scholarly journals Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction

2021 ◽  
Vol 18 (19) ◽  
pp. 10037
Author(s):  
Takaaki Noguchi ◽  
Makoto Hirao ◽  
Shigeyoshi Tsuji ◽  
Kosuke Ebina ◽  
Hideki Tsuboi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Pitch Angle ◽  
Linear Regression Analysis ◽  
Clinical Status ◽  
Joint Destruction ◽  
Lower Limbs ◽  
Radiographic Findings ◽  
Structural Problems ◽  
Metatarsal Angle ◽  
Hindfoot Deformity

Foot/ankle problems remain important issues in rheumatoid arthritis (RA) patients. Although forefoot deformity generally takes a major place in surgical treatment, concomitant mid-hindfoot deformity is also commonly seen. In this situation, it can be easy to overlook that mid-hindfoot deformity can also induce or exacerbate clinical problems behind the forefoot events. Thus, the relationship between mid-hindfoot deformity/destruction and physical activity/ADL was investigated. Radiographic findings of 101 lower limbs (59 patients) were retrospectively evaluated. Alignment parameters in the lower extremity and joint destruction grade (Larsen grade) were measured. The timed-up-and-go (TUG) test, modified health assessment questionnaire (mHAQ), pain, self-reported scores for the foot and ankle (SAFE-Q), and RA disease activity were investigated to assess clinical status. The relationships among these parameters were evaluated. Subtalar joint destruction was correlated with TUG time (r = 0.329), mHAQ score (r = 0.338), and SAFE-Q: social functioning (r = 0.332). TUG time was correlated with the HKA (r = −0.527), talo-1st metatarsal angle (r = 0.64), calcaneal pitch angle (r = −0.433), M1-M5A (r = −0.345), and M2-M5A (r = −0.475). On multivariable linear regression analysis, TUG time had a relatively strong correlation with the talo-1st metatarsal angle (β = 0.452), and was negatively correlated with calcaneal pitch angle (β = −0.326). Ankle joint destruction was also correlated with TUG time (β = 0.214). Development of structural problems or conditions in mid-hindfoot, especially flatfoot deformity, were related with decreased physical activity in RA patients. Wearing an insole (arch support) as a preventative measure and short foot exercise should be considered from the early phase of deformity/destruction in the mid-hindfoot in the management of RA.

Health and nutrition literacy in adults: Links with lifestyle factors and obesity

2020 ◽  
Vol 13 (4) ◽  
pp. 361-370
Author(s):  
Maria Michou ◽  
Demosthenes B. Panagiotakos ◽  
Christos Lionis ◽  
Vassiliki Costarelli
Keyword(s):  
Physical Activity ◽  
Alcohol Consumption ◽  
Linear Regression ◽  
Smoking Status ◽  
Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Lifestyle Factors ◽  
Linear Regression Models ◽  
Chi Square ◽  
Cross Sectional

BACKGROUND: Low Health Literacy (HL) and Nutrition Literacy (NL) are associated with serious negative health outcomes. OBJECTIVES: The aim of this study was to investigate certain lifestyle factors and obesity, in relation to HL and NL. METHODS: This cross-sectional study was conducted in the urban area of the Attica region, in Greece. The sample consisted of 1281 individuals, aged ≥18 years. HL, NL sociodemographic characteristics and lifestyle factors (physical activity, smoking status, alcohol consumption,) were assessed. Mann-Whitney U, the Kruskall Wallis, Pearson chi-square tests and multiple linear regression models were used. RESULTS: Linear regression analysis has shown that smoking, alcohol consumption and physical activity, were associated with HL levels (–1.573 points for ex-smokers in comparison to smokers, p = 0.035, –1.349 points for alcohol consumers in comparison to non-consumers, p = 0.006 and 1.544 points for physically active individuals to non-active, p = 0.001). With respect to NL levels, it was also not associated with any of these factors. Obesity was not associated with HL and NL levels. CONCLUSIONS: Certain lifestyle factors, including physical activity, are predicting factors of HL levels, in Greek adults. The results contribute to the understanding of the relationship between lifestyle factors and HL and should be taken into account when HL policies are designed.

