A Cross Sectional Survey on Musculoskeletal Pain Among Postmenopausal Women with Overall and Central Obesity

2021 ◽  
Vol 15 (5) ◽  
pp. 1369-1371
Author(s):  
Q. Kiran ◽  
S. Riaz ◽  
Z. Hashmi ◽  
R. R. Khan ◽  
Z. R. Athar ◽  
...  

Objective: To find out the frequency of Musculoskeletal Pain among Postmenopausal women with Overall and Central Obesity. Methods: A Cross-Sectional study was carried out at Jinnah Hospital, Lahore, for six months. A sample size of 250 patients with generalized obesity and central obesity was taken. Non-Probability, Convenience Sampling technique was used. The Nordic questionnaire was used as a data collection tool. Data was analyzed on SPSS version 21. Results: Results showed that majority respondents were in the age group of 51-60 i.e. 43.6% (N=109), respondents with BMI >30 were 50.8% (N=127), waist/height ratio 99.2% (N=248) were > 0.5, waist/hip ratio 86.8% (N=217) were >0.85, 90% (N=225) were present with waist circumference >88cm. Conclusion: This study concludes that musculoskeletal pain is high in postmenopausal women with overall obesity and has shown more pain in the neck, back, shoulder and lower extremities, while postmenopausal women with central obesity have suffered more with back pain. Keywords: Body Mass Index, Obesity, Post menopause, Musculoskeletal pain.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mariam John Munyogwa ◽  
Kaloli Sayi Ntalima ◽  
Secilia Ng’weshemi Kapalata

Abstract Background Obesity at the workplace has been associated with symptoms of lower self-esteem, increased individual and employer healthcare costs, increased absenteeism and presenteeism and reduced productivity. Therefore, this study was designed to study the prevalence and correlates of central obesity among formal sector employees in Dodoma City. Methods Study design was a cross-sectional survey conducted from March to June, 2019. Participants were employees from formal sector employment defined as those paid regular monthly wage and with either a secured permanent or temporary contract. Simple random sampling was used to select four out of fifteen large buildings hosting various establishments. Respondents were obtained conveniently and interviewed face to face. Central obesity was defined as a waist circumference greater than 102 cm for males and greater than 88 cm for females. Chi-square test was conducted to assess the differences among the groups. Simple and multiple logistic regression models were fitted to identify the correlates of central obesity. Results A total of 392 respondents (98% response rate) agreed and participated in the study. The overall prevalence of central obesity was found to be 41.8% (164/392). The prevalence of central obesity was significantly higher among females (67.4% p < 0.001), respondents aged ≥51 years (60%, p = < 0.001), administrators (55.1% p = < 0.05), respondents with salary of > 1,000,000 Tanzanian Shilling (TSh.) per month (54.4%, p = < 0.05), respondents who eat homemade meals at the workplace (64.2%, p = < 0.05) and respondents with hypertension (62.5%, p = < 0.05). Correlates of central obesity were found to be female sex (AOR = 9.53; 95% CI: 5.49, 16.78), increased age, eating homemade meals at the workplace (AOR = 2.32; 95% CI: 1.04, 4.19) and hypertension (AOR = 3.15; 95% CI: 1.41, 6.91). Conclusions The present study revealed high prevalence of central obesity among formal sector employees in Dodoma City. Scholars and stakeholders are urged to generate more evidences and design appropriate interventions to curb the situation.


BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e051277
Author(s):  
Jinghan Qu ◽  
Wei Zuo ◽  
Shaohong Wang ◽  
Liping Du ◽  
Xin Liu ◽  
...  

