Is There Any Association Between Chronic Periodontitis and Anxiety in Adults? A Systematic Review

Periodontitis is a multifactorial disease triggered by dysbiotic biofilms, involving the host's immune response, systemic and behavioral factors, including psychosocial conditions. This systematic review aimed to investigate the possible association between periodontitis and anxiety in adults. Searches were performed in PubMed, Scopus, Web of Science, Lilacs, Cochrane, and OpenGrey databases, without language restrictions, considering studies in adults (P-Participants), with (E-Exposure) and without periodontitis (C- Comparison) in an outcome of association with anxiety (O-outcome). Methodological quality assessment was carried out using the Newcastle-Ottawa protocol for case-control and cross-sectional studies, followed by an analysis of the level of evidence using the GRADE tool. Metanalysis was not performed due to several differences in methods applied by authors in primary studies. Eleven observational studies were selected according to the inclusion criteria from the total of 6,380 studies retrieved from databases. Eight studies demonstrated higher anxiety levels in subjects with periodontitis, among which only one study presented a high risk of bias. The GRADE tool revealed a low level of evidence for the anxiety outcome measured by the State-Trait Anxiety Inventory (STAI), both for case-control and cross-sectional studies. However, since anxiety may affect the quality of life of many subjects, it reinforces the need for further studies that evaluate this association for more extended periods.Clinical Trial Registration:PROSPERO-CRD42020190445.

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Nutrition and listeriosis during pregnancy: a systematic review

Journal of Nutritional Science ◽

10.1017/jns.2018.16 ◽

2018 ◽

Vol 7 ◽

Cited By ~ 1

Author(s):

L. J. Moran ◽

Y. Verwiel ◽

M. Bahri Khomami ◽

T. J. Roseboom ◽

R. C. Painter

Keyword(s):

Systematic Review ◽

Pregnant Women ◽

Web Of Science ◽

Meat Products ◽

Case Control ◽

Inclusion Criteria ◽

Cross Sectional ◽

Newcastle Ottawa Scale ◽

Present Systematic Review ◽

Ottawa Scale

AbstractListeriosis is a rare but severe foodborne illness which is more common in populations such as pregnant women, and can result in serious complications including miscarriage, prematurity, maternal and neonatal sepsis, and death in the newborn. Population recommendations exist for specific foods and food preparation practices to reduce listeriosis risk during pregnancy. The aim of the present systematic review was to assess the association between listeriosis and these practices during pregnancy to confirm appropriateness of these recommendations. We searched MEDLINE, Embase, CINAHL Plus, Web of Science Core Collection, included articles’ references, and contacted clinical experts. All databases were searched until July 2017. Case–control and cohort studies were included which assessed pregnant women or their newborn offspring with known listeriosis status and a nutritional exposure consistent with international population recommendations for minimising listeriosis. Outcomes included listeriosis with or without pregnancy outcomes. Risk of bias was assessed through the Newcastle–Ottawa Scale. Results were described narratively due to clinical heterogeneity in differences in nutritional exposures. Eleven articles comprising case–control or cross-sectional studies met the inclusion criteria. Cases of maternal, fetal or neonate listeriosis were more likely to have consumed high-risk dairy products, meat products or some fruits during pregnancy in comparison with women without listeriosis. Cases of listeriosis were more likely to have consumed foods that are highlighted in population guidelines to avoid to minimise listeriosis in comparison with those without listeriosis during pregnancy. Further research is warranted assessing means of improving the reach, uptake and generalisability of population guidelines for reducing listeriosis during pregnancy.

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Additional appointments and discomfort associated with compliance-free fixed Class II corrector treatment: a systematic review

European Journal of Orthodontics ◽

10.1093/ejo/cjy074 ◽

2018 ◽

Vol 41 (4) ◽

pp. 404-414 ◽

Cited By ~ 1

Author(s):

Ashley Phuong ◽

Nathalia Carolina Fernandes Fagundes ◽

Sahar Abtahi ◽

Mary Roduta Roberts ◽

Paul W Major ◽

...

