scholarly journals Impact of Protein and Carbohydrate Supplementation on Musculoskeletal Injuries in Army Initial Entry Training Soldiers

Nutrients ◽  
2018 ◽  
Vol 10 (12) ◽  
pp. 1938 ◽  
Author(s):  
Kaitlin McGinnis ◽  
Jeremy McAdam ◽  
Christopher Lockwood ◽  
Kaelin Young ◽  
Michael Roberts ◽  
...  
Keyword(s):  
Odds Ratio ◽  
Historical Data ◽  
Musculoskeletal Injury ◽  
Musculoskeletal Injuries ◽  
Outcome Variable ◽  
Matched Pairs ◽  
Chi Square ◽  
Carbohydrate Supplementation ◽  
Protein Versus ◽  
Initial Entry

This project investigated whey protein and/or carbohydrate supplementation effects on musculoskeletal injury (MSI) outcomes. Four groups of Initial Entry Training soldiers consumed either: (1) one protein (38.6 g, 293 kcal); (2) one carbohydrate (63.4 g, 291 kcal); (3) two protein (77.2 g, 586 kcal); or (4) two carbohydrate servings/day (126.8 g, 582 kcal) after physical training and before bed, or before bed only. Odds Ratio, Chi-square and Wilcoxon ranked-sum test compared supplementation/no supplementation, number of servings, and protein/carbohydrate for MSI and limited/missed duty rates and limited/missed training days. Non-matched pairs group averages were compared to 2015/2016 historical data. Non-supplemented soldiers were approximately 5× more likely to sustain a MSI (χ2 = 58.48, p < 0.001) and 4× more likely to miss training (χ2 = 9.73, p = 0.003) compared to two servings. Non-supplemented soldiers missed five additional training days compared to two servings (W = 6059.5, p = 0.02). Soldiers consuming one serving were approximately 3× more likely to sustain a MSI than two servings (χ2 = 9.55, p = 0.002). There was no difference in limited/missed duty rates or limited/missed training days between consuming one or two servings. There was no difference between consuming one serving versus no supplementation or protein versus carbohydrate supplementation for any outcome variable. Soldiers consuming 2 servings/day of protein or carbohydrate had lower MSI rates, limited/missed duty rates, and limited/ missed training days compared to non-supplemented soldiers.

scholarly journals Interactions between Gene Variants within the COL1A1 and COL5A1 Genes and Musculoskeletal Injuries in Physically Active Caucasian

Genes ◽  
2021 ◽  
Vol 12 (7) ◽  
pp. 1056
Author(s):  
Katarzyna Leźnicka ◽  
Ewelina Żyźniewska-Banaszak ◽  
Magdalena Gębska ◽  
Anna Machoy-Mokrzyńska ◽  
Anna Krajewska-Pędzik ◽  
...  
Keyword(s):  
Significant Interaction ◽  
Interaction Analysis ◽  
Gene Interaction ◽  
Musculoskeletal Injury ◽  
Musculoskeletal Injuries ◽  
Caucasian Population ◽  
Muscle Area ◽  
Physically Active ◽  
Haplotype Combination ◽  
Injury Status

The COL1A1 and COL5A1 variants have been associated with the risk of musculoskeletal injuries. Therefore, the main aim of the study was to investigate the association between three polymorphisms within two genes (rs1800012 in COL1A1, as well as rs12722 and rs13946 in COL5A1) and the reported, yet rarely described in the literature, injuries of the joint and muscle area in a physically active Caucasian population. Polish students (n = 114) were recruited and divided into the following two groups: students with (n = 53) and without (n = 61) injures. Genotyping was carried out using real-time PCR. The results obtained revealed a statistically significant association between rs1800012 COL1A1 and injury under an overdominant model. Specifically, when adjusted for age and sex, the GT heterozygotes had a 2.2 times higher chance of being injured compared with both homozygotes (TT and GG, 95% CI 0.59–5.07, p = 0.040). However, no significant interaction between the COL5A1 variants, either individually or in haplotype combination, and susceptibility to injury were found. In addition, the gene–gene interaction analysis did not reveal important relationships with the musculoskeletal injury status. It was demonstrated that rs1800012 COL1A1 may be positively associated with physical activity-related injuries in a Caucasian population. Harboring the specific GT genotype may be linked to a higher risk of being injured.