ObjectiveTo evaluate pharmacists’ knowledge, perceptions and practices towards generic substitution in the 11 pilot locations in China.DesignAn online cross-sectional survey using questionnaires was conducted. A convenience sampling technique was implemented to recruit pharmacists.Setting and participantsThe study took place in medical institutions of 11 pilot locations that participated in the pilot national centralised procurement programme in 2019. Two thousand two hundred and ninety-one pharmacists including hospital pharmacists or community pharmacists based on health-systems or clinics participated in the study.ResultsMost of the participants had the good knowledge of requirements for evaluating the quality and efficacy of generic drugs (n=2118; 92.4%), and the definition of generic drugs (n=2078; 90.7%). In terms of perceptions, 67.3% of respondents were of the opinion that generic drugs are equally as effective as the brand-name drugs, and 69.0% of respondents were of the opinion that generic drugs are as safe as brand equivalents. A high percentage of participants supported the policy of generic substitution (n=1634; 71.4%). A significant positive correlation was demonstrated between total knowledge score and total perception score (ρ=0.267; p<0.001). Efficacy, safety and the direction of national policies and hospital regulations were the main factors affecting pharmacists’ willingness to dispense generic drugs.ConclusionsThe study identified gaps in respondents’ knowledge and perceptions of generic substitution. Pharmacists who are more knowledgeable in generic drugs tend to hold a more supportive attitude towards generic substitution. Although it appeared that pharmacists in China have largely accepted generic substitution, they still have concerns regarding the reliability and quality of generic drugs. The current issues need to be addressed for the realisation of the true value of generic drugs as part of the country’s healthcare cost-containment strategy as well as the implementation of generic substitution policy in China.


2021 ◽  
Vol 7 (1) ◽  
pp. 39-43
Author(s):  
YUNIAR SETYAWATI ◽  
Ashon Sa’adi ◽  
Tiyas Kusumaningrum

Vasomotor complaints are common on postmenopausal women. Most women feel these complaints within 2 years after entering menopause; some of them will even feel up to a decade. In addition to vasomotor complaints, the incidence of central obesity also increases in menopause. The poor adipocyte system in central obesity that affects the central nervous system, body temperature and excessive sympathetic nerve activity have been suspected to be a cause of vasomotor syndrome at menopause. The purpose of this study was to analyze the relationship between central obesity and the characteristic of vasomotor symptoms in postmenopausal women. Method: this observational analytic study used a cross sectional design. The number of samples were 86 women aged 45-55 years who had been in postmenopausal period. Sampling technique was consecutive sampling. The independent variable was central obesity while the dependent variable was vasomotor symptoms. The data was taken using modified MENQOL questionnaire and direct measurements waist circumference to determine central obesity in the respondents. Data was tested using contingency coefficient test with α 0.05. Results: There were 59.3% respondents who experienced central obesity. More than eighty percent respondents with central obesity also experienced vasomotor symptoms which were considered disturbing. There was a significant relation between central obesity and the characteristic of vasomotor symptoms in postmenopausal women (p=0.00; r=0.513). Conclusion: The presence of central obesity leads to disturbing vasomotor symptoms in postmenopausal women  


Author(s):  
Sultan Badar Munir ◽  
Imran Saeed ◽  
Sikander Ghayas Khan ◽  
Syed Shakeel Ur Rehman ◽  
Rabia Ghayas ◽  
...  

Abstract This study was conducted to find out frequency of hearing impairment in middle ear infection. The study design was a cross- sectional survey, conducted from August 2018 to January 2019 in the ENT Department of Children's Hospital Lahore. The data was collected through convenience sampling technique among 52 patients of middle ear infection. The measurements for level of hearing impairment were taken. The data was analyzed using statistical package for social sciences, SPSS 20.0 Out of total 52, There were found 15 (28.8%) had once a month ear infection and 37 (71.2%) had off and 35 (67.3%) patients had mild hearing, 13 (25%) had moderate, 2(3.8%) severe and 2 (3.8%) had normal hearing loss. It was concluded that most of the participants having middle ear infections had hearing loss. Keywords: Hearing Impairment, Middle Ear Infection, Continuous...


2020 ◽  
Author(s):  
Neda Mohamadzade ◽  
Shahideh Jahanian Sadatmahalleh ◽  
Saeideh Ziaei ◽  
Narges Zaeemzadeh ◽  
Anoshirvan Kazemnejad

Abstract Background: Due to the decrease of estrogen levels in postmenopausal females, menopause can be associated with musculoskeletal pains. This study was designed to assess the possible association between musculoskeletal pains, serum estradiol level, and climacteric symptoms in postmenopausal women.Methods: This cross-sectional study was conducted on 307 postmenopausal females selected by convenience sampling method. Data collection procedure lasted from October 2016 to September 2018. The required data were collected using the Menopause Rating Scale (MRS), Örebro Musculoskeletal Pain Questionnaire (ÖMPQ), and a questionnaire containing personal data. The blood sample was taken to measure the estradiol level. Results: There was a direct relationship between musculoskeletal pains and menopause symptoms (p<0.001), age (p=0.03), parity (p=0.01), and BMI (p=0.03) and an indirect association between musculoskeletal pain and marriage age (p=0.009), age of first pregnancy (0.017), estradiol level (p<0.001) and education level (p=0.002). The regression analysis results showed that menopause symptoms were the strongest predictor of musculoskeletal pains among all the variables.Conclusions: The findings of the present study showed that although various parameters are associated with musculoskeletal pains, climacteric symptoms are the most important predictive parameters of musculoskeletal pains.