Keyword(s):

Systematic Review ◽

Selection Process ◽

Grey Literature ◽

Class Ii ◽

Level Of Evidence ◽

Cross Sectional ◽

Low Level ◽

Weak Recommendation ◽

Number Of Patients ◽

Cross Sectional Studies

Summary Objective A critical analysis of the literature to determine the prevalence and type of emergency/additional appointments, and discomfort levels associated with fixed Class II correctors. Methods Studies examining patient’s sources of discomfort or emergency appointments associated with compliance-free Class II correctors were included. Comprehensive searches up to July 2018 were conducted using the following databases: MEDLINE (OvidSP), PubMed, Web of Science, and Embase. A partial grey literature search was taken using Google Scholar and OpenGrey. Two reviewers independently performed the selection process and risk of bias assessment. The Newcastle-Ottawa Scale for cross-sectional studies were used. A summary of the overall strength of evidence was presented using ‘Grading of Recommendations, Assessment, Development and Evaluation’ (GRADE) tool. Included studies were evaluated according to their design, study quality, consistency, and directness. Results The selected studies were published between 2001 and 2018, and the number of patients per studied group ranged from 8 to 182. One thousand five hundred forty-two patients were evaluated in total. The patients’ mean age at start of treatment ranged from 10 to 16.9 years and the fixed Class II corrector treatment duration ranged from 4 to 12 months. The included studies in this systematic review were too clinically heterogeneous (different appliances, different data recollection processes) to justify a meta-analysis. Limitations This review was not previously registered. A low level of evidence was observed among the two randomized trials, the 10 cohorts and three cross-sectional studies identified. Conclusions The main source of discomfort from Forsus-type appliances appears to be soreness in the cheeks (low level of evidence with a weak recommendation strength). Most evaluated patients treated with a Herbst appliance, regardless of design, will experience complications (fractures and/or dislodging) requiring emergency appointments (low level of evidence with a weak recommendation strength). Registration The review protocol was not registered.

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The quality of online patient-orientated information in orthopaedic surgery: A systematic review of cross-sectional studies

International Journal of Surgery ◽

10.1016/j.ijsu.2015.07.376 ◽

2015 ◽

Vol 23 ◽

pp. S83

Author(s):

M. Ramsden ◽

L. Sivakumar ◽

H. Milligan ◽

I. Zahid ◽

P. Addingadoo ◽

...

Keyword(s):

Systematic Review ◽

Orthopaedic Surgery ◽

Cross Sectional ◽

Cross Sectional Studies

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Association Between Spirituality/religiousness and Quality of Life Among Healthy Adults: A Systematic Review

10.21203/rs.3.rs-105884/v1 ◽

2020 ◽

Author(s):

CEZIMAR CORREIA BORGES ◽

PATRÍCIA ROBERTA DOS SANTOS ◽

POLISSANDRO MORTOZA ALVES ◽

RENATA CUSTÓDIO MACIEL BORGES ◽

GIANCARLO LUCCHETTI ◽

...

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Chronic Diseases ◽

Academic Research ◽

Positive Association ◽

Healthy Adults ◽

Cochrane Library ◽

Inclusion Criteria ◽

Cross Sectional

Abstract Background: Health-related quality of life (HRQoL) is determined by multiple factors that include components such as spirituality and religiousness (S/R). Even though various systematic reviews have investigated the association between S/R and improved health outcomes in the most different groups, healthy young individuals are seldom addressed. The aim this study was to evalue the association between S/R and HRQoL among young, healthy individuals.Methods: Systematic review of papers published in the last ten years and indexed in four academic research databases (PubMed, Web of Science, Cochrane Library, and Scopus) and two gray literature databases. Inclusion criteria were studies assessing S/R and HRQoL using validated instruments and assessing healthy adults (i.e., non-clinical patients, not belonging to any specific group of chronic diseases), aged between 18 and 64 years old. Results: Ten out of 1,952 studies met the inclusion criteria: nine cross-sectional and one longitudinal cohort study, in which 89% of the participants were college students. Nine studies report a positive association between S/R and HRQoL, while one study did not report any significant association. The main HRQoL domains associated with S/R were the psychological, social relationships, and environment domains, while the S/R most influent facets/components were optimism, inner strength, peace, high control, hope, and happiness. Conclusions: Higher S/R levels among healthy adult individuals were associated with higher HRQoL levels, suggesting the S/R can be an important strategy to deal with adverse environmental situations even among those without chronic diseases, enhancing the wellbeing of individuals. Registration of systematic review: PROSPERO - CRD42018104047