Foot and ankle functions and deformities focus on posterior tibial tendon dysfunction using magnetic resonance imaging in patients with rheumatoid arthritis

2021 ◽  
Author(s):  
Takeshi Mochizuki ◽  
Yuki Nasu ◽  
Koichiro Yano ◽  
Katsunori Ikari ◽  
Ryo Hiroshima ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Pitch Angle ◽  
Posterior Tibial Tendon ◽  
Foot And Ankle ◽  
Resonance Imaging ◽  
Posterior Tibial Tendon Dysfunction ◽  
First Metatarsal ◽  
Posterior Tibial ◽  
Metatarsal Angle

ABSTRACT Objectives Posterior tibial tendon dysfunction (PTTD) affects the support of the medial longitudinal arch and stability of the hindfoot. The purpose of this study was to assess the relationships of PTTD with foot and ankle functions and foot deformities in patients with rheumatoid arthritis (RA). Methods A total of 129 patients (258 feet) who underwent magnetic plain and contrast-enhanced magnetic resonance imaging were enrolled in this study. Positive magnetic resonance imaging findings were defined as tenosynovitis and incomplete and complete rupture of the posterior tibial tendon. Foot and ankle functions were assessed using the Japanese Society for Surgery of the Foot standard rating system for the RA foot and ankle scale (JSSF-RA) and self-administered foot evaluation questionnaire. Plain radiographs were examined for the hallux valgus angle, first metatarsal and second metatarsal angle, lateral talo-first metatarsal angle, and calcaneal pitch angle. Results PTTD was associated with motion in the JSSF-RA (p = .024), activities of daily living in JSSF-RA (p = .017), and pain and pain-related factors in the self-administered foot evaluation questionnaire (p = .001). The calcaneal pitch angle was significantly lower in the feet with PTTD than in those without PTTD (median: 16.2° vs. 18.0°; p = .007). Conclusions The present study shows that PTTD was associated with foot and ankle functions and flatfoot deformity. Thus, a better understanding of PTTD in patients with RA is important for the management of foot and ankle disorders in clinical practice.

scholarly journals Relationship between postural changes and physical and functional variables in schoolchildren aged 6-12 years

2021 ◽  
Vol 23 ◽  
Author(s):  
Dernival Bertoncello ◽  
Karina Pereira ◽  
Lelles Gabriel Damasceno Queiroz ◽  
Eduardo Porcatti Walsh ◽  
Angélica Emboaba Salomão ◽  
...  
Keyword(s):  
Physical Activity ◽  
Daily Living ◽  
Normal Weight ◽  
Lower Limbs ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Postural Changes ◽  
Gender And Age ◽  
High Prevalence ◽  
Sample Characteristics

Abstract The aim of this study was to evaluate the prevalence of postural changes and their relationship with BMI, pain, postures adopted in activities of the daily living (ADL), physical activity practice, gender and age (6 to 12 years). This study is characterized as cross-sectional, quantitative and descriptive. The convenience sample consisted of 840 schoolchildren. Regarding the sample characteristics, 477 (56.79%) were female aged 6-12 years (average=8.90±1.71years). Evaluations were carried out at the school premises and a questionnaire was used to collect data on gender, age, pain report, practice of out-of-school physical activities and postures adopted in ADLs. Body mass, height and posture were evaluated. Some schoolchildren (43.21%) reported not practicing physical activity outside of school, 544 (64.76%) correctly carried their backpack and 51.9% adopted correct postures to study and watch TV. Musculoskeletal pain was reported by 62.73%, and shoulders were the most affected. BMI indicated 55.6% of the sample with leanness/normal weight and 44.40% with overweight/obesity. Postural changes were present in 97.02% of students and the region with the highest number of alterations was the upper limbs. Girls presented greater number of trunk alterations (p=0.001), as well as those who did not practice physical activity (p=0.02) and alterations in the lower limbs for younger students (p=0.02) and female students (p=0.01). This study identified high prevalence of postural changes in schoolchildren.