Does perianal disease influence the efficacy of combination therapy in Crohn’s disease?

2020 ◽  
Author(s):  
Rui de Sousa Magalhães ◽  
Sofia Xavier ◽  
Tiago Cúrdia Gonçalves ◽  
Francisca Dias de Castro ◽  
Bruno Rosa ◽  
...  
Keyword(s):  
Combination Therapy ◽  
Clinical Remission ◽  
Odds Ratio ◽  
Perianal Disease ◽  
Outcome Variable ◽  
P Value ◽  
Disease Relapse ◽  
Endoscopic Remission ◽  
Remission Rates ◽  
One Year

Background: Perianal disease is associated with a disabling course of CD. We aim to study the impact of perianal disease on CD remission rates, after a one-year course of infliximab in combination therapy with azathioprine. Methods: Cohort, retrospective, single centre study, including consecutive CD patients on combination therapy, followed for one year since induction. The outcome variable was split into clinical and endoscopic remission. The correlation towards the outcome variable was assessed with univariate and multivariate analysis, and a survival assessment, using SPSS software. Results: We assessed 74 CD patients, of whom 41 (55.4%) were female, with a mean age of 36 years-old. Thirty-nine percent of the patients presented perianal disease at diagnosis (n=29). We documented 70.3% clinical and 47.2% endoscopic remissions. Several variables had statistical significance towards the outcomes (endoscopic and clinical remission) in the univariate analysis. After adjusting for confoundment, patients with perianal disease presented an odds ratio of 0.20 for achieving endoscopic remission (odds ratio 0.201 CI [0.054-0.75] p-value 0.017) and an odds ratio of 0.203 for achieving clinical remission (OR 0.203 CI [0.048-0.862] p-value 0.031). Sixty-six patients (89.2%) presented an initial response to treatment, from whom, 20 (30.3%) exhibited at least one disease relapse (clinical and/or endoscopic). Patients with perianal disease presented higher probability of disease relapse, displaying statistically significant difference on Kaplan-Meyer curves (Breslow p-value 0.043). Conclusion: In the first year of combination therapy, perianal disease is associated with an 80% decrease in endoscopic and clinical remission rates and higher ratio of disease relapse.

scholarly journals Prevalence and risk factors of apical periodontitis in endodontically treated teeth in a selected population of Brazilian adults

2008 ◽  
Vol 19 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Carlos Estrela ◽  
Cláudio Rodrigues Leles ◽  
Augusto César Braz Hollanda ◽  
Marcelo Sampaio Moura ◽  
Jesus Djalma Pécora
Keyword(s):  
Risk Factors ◽  
Confidence Intervals ◽  
Odds Ratio ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Technical Quality ◽  
Endodontically Treated Teeth ◽  
Chi Square ◽  
Chi Square Test

The aim of this study was to assess the prevalence and risk factors of apical periodontitis in endodontically treated teeth in a selected population of Brazilian adults. A total of 1,372 periapical radiographs of endodontically treated teeth were analyzed based on the quality of root filling, status of coronal restoration and presence of posts associated with apical periodontitis (AP). Data were analyzed statistically using odds ratio, confidence intervals and chi-square test. The prevalence of AP with adequate endodontic treatment was low (16.5%). This percentage dropped to 12.1% in cases with adequate root filling and adequate coronal restoration. Teeth with adequate endodontic treatment and poor coronal restoration had an AP prevalence of 27.9%. AP increased to 71.7% in teeth with poor endodontic treatment associated with poor coronal restoration. When poor endodontic treatment was combined with adequate coronal restoration, AP prevalence was 61.8%. The prevalence of AP was low when associated with high technical quality of root canal treatment. Poor coronal restoration increased the risk of AP even when endodontic treatment was adequate (OR=2.80; 95%CI=1.87-4.22). The presence of intracanal posts had no influence on AP prevalence.