2021 ◽  
pp. 1-4
Author(s):  
Olayan Alatawi ◽  
Faisal Alzahrani ◽  
Nasrin S Saiyed

Background: Levetiracetam (Keppra®) is a well-known second-generation anti-epileptic drug (AED). The study was aimed to addresses Levetiracetam use, availability and knowledge of toxicity among epileptic patients and their care givers in King Salman Armed Forces Hospital Tabuk Saudi Arabia. Methods: This cross-sectional survey was conducted in King Salman Armed Forces Hospital (KSAFH) in Tabuk city in Saudi Arabia. The study participants were epileptic patients and their care givers, selected from different outpatient departments using a convenient sampling technique. Data was collected using an Arabic self-reported questionnaire consisted of open-ended and closed-ended questions to facilitate study participants. Altogether, 381 persons answered the full questionnaire. The data were entered into SPSS version 26.0 for Windows, cleaned and managed before analysis. Results: Participants age ranged from 18 to 63 years, with a mean 29.6 years and standard deviation 5.8 years. 47.0% (n= 179) were male and 53.0% (n= 202) female. Six out of ten participants lived in the urban area (67.7%). Majority of the participants had knowledge about seizures (96.9%). About 31.0% of the participants and/or patients had seizures (epilepsy) since more than 20 years. Nearly 28.0% participants and/or patients had family history of seizures (epilepsy). Majority of the participants had Levetiracetam at home and aware of the correct usage of it. However, about 11% of the participants felt that Levetiracetam is used to help sleep. Eight out of ten of the participants reported “Sleepiness” as the side effect of Levetiracetam (79.3%). Half of the participants reported “Headache” as the side effect of Levetiracetam. About 94.0% of the participants knew that someone could take enough Levetiracetam to harm themselves. Conclusion: The study population used Levetiracetam, they demonstrated basic awareness of Levetiracetam use including the potential consequences of overdosing. Participants' knowledge regarding the toxicity of Levetiracetam is adequate. Special awareness programs for parents of children with epilepsy may be needed to reduce the knowledge gaps in the management of epilepsy and to ensure compliance and optimal therapeutic outcomes.


2020 ◽  
Vol 1 (1) ◽  
pp. 31-41
Author(s):  
Edeh Ogbu Friday ◽  
Ukpe Edem Blessing

This study investigates the relationship between knowledge management and employee effectiveness of deposit money banks in Nigeria using cross-sectional survey. Sixty branch managers from ten deposit money banks operating in Abakaliki, Ebonyi State were surveyed using convenience sampling technique. Forty four copies of questionnaire were filled Statistical tool used to analyse the hypotheses is Pearson Product Moment Correlation Coefficient (rs). Respondents’ profiles were analysed using descriptive statistics. The study found that knowledge management has positive significant association with employee effectiveness in deposit money banks in Abakaliki. It concluded that knowledge management measured in terms of knowledge acquisition, knowledge dissemination, knowledge conservation and knowledge retrieval enhances employee effectiveness when resources are provided for the employees quite apart from setting goals on how jobs should be carried out.  Based on the conclusion above, one of the recommendations is that managers of deposit money banks should encourage their subordinates to make contributions in decision-making to enhance employee effectiveness.


2020 ◽  
Vol 8 (E) ◽  
pp. 498-508
Author(s):  
Bang Van Nguyen ◽  
Thuy Thi Thu Tran ◽  
Ngan Thi Hoang ◽  
Bich Ngoc Nguyen ◽  
Quynh Thuy Nguyen