Characterization of Patients with Primary Peroneus Longus Tendinopathy: a Review of Twenty-Two Cases

2000 ◽  
Vol 21 (6) ◽  
pp. 462-468 ◽  
Author(s):  
Clayton B Brandes ◽  
Ronald W Smith
Keyword(s):  
Pitch Angle ◽  
Tendon Injury ◽  
Arch Height ◽  
Peroneus Longus ◽  
Metatarsal Angle ◽  
Partial Tears ◽  
The Common ◽  
Peroneus Brevis ◽  
Foot Position

Between 1985 and 1996 we treated 22 patients with a diagnosis of PLT which was confirmed by MRI and/or surgery. This review identifies the shared clinical traits and associated pathology of our patients. Clinically, 82% of the patients had a cavo-varus hindfoot position. This finding was supported by measurements of the calcaneal pitch angle and the calcaneal-1st metatarsal angle which both showed the patients in this study to be in the 90th percentile for the general population for arch height. The combined MRI and surgical findings revealed injury to the peroneus longus at the cuboid notch in 17 of 22 cases. The subgroup of surgical findings demonstrated that all 6 complete tears occured at the cuboid notch, while 8 of 9 (89%) of the partial tears involved the region of the lateral calcaneal process. In addition, the surgical findings showed 7 of the cases (33%) to have associated peroneus brevis tendon involvement, with an increased incidence when the longus pathology occurred at the cuboid notch. The findings predicated by MRI correlated well with the surgical findings, but there was a tendency for MRI to predict a more severe level of pathology. A grading system developed to compare the MRI and surgical findings is presented. This study facilitates making the diagnosis of PLT by drawing attention to the common characteristic of the cavo-varus foot position and the common locations of tendon injury.

scholarly journals MRI Analysis for Clarification of Mechanism of Ankle Osteoarthritis

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0035
Author(s):  
Hiroyuki Mitsui ◽  
Takaaki Hirano ◽  
Hisateru Niki
Keyword(s):  
Clinical Symptoms ◽  
Predictive Tool ◽  
Ankle Osteoarthritis ◽  
Talocrural Joint ◽  
Radiographic Findings ◽  
Lateral Process ◽  
Metatarsal Angle ◽  
Magnetic Resonance Imaging Mri ◽  
The Relationship ◽  
Surface Angle

Category: Ankle Arthritis Introduction/Purpose: We have previously studied the relationship between Takakura–Tanaka classification stages and bone-marrow edema (BME) in order to elucidate the pathology of ankle osteoarthritis (ankle OA) on magnetic resonance imaging (MRI). Moreover, we have investigated that BME onset on the talocrural joint can be predicted according to radiographic findings. In the present study, we focused on the changes around the subtalar joint to examine the relationship between talar lateral process impingement (TLPI) and foot and ankle joint alignment, and whether TLPI can be predicted on the basis of X-ray findings. Methods: We assessed 30 feet of 30 patients who had a diagnosis of ankle OA in our hospital and underwent MRI. Alignment was assessed radiographically by measuring the tibial anterior surface angle (TAS), the tibial lateral surface angle (TLS), the lateral talo-first metatarsal angle (LTMT), the lateral talocalcaneal angle (LTC), and the tibial axis–talar ratio (T-T ratio). MRI was obtained with the talocrural, subtalar and Chopart joints into 22 subdivided areas to examine the frequency of BME for each patient. TLPI was considered positive (+) when BME was found in the talar lateral process. The patients were divided into two groups according to TLPI positivity or negativity. Their BME frequency was examined, and significant differences in radiographically measured values were analysed with a t-test. Results: In the TLPI (+) group, BME development occurred at significantly higher frequencies in all areas except those surrounding the lateral process (p = 0.002). In addition, TLS was significantly lower (p = 0.02), and LTMT was significantly higher (p = 0.04). When the cut-off value on the ROC curve was set at TLS of =74° and LTMT of =19°, TLPI onset could be predicted with a sensitivity of 75% and a specificity of 71%. Conclusion: Our results revealed that in the TLPI (+) group, progression of the anteriorly opened talocrural joint and talar dorsiflexion may be causing the talar lateral process to hit the calcaneus. Furthermore, in the TLPI (+) group, BME in other areas also occurred at higher frequencies, and symptoms around the ankle joints may be occurring at multiple locations. The fact that TLPI could be predicted from radiography findings suggests that this may be a potential predictive tool of the severity of clinical symptoms.