Vicinity of Schools, But Not of Residences, Seems to Regulate Physical and Sports Activities of 13-Year-Old Teenagers in a South European Setting

2017 ◽  
Vol 14 (1) ◽  
pp. 67-75 ◽  
Author(s):  
Alexandre Magalhães ◽  
Elisabete Ramos ◽  
Maria Fátima Pina
Keyword(s):  
Physical Activity ◽  
Odds Ratio ◽  
Parental Education ◽  
Sports Participation ◽  
Green Spaces ◽  
Chi Square ◽  
Physically Active ◽  
Urban Green Spaces ◽  
Chi Square Test ◽  
Sports Activities

Background:Proximity to urban green spaces (UGS) and open sports spaces (OSS) benefits health, promotes physical activity (PA) and sports practice (SP).Objective:Analyze the association between PA or SP according to distances between UGS or OSS and teenagers’ residences or schools.Methods:We evaluated 1333 (53.9% girls) teenagers (13 years old) living and studying in Porto, Portugal (EPITeen cohort). PA was classified as light or moderate/vigorous. Distances were the shortest routes from residences or schools to UGS/OSS, and classified in ≤250 m; >250 m to ≤500 m; >500 m to ≤750 m; >750 m. Chi-square test and chi-square for trends were used to compare proportions; associations were measured using logistic regression, through odds ratio and 95% confidence intervals, adjusting to BMI and parental education.Results:Regarding vicinity’ of schools, the prevalence of moderate/vigorous PA among boys, decreases as distances to OSS increases. For girls, the prevalence of sports decreases as distances to UGS increase. For boys, we found an association between moderate/vigorous PA and proximity to OSS in the vicinity of schools: considering ≤250 m as reference, the odds of moderate/vigorous PA is 0.20 (0.06–0.63) for >250 m to ≤500 m; 0.21 (0.07–0.61) for >500 m to ≤750 m and 0.19 (0.06–0.58) for >750 m.Conclusion:Vicinities of schools seem to influence teenagers to be more physically active and increase sports participation.

scholarly journals Faktor Risiko Tumor Ganas Payudara Pada Pasien Rawat Jalan RSUD Andi Makkasau Kota Parepare

2021 ◽  
Vol 6 (1) ◽  
pp. 39-47
Author(s):  
Nurul Magfirah ◽  
Haniarti ◽  
Rini Anggraeny
Keyword(s):  
Odds Ratio ◽  
Chi Square

ABSTRAK Hasil pemeriksaan deteksi dini kanker payudara di Indonesia Tahun 2017 telah ditemukan 12.023tumor payudara, dan 3.079 curiga kanker payudara. Di antara 5 kanker yang paling sering dijumpai,kanker payudara tercatat mencapai 2,09 juta kasus. Untuk mencari faktor risiko tumor ganaspayudara seperti usia, riwayat melahirkan, riwayat menyusui, riwayat keluarga, riwayat menopause,dan riwayat pemakaian alat kontrasepsi hormonal. Metode survei analitik dengan desain casecontrol dengan jumlah sampel 80 responden yang terbagi atas sampel kasus sebanyak 40 respondendan sampel kontrol sebanyak 40 responden. Teknik pengambilan sampel adalah consecutivesampling dengan uji Chi-Square dan Odds Ratio. Faktor yang ditemukan sebagai faktor risikomeliputi usia (OR=19,0; CI95%=4,02-89,6), riwayat melahirkan (OR=2,17; CI95%=1,70-2,78),riwayat kanker dalam keluarga (OR=6,33; CI95%=1,28-31,1), riwayat menopause (OR=2,33;CI95%=1,78-3,05), riwayat pemakaian alat kontrasepsi hormonal (OR=6,33; CI95%=1,50-14,4),sedangkan riwayat menyusui tidak termasuk faktor risiko (OR=1,00; CI95%=0,39-2,50). Sebaiknyapeneliti selanjutnya melakukan uji multivariat, uji interaksi, dan confounding. Diharapkan petugaskesehatan melakukan penyuluhan tentang pemakaian kontrasepsi hormonal ≥ 5 tahun yang dapatmeningkatkan kejadian tumor ganas payudara. Kata Kunci: Tumor Ganas Payudara, Umur, Melahirkan, Keluarga, Menopause, KB Hormonal

scholarly journals The Correlation of Amount of Lifting Burden With Fatigue Levels of the Workers In Bulog Warehouse at Dasan Cermen Mataram

2017 ◽  
Vol 4 (1) ◽  
pp. 047-050
Author(s):  
Mulya Tarmidi
Keyword(s):  
Survey Research ◽  
Physical Condition ◽  
Odds Ratio ◽  
Total Weight ◽  
Chi Square ◽  
Cross Sectional ◽  
Test Tool ◽  
Study Population ◽  
Heavy Burden

