Risk Factors and Protective Factors for Lower-Extremity Running Injuries

2015 ◽  
Vol 105 (6) ◽  
pp. 532-540 ◽  
Author(s):  
Gabriel Gijon-Nogueron ◽  
Marina Fernandez-Villarejo

A review of the scientific literature was performed 1) to identify studies describing the most common running injuries and their relation to the risk factors that produce them and 2) to search for potential and specific protective factors. Spanish and English biomedical search engines and databases (MEDLINE/PubMed, Database Enfermería Fisioterapia Podología [ENFISPO], Cochrane Library, and Cumulative Index to Nursing and Allied Health Literature) were queried (February 1 to November 30, 2013). A critical reading and assessment was then performed by the Critical Appraisal Skills Programme Spanish tool. In total, 276 abstracts that contained the selected key words were found. Of those, 25 identified and analyzed articles were included in the results. Injuries result from inadequate interaction between the runner's biomechanics and external factors. This leads to an excessive accumulation of impact peak forces in certain structures that tends to cause overuse injuries. The main reasons are inadequate muscle stabilization and pronation. These vary depending on the runner's foot strike pattern, foot arch morphology, and sex. Specific measures of modification and control through running footwear are proposed.

2021 ◽  
Vol 32 (2) ◽  
pp. 157-171
Author(s):  
Louise Ferreira Krol ◽  
Beatriz Chiquito Sacchi ◽  
Paulo Henrique Pires de Aguiar

Introduction: Sudden Unexpected Death In Epilepsy (SUDEP) is the main cause of premature death in patients with epilepsy. The pathophysiology is not clear, however there are risks and protective factors described in the literature. Objective: To gather the data of these variables and elucidate the pathophysiological mechanisms. Methods: Literature review of free full articles from PubMed database from 2000 to 2019, in English, with an impact factor higher than 1, carried out in humans. As keywords were used “SUDEP”; “Epilepsy”; “Sudden Death”; “Seizure” resulting in 130 articles, and 44 reflecting the objectives. Results: A total of 11 case control and 10 cohort studies was analyzed and the risks and protective factors were presented. Among the risks were found: nocturnal seizure, frequencies, young adults, generalized tonic-clonic (GTCS) type and others. Some of protective factors were adherence to treatment, night supervision and having pets. Discussion: There are evidences that cardiorespiratory and autonomic systems interfere on the phisiopatology. Conclusion: More studies are necessary to elucidate all the involved mechanisms.


Food Research ◽  
2020 ◽  
Vol 4 (4) ◽  
pp. 1272-1286
Author(s):  
H.S. Lee ◽  
A. Aman ◽  
K.S. Kamaruddin ◽  
A. Ali ◽  
H.M. Yusof

Malaysia is currently experiencing an epidemiologic and demographic transition. Rapid urbanization and vast changes in lifestyles among the population has led to widespread cardiovascular disease (CVD) outcomes. Also, until now, the most prevalent cardiovascular risk factor has remained unknown among the Malaysian population. This study aimed to identify the most significant cardiovascular risk factor among multiethnic adults in Dengkil, Selangor. A case-control retrospective study comparing past exposure (retrospective) between the case (total cholesterol (TC) ≥ 5.18 mmol/L) and control groups (TC < 5.18 mmol/L) on CVD risk via guided questionnaire comprised of International Physical Activity Questionnaire (IPAQ), Food Frequency Questionnaire (FFQ), Depression, Anxiety and Stress Scales (DASS)-21 and SF-12 was carried out among 180 respondents aged 20 to 56 years in Dengkil, Selangor. In the present study, purposive and consecutive sampling were both applied to recruit respondents and also considering ethnic as a factor; thus, quota sampling was also conducted. The data were analyzed using Mann-Whitney, Kruskal-Wallis, Chi-Square, Independent Samples t-test and multiple logistic regression tests. The findings indicated there were no significant differences (p > 0.05) regarding all the risk factors between the case and control groups except for personal medical history (p < 0.05). Chinese possessed the highest number of significant risk and protective factors. Lastly, the quality of life of Malay controls was higher than that of cases in terms of Physical Component Summary (PCS). Generally, all the risk factors were independent in terms of total cholesterol status, except for personal medical history. The significance of risk factors and protective factors varies according to ethnicity.