scholarly journals Association of Perceived Built Environment Attributes with Objectively Measured Physical Activity in Community-Dwelling Ambulatory Patients with Stroke

2019 ◽  
Vol 16 (20) ◽  
pp. 3908
Author(s):  
Masashi Kanai ◽  
Kazuhiro P. Izawa ◽  
Hiroki Kubo ◽  
Masafumi Nozoe ◽  
Kyoshi Mase ◽  
...  
Keyword(s):  
Physical Activity ◽  
Built Environment ◽  
Vigorous Physical Activity ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Ambulatory Patients ◽  
Objectively Measured ◽  
Objectively Measured Physical Activity

There is little evidence on how perceptions of the built environment may influence physical activity among post-stroke patients. This study aimed to explore the associations between perceived built environment attributes and objectively measured physical activity outcomes in community-dwelling ambulatory patients with stroke. This cross-sectional study recruited patients who could walk outside without assistance. We assessed both objectively measured physical activity outcomes such as number of steps and duration of moderate-to-vigorous physical activity (MVPA) with an accelerometer and the patients’ perceived surrounding built environment with the International Physical Activity Questionnaire Environmental Module. Sixty-one patients (67.0 years old) were included. The multiple linear regression analysis showed significant associations of the presence of sidewalks (β = 0.274, p = 0.016) and access to recreational facilities (β = 0.284, p = 0.010) with the number of steps taken (adjusted R2 = 0.33). In contrast, no significant associations were found between perceived built environment attributes and MVPA. These findings may help to suggest an approach to promote appropriate physical activity in patients with stroke depending on their surrounding built environment.

Association Between Moderate and Vigorous Physical Activity and Gross Motor Coordination in Preschool Children

2019 ◽  
Vol 7 (2) ◽  
pp. 273-285 ◽  
Author(s):  
Sandra Silva-Santos ◽  
Amanda Santos ◽  
Michael Duncan ◽  
Susana Vale ◽  
Jorge Mota
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Motor Coordination ◽  
Vigorous Physical Activity ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Activity Levels ◽  
Gross Motor ◽  
Age Related ◽  
Movement Assessment

Introduction: Adequate gross motor coordination is essential for children participating in age-related physical activities and has an important role in maintaining sufficient physical activity levels during the life course. Aim: To examine the association between moderate-to-vigorous physical activity (MVPA) and gross motor coordination during sedentary behavior in early childhood (ages 3–6 y). Methods: The sample comprised 209 children aged 3–6 y. Gross motor coordination was assessed according to the Movement Assessment Battery for Children (MABC-2). The battery to assess gross motor coordination comprised the aiming and catching, and balance components. MVPA was measured by accelerometry worn for 7 consecutive days (Monday to Sunday). Results: Our data indicated that 31.5% of the sample had low, 32.5% medium, and 36.0% high gross motor coordination. Multiple linear regression analysis showed that MVPA was positively associated with gross motor coordination, adjusted for gender and sedentary behavior. Conclusions: Preschoolers with high gross motor coordination spend more time in MVPA. Gross motor coordination development should therefore be a key strategy in childhood interventions aiming to promote physical activity.