BACKGROUND: Musculoskeletal disorders (MSDs) are prevalent among waste collectors (WCs) in developing countries. AIM: This study aimed to investigate the prevalence of MSDs and the factors associated with the risk of persistent musculoskeletal pain among WCs in Hanoi, Vietnam. METHODS: A cross-sectional survey was utilized to study 468 WCs in 2017. The Örebro Musculoskeletal Pain Questionnaire and a questionnaire on demographic and work conditions were used to collect data. Descriptive and multivariate logistics regression analyzes were applied at a significance level of 0.05 to examine the factors related to the risk of persistent pain. FINDINGS: About 74.4% of the participants of this study experienced MSDs in at least one body region and 9.4% reported MSDs in all 10 body sites. The lower back was reported to be the most affected followed by the neck and shoulders. The risk of persistent musculoskeletal pain was significantly associated with age (odds ratio (OR) = 2.31, confidence interval (CI) = 1.05–5.09), gender (OR = 3.29, CI = 1.28–8.44), work hours (OR = 2.35, CI = 1.12–4.92), work shift (OR = 0.48, CI = 0.26–0.92), duration of poor postures of the neck (OR = 0.31, CI = 0.13–0.76), bent back (OR = 0.4 CI = 0.18–0.92) and for medial rotation (OR = 3.01, CI = 1.42–6.36), carrying heavy objects (OR = 2.94, CI = 1.15–7.48), and experience of work dissatisfaction (OR = 3.31, CI = 1.46-7.52), stress (OR = 7.14, CI = 3.14–16.24), or anxiety (OR = 6.37, CI = 3.07–13.21). CONCLUSIONS: High prevalence of MSDs among WCs and its association with self-assessed unfavorable work postures and work-related stress implies the need of mechanical and social support at work for WC to prevent the development of MSDs and persistent pain.


2012 ◽  
Vol 1 (2) ◽  
pp. 38-46
Author(s):  
Sadaf Shafqat ◽  
Sarah Omer ◽  
Marina Ayub ◽  
Asma Faheem ◽  
Muhammad Shahid ◽  
...  

OBJECTIVE To determine the awareness and perception of Physical Therapy as a career among the intermediate students of Karachi. STUDY DESIGN It is a cross sectional study. STUDY SETTINGS AND PARTICIPANTS The settings of this study were two Private and two Government sector Intermediate colleges, offering Pre-medical and participants were students studying in these colleges. SAMPLING TECHNIQUE Non-probability convenience sampling technique. RESULTS Results revealed that only 13.5% of students were well aware of physical therapy as a profession in government and private colleges whereas, 31% in government colleges and 26.5% in private colleges had little knowledge. While 28% government and 30.5% in private were totally unaware of it. 75.7% and 83.5% from government and private sector students responded that physical therapy will be most rewarded in Orthopedic/Musculoskeletal fields respectively. CONCLUSIONS The awareness of Physical Therapy as a career among intermediate students would help in creating more effective marketing strategies. Unfortunately, a small percentage of the students are aware of physiotherapy and the services provided by this profession which implies that there is an urgent need for marketing campaign.


2014 ◽  
Vol 13 (2) ◽  
pp. 47-50 ◽  
Author(s):  
Monowara Khanam ◽  
Md Aminul Haque Khan ◽  
Md Rewanur Rahman ◽  
Rukhsana Parvin ◽  
Selima Akhter ◽  
...  

Background: Following menopause there are changes in values of lipid profile parameters. Abdominal obesity has also been linked to significant metabolic abnormalities including changes in lipid parameter values. Atherogenic index of plasma (AIP) calculated as log (TG/HDL-C) has been used as some practitioners as a significant predictor of atherosclerosis. So, we designed this study to observe the pattern of lipid profile parameters and to find out AIP in postmenopausal central obese women and to compare these between postmenopausal women with central obesity and postmenopausal nonobese women. Objectives: To assess the lipid profile status and AIP of postmenopausal women with central obesity and to compare these parameters with that of postmenopausal nonobese women.Materials & Methods: This cross sectional study was carried out in the department of Biochemistry, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Sixty six postmenopausal women with central obesity and age matched 56 nonobese postmenopausal women were included in the study. Central obesity was defined having waist hip ratio more than 0.8 and BMI <25.0. All statistical analyses were done by SPSS 18.0. p values <0.05 were considered significant.Results: Statistically no significant difference was observed between the central obese women and nonobese women in lipid profile parameters. But AIP was found significantly higher in postmenopausal central obese women.Conclusion: Central obese postmenopausal women may be at higher risk of cardiovascular events compared with postmenopausal nonobese women in spite of no difference in lipid profile parameters as their AIP values are significantly different.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i2.21064


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