Every worker lift burden differently due to physical condition and age of the workers so the researchers wanted to see whether there was a correlation between the  amount of weight lifted with the level of fatigue of the workers. The research purposes was to identify the correlation be- tween the amount of weight lifted and the level of fatigue in workers in the warehouse Bulog Dasan Cermen Mataram 2015. This research was analytic survey research, Cross Sectional want to raise the amount of weight lifted relationship with the level of fatigue of the worker carried out once the observations within a specified period or one time. The study population was all worker of Bulog Warehouse as many as 35 people. Based on the test tool Pearson Chi-Square was obtained was obtained p = 0.005 <a 0.05 (significant). The total Weight Appointed With Fatigue Level Workers In Bulog Warehouse At Dasan Cermen Mataram had significant correlation. With the value of the odds ratio = 7.778, which meant someone who had a heavy burden had seven times greater risk of causing fatigue.

scholarly journals Hubungan Pengetahuan dengan Keterampilan Kader dalam Menimbang Bayi dan Balita di Wilayah Kerja Puskesmas Natar Lampung Selatan

2019 ◽  
Vol 5 (4) ◽  
pp. 333-337
Author(s):  
Astriana Astriana ◽  
Nita Evrianasari
Keyword(s):  
Odds Ratio ◽  
P Value ◽  
Chi Square ◽  
Double Burden ◽  
Cross Sectional

Latar Belakang : Gizi pada  bayi dan balita merupakan indikator pembangunan kualitas sumber daya manusia. Sumber daya manusia yang sehat dan berkualitas merupakan modal utama pembangunan  kesehatan yang menentukan suatu bangsa. Saat ini indonesia dihadapkan tidak hanya pada masalah gizi kurang akan tetapi dihadapkan  pada permasalahan gizi ganda (double burden) yaitu gizi lebih dan kurang. Berbagai usaha telah dilakukan untuk menangani masalah gizi diindonesia, salah satunya adalah dengan membuat suatu wadah pelayanan kesehatan bersumberdaya masyarakat yang dilaksanakan oleh, dari dan bersama masyarakat yaitu pos pelayanan terpadu (posyandu). Dalam observasi langsung pada kegiatan penimbangan bayi dan balita di posyandu kader tidak melakukan sesuai langkah penimbangan yang telah ditetapkan sehingga hasil penimbangan tidak valid. hal ini akan mengakibatkan  gambaran status gizi yang dihasilkan menjadi kurang tepat, selain itu kader juga tidak menggambarkan grafik pada buku KMS dan tidak melakukan penyuluhan.Tujuan : Mengetahui hubungan pengetahuan dengan keterampilan  kader dalam menimbang bayi dan balita di wilayah kerja Puskesmas Natar Lampung Selatan.Metode : Jenis penelitian yang digunakan adalah kuantitatif, dengan rancangan survey analitik dengan pendekatan cross sectional. Penelitian dilaksanakan di posyandu wilayah kerja Pukesmas Natar Lampung Selatan. Jumlah sampel penelitian sebanyak 132 responden menggunakan teksnik sampling simple random sampling.Analisa data menggunakan chi-SquareHasil: Uji statistic menggunakan chi-square  diperoleh  p-value  0,000 < α 0,05, yang berarti bahwa H0 ditolak dan Ha diterima atau berarti ada hubungan pengetahuan dengan keterampilan kader dalam menimbang bayi dan balita di wilayah kerja puskesmas natar lampung selatan. Dengan nilai  Odds Ratio sebesar 416,667.                Kesimpulan : Ada hubungan pengetahuan dengan keterampilan kader dalam menimbang bayi dan balita di posyandu wilayah kerja puskesmas Natar Lampung Selatan.Kata kunci: Pengetahuan kader, keterampilan, menimbang

scholarly journals FAKTOR-FAKTOR LINGKUNGAN YANG BERHUBUNGAN DENGAN KEJADIAN DEMAM BERDARAH DENGUE (DBD) DI WILAYAH PUSKESMAS BANJARNEGARA 1 KABUPATEN BANJARNEGARA TAHUN 2016

2017 ◽  
Vol 36 (2) ◽  
pp. 104-109
Author(s):  
Sri Purwaningsih ◽  
Arif Widyanto ◽  
Teguh Widijanto
Keyword(s):  
Odds Ratio ◽  
Case Control ◽  
Chi Square

