p<0.010), número de consultas de pré-natal<6 (p<0.001) e ocorrência de parto vaginal (p<0.032). Conclusão: as desigualdades sociais, aliadas às falhas na assistênciapré-natal, corroboram para a persistência do quadro epidemiológico de sífilis no Brasil.Descritores: Doenças Sexualmente Transmissíveis; Sífilis; Saúde da Mulher; Infecções por Treponema; Comportamentos de Risco à Saúde. Objective: to analyze the risk behavior, associated factors and neonatal repercussions in pregnant women with syphilis.Method: a cross-sectional, descriptive and retrospective study of 107 cases of gestational syphilis in a high-risk gestational hospital, in the period between January 2016 and April 2017. For statistical analysis, the chi-square Yates and Fisher’sExact test were applied. Results: greater occurrence in young women (56.1%), non-white skin color (81%), withoutcompanion (53%), coming from other municipalities (65%), lower schooling (62%) and without exercising paid activity(82%). Although they performed prenatal care (95%), they were inadequately treated for infection (60%) and withoutadherence of sexual partners (48%). There was a predominance of preterm newborns (51%), classified as having lowbirth weight (35%) and alive (90%). There was a statistically significant association between risk behavior with up to 8years of schooling (p <0.010), number of prenatal consultations <6 (p <0.001), and vaginal delivery (p <0.032). Conclusion: social inequalities, together with failures in prenatal care, corroborate the persistence of the epidemiologicalpresentation of syphilis in Brazil.Descriptores: Sexually Transmitted Diseases; Syphilis; Women’s Health; Treponemal Infections; Health Risk Behaviors. ,corroboram para a persistência do quadro epidemiológico de sífilis no Brasil. presentment

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Percepção da imagem corporal e indicadores antropométricos e de composição corporal associados em idosos

Brazilian Journal of Kinanthropometry and Human Performance ◽

10.5007/1980-0037.2018v20n6p525 ◽

2019 ◽

Vol 20 (6) ◽

pp. 525-534

Author(s):

Iasmim Batista Correia ◽

Nathalie De Almeida Silva ◽

Paulo Granges e Silva ◽

Tarciana Nobre de Menezes

Keyword(s):

Older Adults ◽

Body Image ◽

The Elderly ◽

Body Image Dissatisfaction ◽

Normal Weight ◽

The Body ◽

Image Perception ◽

Cross Sectional ◽

Significance Level ◽

Body Image Perception

Aging leads to psychological losses and various physical changes that, associated with body-stereotyped patterns imposed by society, can cause disturbances in the body image perception (BIP) in the elderly. The aim of this study was to evaluate BIP in older adults living in the city of Campina Grande / PB and its relationship with different anthropometric and body composition indicators. This cross-sectional study was carried out with older adults of both sexes enrolled in the Family Health Strategy of Campina Grande, PB. BIP was considered as a dependent variable and body mass index (BMI), waist circumference (WC), triceps skinfold (TSF), and arm fat area (AFA) as independent variables. The association between BIP and anthropometric indicators was verified using the Pearson chi-square test (X²), simple and multiple logistic regression, with significance level of p <0.05. Overall, 420 older adults were interviewed (68.1% women), of whom 409 reported their actual body image perception. Regarding the perception of idealized body image, 11 individuals did not respond and 230 were satisfied, since 179 desired another silhouette. Individuals with BMI indicative of overweight / obesity were more likely of showing body image dissatisfaction compared to those with normal weight. Subjects with excessive TSF showed greater body image dissatisfaction in relation to those with normal weight. Women were more likely of showing body image dissatisfaction. Thus, it was observed that variables BMI, TSF and sex were independently associated with body image satisfaction.

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Prevalence of health services usage and associated factors in the Amazon region of Brazil: a population-based cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-017966 ◽

2017 ◽

Vol 7 (11) ◽

pp. e017966 ◽

Cited By ~ 9

Author(s):

Maria Elizete A Araujo ◽

Marcus T Silva ◽

Tais F Galvao ◽

Mauricio G Pereira

Keyword(s):