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Psychosis in children of separated parents: A systematic review and meta-analysis

European Psychiatry ◽

10.1192/j.eurpsy.2019.15 ◽

2020 ◽

Vol 63 (1) ◽

Author(s):

Luis Ayerbe ◽

María Pérez-Piñar ◽

Quintí Foguet-Boreu ◽

Salma Ayis

Keyword(s):

Systematic Review ◽

Odds Ratio ◽

Psychotic Disorders ◽

Meta Analysis ◽

Childhood Adversity ◽

Case Control ◽

Parental Separation ◽

Cross Sectional ◽

Increased Risk ◽

Cross Sectional Studies

Abstract Background. Parental separation is a very common childhood adversity. The association between other adverse childhood experiences and an increased risk of psychosis has been reported. However, the evidence on the risk of psychosis for children of separated parents is limited. In this systematic review, cohort, case–control, and cross-sectional studies, comparing the risk of psychotic disorders for people with and without separated parents, were searched, critically appraised, and summarized. Methods. Studies were searched in PubMed, EMBASE, PsycINFO, and the Web of Science, from database inception to September 2019. A meta-analysis, using random-effects models, was undertaken to obtain pooled estimates of the risk of psychosis among participants with separated parents. Results. Twelve studies, with 305,652 participants from 22 countries, were included in the review. A significantly increased risk of psychosis for those with separated parents was observed, with a pooled odds ratio: 1.53 (95% confidence interval [CI]: 1.29–1.76), p < 0.001. The association remained significant when cohort, case–control, and cross-sectional studies were analyzed separately. The five cohort studies included in this review showed and increased risk of psychosis with odds ratio: 1.47 (95% CI: 1.26–1.69), p < 0.001. Conclusions. Parental separation is a common childhood adversity associated with an increased risk of psychosis. Although the risk for an individual child of separated parents is still low, given the high proportion of couple that separate, the increased rates of psychosis may be substantial in the population. Further studies on the risk of psychosis in those with separated parents, and the explanatory factors for this association, are required.

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Risk factors associated with premature myocardial infarction: a systematic review protocol

BMJ Open ◽

10.1136/bmjopen-2018-023647 ◽

2019 ◽

Vol 9 (2) ◽

pp. e023647

Author(s):

Sagar B Dugani ◽

Ana Patricia Ayala Melendez ◽

Roger Reka ◽

Yousif M Hydoub ◽

Shannon N McCafferty ◽

...

Keyword(s):