Wilayah Puskesmas Banjarnegara 1 termasuk daerah dengan kasus DBD paling tinggi di KabupatenBanjarnegara dengan 50 kasus pada tahun 2015. Penelitian ini bertujuan untuk mengetahui faktor - faktorlingkungan yang berhubungan dengan kejadian DBD di wilayah Puskesmas Banjarnegara 1. Jenis penelitianobservasional dengan pendekatan case control. Populasi dalam penelitian ini adalah penderita DBD (kasus) danbukan penderita DBD (kontrol). Sampel berjumlah 20 kasus dan 20 kontrol yang diperoleh dengan menggunakanteknik Insidental Sampling. Analisis data dengan uji statistic chi square dan penentuan odds ratio (OR). Hasilanalisis bivariat menunjukkan variabel yang berhubungan dengan kejadian DBD adalah keberadaan jentik nyamukAe. aegypti OR=11, keberadaan breeding places OR=10,524, keberadaan resting places OR=13,5, frekuensipengurasan tempat penampungan air (TPA) OR=21 dan ketersediaan tutup pada TPA OR=7. Hasil analisismultivariat menunjukkan variabel yang paling dominan berhubungan dengan kejadian DBD adalah frekuensipengurasan TPA dengan nilai signifikansi 0,005 ( OR=15,632).

scholarly journals Hubungan Riwayat Cidera Lutut Terhadap Pasien Yang Berpotensi Osteoarthritis Lutut Di Puskesmas Dinoyo Kota Malang

2019 ◽  
Vol 3 (1) ◽  
pp. 20-29
Author(s):  
Safun Rahmanto ◽  
Khaiyatul Aisyah
Keyword(s):  
Random Sampling ◽  
Odds Ratio ◽  
Case Control Study ◽  
Simple Random Sampling ◽  
Case Control ◽  
Chi Square ◽  
Ligament Sprain ◽  
Control Study

ABSTRAK Latar belakang : Osteoartritis merupakan salah satu penyakit degenerative yang ditandai dengan hilangnya tulang rawan articular dan terjadi peradangan sinovial yang menyebabkan kekakuan sendi, nyeri dan kehilangan mobilitas sendi. Ada banyak faktor risiko osteoarthritis lutut, salah satunya  adalah riwayat cidera lutut. Cidera lutut menurunkan kestabilan sendi lutut pada bantalan beban tubuh. Cidera lutut meningkatkan risiko osteoarthritis pada area kontak tibiofemoral dan tekanan pada  cidera meniscal, sehingga menyebabkan unstabil sendi berupa ligament sprain dan lesi pada chondral atau dengan mengganggu sistem neuromuskular. Individu dengan riwayat trauma sendi 3-6 kali lebih berpotensi terjadinya osteoarthritis lutut. Dalam 5 tahun cedera, lutut mengalami perubahan struktural seperti, perubahan komposisi tulang rawan, dan perubahan pada struktur  ulang. Tujuan Penelitian : Menganalisis hubungan antara riwayat cidera lutut terhadap pasien yang berpotensi osteoarthritis lutut di Puskesmas Dinoyo Kota Malang.  etode Penelitian : Desain penelitian menggunakan Case Control Study dengan jumlah sampel 120 responden di Puskesmas Dinoyo Kota Malang yang  diambil dengan metode Simple Random Sampling. Pengambilan data untuk mengetahui riwayat cidera lutut dinilai dengan kuesioner OA Risk C dan wawancara mendalam. Potensi adanya osteoarthritis lutut dinilai menggunakan pemeriksaan fisik, skala jette dan data sekunder dari Puskesmas Dinoyo Kota Malang. Hasil : Hasil penelitian dengan uji Chi-Square terhadap Riwayat cidera lutut dikaitkan dengan osteoarthritis lutut dalam penelitian ini didapatkan nilai signifikan lebih kecil dari alpha 5% (0,00 < 0,05) dengan Odds Ratio [OR= 5,82 (95% CI 2,54-13,35)]. Kesimpulan : Terdapat hubungan yang signifikan antara riwayat cidera lutut terhadap pasien yang berpotensi osteoarthritis lutut di Puskesmas Dinoyo Kota Malang dan orang yang  memiliki riwayat cidera lutut berpeluang 5  kali lebih besar menderita osteoarthritis lutut daripada orang yang tidak memiliki riwayat cidera lutut.  

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