Health Services ◽

Associated Factors ◽

Prevalence Ratio ◽

The Elderly ◽

Population Based ◽

Cross Sectional Study ◽

Metropolitan Region ◽

Medical Attention ◽

Cross Sectional ◽

Physician Visits

ObjectivesTo estimate the prevalence of healthcare use and associated factors in the Manaus metropolitan region and to describe the reasons for lack of access.DesignCross-sectional population-based study.SettingA survey conducted between May and August of 2015 in eight cities from Manaus metropolitan region, Amazonas, Brazil.Participants4001 adults ≥18 years of age.Primary outcomes measuresPhysician visits, dentist visits and hospitalisations in the last 12 months were the primary outcomes. Associated factors were investigated through the calculation of prevalence ratio (PR) obtained by hierarchical Poisson regression modelling.Results4001 adults were included in the study, 53% of whom were women. The self-reported prevalence of medical visits was 77% (95% CI 75% to 77%); dentist visits, 36% (95% CI 34% to 37%) and hospital admission, 7% (95% CI 6% to 7%). Physician visits were higher in women PR=1.18 (95% CI 1.14 to 1.23), the elderly PR=1.18 (95% CI 1.10 to 1.26) and people with health insurance PR=1.14 (95% CI 1.10 to 1.19). Dentist visits declined with older age PR=0.38 (95% CI 0.30 to 0.49), lower education level PR=0.62 (95% CI 0.51 to 0.74) and lower economic class PR=0.65 (95% CI 0.57 to 0.75). Hospitalisations were found to be twice as frequent for women than for men and three times as frequent among those who reported very poor health status. Among the individuals who did not receive medical attention in the previous 2 weeks, 58% reported lack of facilities or appointment unavailable and 14% reported lack of doctors.ConclusionWhile more than half visited the doctor in the last year, a lower proportion of people with socioeconomic inequities visited the dentist. Organisational and service policies are needed to increase equity in health services in the region.

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A Cross-Sectional Study to Compare Differences on Clinical and Laboratory Findings in Children with Seropositive and Seronegative Lupus

10.21203/rs.3.rs-1113288/v1 ◽

2021 ◽

Author(s):

Shima Salehi ◽

Rozita Hosseini Shamsabadi ◽

Hassan Otukesh ◽

Reza Shiari ◽

Monir Sharafi

Keyword(s):

Autoimmune Disease ◽

Disease Diagnosis ◽

Cross Sectional Study ◽

Rapid Identification ◽

The Body ◽

Musculoskeletal Symptoms ◽

Laboratory Findings ◽

Cross Sectional ◽

Significant Difference ◽

History Of

Abstract Background: Lupus is an inflammatory and autoimmune disease that involves various tissues and organs of the body. Identification of diagnostic elements to rapid identification of seronegative lupus cases is very important in order to prevent morbidity and progression of disease. This study aimed to compare clinical and laboratory findings of seropositive cases with seronegative lupus patients. Methods: This cross-sectional analytic study was performed on 43 children (17 seronegative and 26 seropositive) with lupus who were admitted to Ali Asghar Hospital during 2007-2017. Seropositive patients had anti-nuclear antibody (ANA) titration >1/80, while seronegative patients had ANA titration <1/80 (at the time of disease diagnosis). Clinical and laboratory findings were compared between two groups.Results: Serositis in patients with ANA- was significantly higher than ANA+ (41.17% vs. 23.07%; p = 0.042). ANA- group had higher autoimmune disease history than ANA+ group (42.85% vs. 15.0%; p = 0.041). The family history of the disease in the ANA- group was greater than ANA+ group (50% vs. 23.52%). The percentage of hypertensive patients in ANA- group was higher than ANA+ group (52.94% vs. 26.92%; p = 0.037). Neurologic symptoms in ANA+ and ANA- groups were 38.46% and 17.64%, respectively (p = 0.043). The frequency of patients with thrombocytopenia in ANA+ group was significantly greater than ANA- group (32% vs. 12.5%; p=0.041). There was no significant difference in other clinical and laboratory findings between two groups. Conclusion: Seronegative lupus patients had higher percentage of musculoskeletal symptoms, autoimmune disease history, familial history of disease, and hypertension, while neurological and thrombocytopenia symptoms were higher in seropositive patients compared to seronegative cases. Therefore, evaluation of these factors can be helpful to diagnosis of seronegative patients.

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A Cross-Sectional Study on Prevalence of Musculoskeletal Pain in Dhol Players in India

Medical Problems of Performing Artists ◽

10.21091/mppa.2021.2010 ◽

2021 ◽

Vol 36 (2) ◽

pp. 72-77

Author(s):

Prachita Walankar ◽

Ninisha Patil

Keyword(s):

Musculoskeletal Pain ◽

Specific Area ◽

Cross Sectional Study ◽

The Body ◽

Body Region ◽

Targeted Prevention ◽

Low Back ◽

Sectional Study ◽

Common Site ◽

Cross Sectional

OBJECTIVE: To explore the prevalence of musculoskeletal pain in dhol players in India. METHODS: A cross-sectional study was conducted in 96 dhol players. A self-administered questionnaire comprising of demographic profile, dhol player characteristics, presence of musculoskeletal pain, and specific area of pain according to the body region was used to collect information from the dhol players. RESULTS: The mean age and duration of playing dhol experience were 22.26+3.05 and 6.08+1.27 years, respectively. Among 96 dhol players, 93 (96.9%) and 55 (57.3%) reported presence of musculoskeletal pain with respect to the 12-month prevalence and 7-day prevalence, respectively. In 12-month prevalence, the most common site of pain was the low back (67.7%), followed by shoulder (54.2%) and wrist and hand (24%). In 7-day prevalence, the most common site of pain was the low back (41.7%), followed by shoulder (24%) and upper back (15.6%). Logistic regression analysis revealed that age (p=0.002) and duration of playing dhol (p<0.001) were associated with 7-day prevalence of musculoskeletal pain. CONCLUSION: The findings of this study indicated high prevalence of musculoskeletal pain in dhol players. Low back, shoulder, wrist/hand, and upper back were common sites of pain. Identification of these factors in dhol players may assist in further research on targeted prevention, scientific recommendations, and rehabilitation.