2021 ◽  
Vol 9 ◽  
Author(s):  
Peiqing Li ◽  
Yuge Huang ◽  
Danping Zhu ◽  
Sida Yang ◽  
Dandan Hu

Background: This study aimed to identify potential risk factors for severe hand-foot-mouth disease (HFMD).Methods: The PubMed, Embase, the Cochrane Library, Sinomed, WanFang, CNKI, and VIP databases were searched (up to August 2021).Results: Twenty-nine studies (9,241 and 927,355 patients with severe HFMD and controls, respectively; all from China) were included. EV71 was associated with higher odds of severe HFMD compared with other agents (OR = 4.44, 95%CI: 3.12–6.33, p &lt; 0.001). Being home-raised (OR = 1.99, 95%CI: 1.59–2.50, p &lt; 0.001), higher number of children in the family (OR = 2.09, 95%CI: 1.93–2.27, p &lt; 0.001), poor hand hygiene (OR = 2.74, 95%CI: 1.78–4.23, p &lt; 0.001), and no breastfeeding (OR = 2.01, 95%CI: 1.45–2.79, p &lt; 0.001) were risk factors for severe HFMD. First consulting to a district-level or above hospital (OR = 0.34, 95%CI: 0.25–0.45, p &lt; 0.001) and diagnosis of HFMD at baseline (OR = 0.17, 95%CI: 0.13–0.24, p &lt; 0.001) were protective factors against severe HFMD. Fever, long fever duration, vomiting, lethargy, leukocytosis, tic, and convulsions were each associated with severe HFMD (all p &lt; 0.05), while rash was not.Conclusions: EV71, lifestyle habits, frequent hospital visits, and symptoms are risk factors for severe HFMD in children in China, while early diagnosis and admission to higher-level hospitals are protective factors.


2021 ◽  
Author(s):  
Jun Li ◽  
Jiacai Li ◽  
Xiaojuan Hu ◽  
Liping Tu ◽  
Yulin Shi ◽  
...  

Abstract Background: Carrying out routine diabetes risk assessment and prediction is conducive to controlling the incidence of diabetes. Previous studies have confirmed that tongue features can reflect changes in glucose metabolism. We want to find the key tongue features related to glucose metabolism for early warning of prediabetes and diabetes. This will benefit the prevention and control of diabetes.Methods: We investigated 719 subjects in Shuguang Hospital affiliated with Shanghai University of TCM in Shanghai, China, during the August 2018 – December 2019 period. We used PCA to reconstruct 25 new features on the basis of the original features, and used logistic regression to analyze these new features. Based on the factor loading method, we associate the new features with the original features. Finally, we determined the key tongue features and change patterns related to prediabetes risk and diabetes risk.Results: For the prediabetes, TB-ASM, TC-ASM and TB-Cr are protective factors. TB-CON, TC-CON, TB-MEAN, TC-MEAN, TB-ENT and TC-ENT are risk factors. For the diabetes, TB-a, TB-S, TB-Cr, TB-b and TC-b are protective factors, and Per-all and TB-Cb are risk factors. Conclusion: The PCA eliminates the redundancy of original features and refines the original features. The PCA combined with logistic regression found the key tongue features reflecting glucose metabolism, and clarified the significance of the changes in these tongue features in the prediabetes and diabetes population. This study provides a research foundation for using tongue features to implement early warning of diabetes risk.


Crisis ◽  
2000 ◽  
Vol 21 (2) ◽  
pp. 80-89 ◽  
Author(s):  
Maila Upanne

This study monitored the evolution of psychologists' (n = 31) conceptions of suicide prevention over the 9-year course of the National Suicide Prevention Project in Finland and assessed the feasibility of the theoretical model for analyzing suicide prevention developed in earlier studies [ Upanne, 1999a , b ]. The study was formulated as a retrospective self-assessment where participants compared their earlier descriptions of suicide prevention with their current views. The changes in conceptions were analyzed and interpreted using both the model and the explanations given by the subjects themselves. The analysis proved the model to be a useful framework for revealing the essential features of prevention. The results showed that the freely-formulated ideas on prevention were more comprehensive than those evolved in practical work. Compared to the earlier findings, the conceptions among the group had shifted toward emphasizing a curative approach and the significance of individual risk factors. In particular, greater priority was focused on the acute suicide risk phase as a preventive target. Nonetheless, the overall structure of prevention ideology remained comprehensive and multifactorial, stressing multistage influencing. Promotive aims (protective factors) also remained part of the prevention paradigm. Practical working experiences enhanced the psychologists' sense of the difficulties of suicide prevention as well as their criticism and feeling of powerlessness.