Risk Factors ◽

Myocardial Infarction ◽

Systematic Review ◽

Selection Criteria ◽

Case Control ◽

Cross Sectional ◽

Factors Associated ◽

Primary Screening ◽

Premature Myocardial Infarction ◽

Cross Sectional Studies

IntroductionPremature myocardial infarction (MI) generally refers to MI in men ≤55 years or women ≤65 years. Premature MI is a major contributor to cardiovascular disease (CVD), which claimed 17.6 million lives globally in 2016. Reducing premature MI and CVD is a key priority for all nations; however, there is sparse synthesis of information on risk factors associated with premature MI. To address this knowledge gap, we are conducting a systematic review to describe the association between risk factors (demographics, lifestyle factors and biomarkers) and premature MI.Methods and analysisThe following databases were searched from inception to June 2018: CENTRAL, CINAHL, Clinical Trials, EMBASE and MEDLINE. We will include original research articles (case–control, cohort and cross-sectional studies) that report a quantitative relationship between at least one risk factor and premature MI. Two investigators will use predetermined selection criteria and independently screen articles based on title and abstract (primary screening). Articles that meet selection criteria will undergo full-text screening based on criteria used for primary screening (secondary screening). Data will be extracted using predetermined data extraction forms. The Newcastle-Ottawa Scale for case–control and cohort studies will be used to evaluate the risk of bias and will be adapted for cross-sectional studies. Whenever feasible, data will be summarised into a random-effects meta-analysis.Ethics and disseminationTo our knowledge, this will be the first study to synthesise results on the relationship between risk factors and premature MI. These findings will inform healthcare providers on factors associated with risk of premature MI and potentially improve primary prevention efforts by guiding development of interventions. These findings will be summarised and presented at conferences and through publication in a peer-reviewed journal.PROSPERO registration numberCRD42018076862.

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Urinary incontinence and quality of life: a systematic review and meta-analysis

Aging Clinical and Experimental Research ◽

10.1007/s40520-020-01712-y ◽

2020 ◽

Author(s):

Damiano Pizzol ◽

Jacopo Demurtas ◽

Stefano Celotto ◽

Stefania Maggi ◽

Lee Smith ◽

...

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Urinary Incontinence ◽

Short Form ◽

Meta Analysis ◽

Case Control ◽

Case Control Studies ◽

Cross Sectional ◽

Sf 36

Abstract Background Urinary incontinence (UI) and low quality of life (QoL) are two common conditions. Some recent literature proposed that these two entities can be associated. However, no attempt was made to collate this literature. Therefore, the aim of this study was to conduct a systematic review and meta-analysis of existing data to estimate the strength of the association between UI and QoL. Methods An electronic search of major databases up to 18th April 2020 was carried out. Meta-analysis of cross-sectional and case–control studies comparing mean values in QoL between patients with UI and controls was performed, reporting random-effects standardized mean differences (SMDs) ± 95% confidence intervals (CIs) as the effect size. Heterogeneity was assessed with the I2. Results Out of 8279 articles initially screened, 23 were finally included for a total of 24,983 participants, mainly women. The mean age was ≥ 50 years in 12/23 studies. UI was significantly associated with poor QoL as assessed by the short-form 36 (SF-36) total score (n = 6 studies; UI: 473 vs. 2971 controls; SMD = − 0.89; 95% CI − 1.3 to − 0.42; I2 = 93.5) and by the sub-scales of SF-36 and 5/8 of the domains included in the SF-36. Similar results were found using other QoL tools. The risk of bias of the studies included was generally high. Conclusions UI is associated with a poor QoL, with a strong level of certainty. This work, however, mainly based on cross-sectional and case–control studies, highlights the necessity of future longitudinal studies for better understanding the importance of UI on QoL.

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EFFECT OF PILATES METHOD ON PHYSICAL FITNESS RELATED TO HEALTH IN THE ELDERLY: A SYSTEMATIC REVIEW

Revista Brasileira de Medicina do Esporte ◽

10.1590/1517-869220192501193516 ◽

2019 ◽

Vol 25 (1) ◽

pp. 76-87

Author(s):

Gabrielle Critine Moura Fernandes Pucci ◽

Eduardo Borba Neves ◽

Francisco José Félix Saavedra

Keyword(s):

Systematic Review ◽

Physical Fitness ◽

The Elderly ◽

Inclusion Criteria ◽

Level Of Evidence ◽

Quasi Experimental ◽

Pilates Method ◽

Functional Autonomy ◽

Selection Of

ABSTRACT The objective of this review was to analyze the evidence of Pilates in physical fitness related to health in the elderly. The article indexing databases (Pubmed, Medline, Science Direct, Scielo, Lilacs, and Cochrane) were reviewed along with the Pilates, elderly and aging descriptors. A total of 41 studies with a randomized experimental and quasi-experimental design met the inclusion criteria. The selection of the studies was carried out by two researchers and the quality of the articles was assessed using the PEDro scale. Interventions ranged from 4-24 weeks with 1-3 sessions/week, and balance was the most investigated variable. The studies included in this review indicate that Pilates improves health status in the elderly, promoting gains in balance, muscle strength, flexibility, functional autonomy, muscular endurance, body composition and aerobic endurance. Despite these findings, some variables need to be further investigated. Level of Evidence II; Systematic review.