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Undernutrition and associated factors in a Portuguese older adult community

Revista de Nutrição ◽

10.1590/1415-52732015000300001 ◽

2015 ◽

Vol 28 (3) ◽

pp. 231-240 ◽

Cited By ~ 7

Author(s):

Ana Luísa Moreira dos Santos ◽

Teresa Maria de Serpa Pinto Freitas do Amaral ◽

Nuno Pedro Garcia Fernandes Bento Borges

Keyword(s):

Older Adults ◽

Associated Factors ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Cross Sectional Study ◽

Self Perception ◽

Cross Sectional ◽

Major Factors ◽

Perception Of Health

OBJECTIVE: To evaluate the prevalence of undernutrition in older adults aged >75 years living in communities and to identify the main factors independently associated with undernutrition. METHODS: A cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged >75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. RESULTS: A total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6); being institutionalized (OR=12.6; 95%CI=1.7-90.5); or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1) were independently associated with a significant increase of undernutrition risk. CONCLUSION: The current study shows that undernutrition is highly prevalent in Portuguese older adults aged >75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.

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Prática de atividade física no lazer e fatores associados em frequentadores de academias ao ar Livre

Brazilian Journal of Kinanthropometry and Human Performance ◽

10.5007/1980-0037.2017v19n2p185 ◽

2017 ◽

Vol 19 (2) ◽

pp. 185 ◽

Cited By ~ 2

Author(s):

Marcelo Cozzensa da Silva ◽

Alice Meyer Iepsen ◽

Eduardo Lucia Caputo ◽

Patrícia Becker Engers ◽

Carla Francieli Spohr ◽

...

Keyword(s):

Physical Activity ◽

Skin Color ◽

Associated Factors ◽

Leisure Time ◽

International Physical Activity Questionnaire ◽

Health Perception ◽

Physical Education Teacher ◽

White Skin ◽

Leisure Physical Activity ◽

Activity Questionnaire

DOI: http://dx.doi.org/10.5007/1980-0037.2017v19n2p185 Fitness zones (FZ) are a great alternative to physical activity practice. The aim of this study was verify physical activity practice and associated factors among FZ users of Pelotas. Participants answered a questionnaire containing demographic, socioeconomic, behavioral, health and on the use of FZs. A long version of the International Physical Activity Questionnaire was used to determine the level of physical activity and those who reported at least 150 minutes / week of PA in the leisure time were considered sufficiently active. The study included 323 subjects (65.3% women), mean age 52.5 years, 83.6% white skin color and 61.9% married. Almost half of respondents were overweight (48.0%), 45.8% had high blood pressure, 10.5% had diabetes and 64.4% used medications. About 77.7% of respondents were classified as sufficiently active. Health perception was associated to leisure physical activity, and the better the health perception, the higher the prevalence of sufficient physical activity. Collective programs with participation of Physical Education teacher can contribute to interaction of practitione with the use of fitness zones and increase the level of physical activity of individuals.

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Food Insecurity and Associated Factors in Brazilian Undergraduates during the COVID-19 Pandemic

Nutrients ◽

10.3390/nu14020358 ◽

2022 ◽

Vol 14 (2) ◽

pp. 358

Author(s):

Bruna Leal Lima Maciel ◽

Clélia de Oliveira Lyra ◽

Jéssica Raissa Carlos Gomes ◽

Priscilla Moura Rolim ◽

Bartira Mendes Gorgulho ◽

...

Keyword(s):

Food Insecurity ◽

Diet Quality ◽

Skin Color ◽

Associated Factors ◽

Mental Distress ◽

Cross Sectional Study ◽

Cross Sectional ◽

Black Skin ◽

Logistic Regressions ◽

Socio Economic Variables

Undergraduates may face challenges to assure food security, related to economic and mental distress, especially during the COVID-19 pandemic. This study aimed to assess food insecurity and its associated factors in undergraduates during the COVID-19 pandemic. An online cross-sectional study was conducted from August 2020 to February 2021 with 4775 undergraduates from all Brazilian regions. The questionnaire contained socio-economic variables, the validated Brazilian food insecurity scale, and the ESQUADA scale to assess diet quality. The median age of the students was 22.0 years, and 48.0% reported income decreasing with the pandemic. Food insecurity was present in 38.6% of the students, 4.5% with severe food insecurity and 7.7% moderate. Logistic regressions showed students with brown and black skin color/race presented the highest OR for food insecurity; both income and weight increase or reduction during the pandemic was also associated with a higher OR for food insecurity, and better diet quality was associated with decreased OR for food insecurity. Our study showed a considerable presence of food insecurity in undergraduates. Policy for this population must be directed to the most vulnerable: those with brown and black skin color/race, who changed income during the pandemic, and those presented with difficulties maintaining weight and with poor diet quality.

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