Crisis ◽  
2012 ◽  
Vol 33 (2) ◽  
pp. 80-86 ◽  
Author(s):  
Sami Hamdan ◽  
Nadine Melhem ◽  
Israel Orbach ◽  
Ilana Farbstein ◽  
Mohammad El-Haib ◽  
...  

Background: Relatively little is known about the role of protective factors in an Arab population in the presence of suicidal risk factors. Aims: To examine the role of protective factors in a subsample of in large Arab Kindred participants in the presence of suicidal risk factors. Methods: We assessed protective and risk factors in a sample of 64 participants (16 suicidal and 48 nonsuicidal) between 15 and 55 years of age, using a comprehensive structured psychiatric interview, the Composite International Diagnostic Interview (CIDI), self-reported depression, anxiety, hopelessness, impulsivity, hostility, and suicidal behavior in first-degree and second-relatives. We also used the Religiosity Questionnaire and suicide attitude (SUIATT) and multidimensional perceived support scale. Results: Suicidal as opposed to nonsuicidal participants were more likely to have a lifetime history of major depressive disorder (MDD) (68.8% vs. 22.9% χ2 = 11.17, p = .001), an anxiety disorder (87.5% vs. 22.9, χ2 = 21.02, p < .001), or posttraumatic stress disorder (PTSD) (25% vs. 0.0%, Fisher’s, p = .003). Individuals who are otherwise at high risk for suicidality have a much lower risk when they experience higher perceived social support (3.31 ± 1.36 vs. 4.96 ± 1.40, t = 4.10, df = 62, p < .001), and they have the view that suicide is somehow unacceptable (1.83 ± .10 vs. 1.89 ± .07, t = 2.76, df = 60, p = .008). Conclusions: Taken together with other studies, these data suggest that the augmentation of protective factors could play a very important role in the prevention of incidental and recurrent suicidal behavior in Arab populations, where suicidal behavior in increasing rapidly.


2010 ◽  
Author(s):  
Brian Daly ◽  
Cindy Buchanan ◽  
Kimberly Dasch ◽  
Dawn Eichen ◽  
Clare Lenhart

2019 ◽  
Author(s):  
Siobhan Hugh-Jones ◽  
Sophie Beckett ◽  
Pavan Mallikarjun

Schools are promising sites for the delivery of prevention and early intervention programs to reduce child and adolescent anxiety. It is unclear whether universal or targeted approaches are most effective. This review and meta-analysis examines the effectiveness of school-based indicated interventions and was registered with PROSPERO [CRD42018087628].MEDLINE, EMBASE, PsycINFO and the Cochrane Library were searched for randomised controlled trials comparing indicated school programs for child and adolescent anxiety to active or inactive control groups. Twenty original studies, with 2076 participants, met the inclusion criteria and 18 were suitable for meta-analysis. Sub-group and sensitivity analyses explored intervention intensity, delivery agent and control type. A small beneficial effect was found for indicated programs compared to controls on self-reported anxiety symptoms at post-test (g = -0.28, CI = -0.50, -0.05, k= 18). The small effect was maintained at 6 (g = -0.35, CI= -0.58, -0.13, k = 9) and 12 months (g = -0.24, CI = -0.48, 0.00, k = 4). Based on two studies, &gt;12 month effects were very small (g = -0.01, CI= -0.38, 0.36). No differences were found based on intervention intensity, delivery agent and control type. There was evidence of publication bias and a relatively high risk of contamination in studies. Findings support the value of school based indicated programs for child and adolescent anxiety. Effects at 12 months outperform many universal programs. High quality, randomised controlled and pragmatic trials are needed, with attention control groups and beyond 12 month diagnostic assessments are needed.


Author(s):  
V. A. Gorichny ◽  
D. Yu. Serdukov ◽  
A. V. Yazenok ◽  
A. V. Nosov ◽  
G. G. Zagorodnikov ◽  
...  

An outpatient examination of 530 employees engaged in work with chemical weapons related to organophosphorus compounds at chemically hazardous facilities was carried out. Risk factors for the development of cardiovascular diseases of atherogenic etiology among personnel of the facilities were studied in relation to the type of work performed using statistical analysis methods. When assessing the lipidogram, a high incidence of atherogenic dyslipidemia in a group of personnel involved in the storage of chemical weapons was found out in comparison with a group of people engaged in the destruction and control of chemical weapons (73.1 vs 61.2 vs 59.6%, p


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