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Relationship between cognition and frailty in elderly: A systematic review

Dementia & Neuropsychologia ◽

10.1590/1980-57642015dn92000005 ◽

2015 ◽

Vol 9 (2) ◽

pp. 110-119 ◽

Cited By ~ 37

Author(s):

Allan Gustavo Brigola ◽

Estefani Serafim Rossetti ◽

Bruna Rodrigues dos Santos ◽

Anita Liberalesso Neri ◽

Marisa Silvana Zazzetta ◽

...

Keyword(s):

Systematic Review ◽

Cognitive Impairment ◽

Search Strategy ◽

Web Of Science ◽

The Elderly ◽

Cross Sectional ◽

Cognitive Domains ◽

The Subject ◽

The Relationship

OBJECTIVE: The aim of this study was to analyze the relationship between cognition and frailty in the elderly. METHODS: A systematic review on the currently existing literature concerning the subject was carried out. The search strategy included LILACS, SCOPUS, SciELO, PsycINFO, PubMed and Web of Science databases. RESULTS: A total of 19 studies were selected for review, from which 10 (52.6%) were cross-sectional and 9 (47.4%) longitudinal, and the majority Brazilian. All of the studies established a link between cognition and frailty. There was a relationship between components of frailty and the cognitive domains. Risk of Mild Cognitive Impairment (MCI), dementia and mortality were all evidenced in the relationship between frailty and cognitive impairment. CONCLUSION: The theory remains limited, but results show the variables that appear to be linked to cognition and frailty in elderly. This data can help in implementing actions to improve the quality of life among elderly.

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Determinants of stress on resident physicians: systematic review and meta-synthesis

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20214717 ◽

2021 ◽

Vol 9 (12) ◽

pp. 3665

Author(s):

Ricky Cik Kohar ◽

Junita Maja Pertiwi ◽

Finny Warouw

Keyword(s):

Systematic Review ◽

Data Extraction ◽

Night Shift ◽

Maslach Burnout Inventory ◽

Cross Sectional ◽

Medical Specialties ◽

Resident Physicians ◽

Resident Stress ◽

Cross Sectional Studies

Stress/burnout on resident physicians is common. Various determinants can be related to resident stress. This systematic review was conducted to determine how situational, personal, or professional determinants influence resident stress. We identified an English and Indonesia articles using online database including PubMed, Wiley Online Library, Google Scholar, Garba Rujukan Digital (GARUDA), and manually searching bibliographies of the included studies from January 01, 2001 until April 30, 2021. Three main search terms included are resident physician, determinant, and stress/burnout. Study selection included was peer-reviewed literatures of observational studies that discuss about stress determinants on residents from various year of training and medical specialties. Methodological quality of studies was assessed using Newcastle-Ottawa Scale adopted for cross-sectional studies. Data extraction conducted by 3 authors. All pooled synthesis were summarized based on narrative methods. Fifty-three cross-sectional, 1 prospective, and 1 combination of cross-sectional and longitudinal studies meet our inclusion criteria (n=29.031). Fifty-one percent are male, and the average age of the participants was 29 years old. The most stress/burnout validated tool used are Maslach Burnout Inventory. The average quality of study was moderate for cross-sectional studies. The main identified determinant was situational, the second was personal, and the latter was professional. The most stressor identified was ‘excessive working time per week, includes night shift, on-call, work on day off, and rotation more than 24 hours.’ Stress/burnout on residents closely related mainly to situational, followed by personal, and less by professional determinants. There was needed for an intervention to the educational program from institution in the future for better accomplishment.

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