scholarly journals Effects of Physical Activity on the Performance of 24-h Urinary Sucrose and Fructose as a Biomarker of Total Sugars Intake (P18-128-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Chitra Mohan ◽  
Barbara Ainsworth ◽  
Susana Pama Duran ◽  
Virag Sagi-Kiss ◽  
Carol Johnston ◽  
...  
Keyword(s):  
Physical Activity ◽  
Adult Population ◽  
Linear Regression Analysis ◽  
Predictive Biomarker ◽  
P Value ◽  
Activity Levels ◽  
Total Sugars ◽  
Added Sugars ◽  
Funding Sources ◽  
Dietary Sugars

Abstract Objectives Urinary sucrose and fructose has been suggested as a predictive biomarker of total sugars intake based on research involving UK adults. The purpose of this study was to determine the association between sugars consumption and 24-hour urinary sucrose and fructose (24uSF) in US adult population and to investigate the effect of physical activity on this association. Methods Fifty seven free-living healthy subjects 20 to 68 years old, participated in a 15-day highly controlled feeding study, consuming their habitual diet, provided by the research metabolic kitchen. Dietary sugars were estimated using Nutrition Data System for Research (NDSR). Subjects collected eight 24-hour urine samples measured for urinary sucrose and fructose. Physical activity was assessed daily using a validated 15-day log that inquired about 38 physical activities across six domains; home activities, transportation, occupation, conditioning, sports and leisure. Results The 15-d mean total sugars and added sugars intake (SD) of the study population was 112.2 (33.1) g/day and 65.8 (29.0) g/day (9.7%EI), respectively. Significant moderate positive correlation was found between 15-d mean total sugars intake and 8-day mean 24uSF (r = 0.56, P < 0.001). Similarly, added sugars were moderately correlated with 24uSF (r = 0.56, P < 0.001), while no correlation was found between naturally-occurring sugars and 24uSF (r = 0.070, P < 0.001). In a linear multiple regression, total and added sugars each explained 30% of variability in 24uSF (Adjusted R2, p value; total sugars: 0.297, 0.001; added sugars: 0.301, P < 0.001). We found no effect of physical activity on the association between dietary and urinary sugars in neither the correlation nor the linear regression analysis. Conclusions 24uSF showed moderate association with both total and added sugars consumption in US adults. No evidence was found showing that physical activity levels affect the association between 24uSF and sugars intake in US adults. Funding Sources National Cancer Institute.

scholarly journals Recommendations for participation in leisure-time physical activity and competitive sports of patients with arrhythmias and potentially arrhythmogenic conditions. Part 2: ventricular arrhythmias, channelopathies, and implantable defibrillators

EP Europace ◽  
2020 ◽  
Author(s):  
Hein Heidbuchel ◽  
Elena Arbelo ◽  
Flavio D’Ascenzi ◽  
Mats Borjesson ◽  
Serge Boveda ◽  
...  
Keyword(s):  
Physical Activity ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Heart Rhythm ◽  
Competitive Sports ◽  
Supraventricular Arrhythmias ◽  
Preventive Cardiology ◽  
Structural Problems ◽  
Rhythm Disorder ◽  
Implanted Pacemaker

Abstract This paper belongs to a series of recommendation documents for participation in leisure-time physical activity and competitive sports by the European Association of Preventive Cardiology (EAPC). Together with an accompanying paper on supraventricular arrhythmias, this second text deals specifically with those participants in whom some form of ventricular rhythm disorder is documented, who are diagnosed with an inherited arrhythmogenic condition, and/or who have an implanted pacemaker or cardioverter defibrillator. A companion text on recommendations in athletes with supraventricular arrhythmias is published in the European Journal of Preventive Cardiology. Since both texts focus on arrhythmias, they are the result of a collaboration between EAPC and the European Heart Rhythm Association (EHRA). The documents provide a framework for evaluating eligibility to perform sports, based on three elements, i.e. the prognostic risk of the arrhythmias when performing sports, the symptomatic impact of arrhythmias while performing sports, and the potential progression of underlying structural problems as the result of sports.

Sign in / Sign up

Export Citation Format

Share Document