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1.
Rev Saude Publica ; 55: 2, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33825797

RESUMO

OBJECTIVE: To estimate the prevalence of musculoskeletal symptoms and analyze their associated factors in professionals from administrative sectors working predominantly in sitting position. METHODS: This is a cross-sectional study with data obtained from 451 workers from a federal public institution in Southern Brazil. The dependent variable was the number of musculoskeletal symptoms in the prior 12 months, measured using the Nordic Musculoskeletal Questionnaire. In the analyses, 19 independent variables were investigated, divided into four categories: sociodemographic, behavioral, occupational and health characteristics. Univariate analysis and multiple Poisson regression with robust variance were performed. The independent variables were inserted into blocks with stepwise backward criterion, considering the value for Wald statistics equal to 0.20. The effect measures were expressed in a relative increase (RI) in the mean value, and the data were analyzed for a 5% significance level. RESULTS: The estimated prevalence of musculoskeletal symptoms in the prior 12 months was 90% (confidence interval - 95%CI 87-93). In the final model of regression analysis, the variables female gender (RI = 14.75%), low (RI = 100.02%) and moderate (RI = 64.06%) work ability index, use of medications (RI = 48.06%) and waist circumference at risk (RI = 15.59%) had a significant association with the increase in the mean number of symptoms; schooling with technical education acted as a protective factor, reducing the mean by 36.46%. CONCLUSIONS: The high prevalence of musculoskeletal symptoms found and the associated factors indicate the need to propose specific actions and care for this population, such as immediate treatment of symptoms and changes in the organization and work environment, to achieve balance and harmony in the demands of prolonged sitting work and avoid its impact effect of this condition on public health.


Assuntos
Pessoal Administrativo , Doenças Musculoesqueléticas , Doenças Profissionais , Postura Sentada , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Prevalência , Fatores de Risco , Inquéritos e Questionários
2.
J Back Musculoskelet Rehabil ; 34(2): 161-167, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33682695

RESUMO

BACKGROUND: Health anxiety is often associated with musculoskeletal symptoms and gender, but there are limited studies that investigate these relationships during the COVID-19 pandemic. OBJECTIVE: We aimed to compare the genders regarding health anxiety and musculoskeletal symptoms during the COVID-19 pandemic and to investigate the relationship of musculoskeletal symptoms with physical activity and health anxiety. METHODS: Assessments were performed through an online questionnaire. Eighty-five males and eighty-five females were included by matching genders in terms of age, body mass index, education level, number of days spent at home during the pandemic, and physical activity. The Short Health Anxiety Inventory, the International Physical Activity Questionnaire-Short Form, and the Nordic Musculoskeletal Questionnaire were used to assess health anxiety, physical activity, and musculoskeletal symptoms, respectively. RESULTS: Females had a higher level of health anxiety and more musculoskeletal symptoms than males (p< 0.05). There were weak to moderate correlations in females and weak correlations in males between musculoskeletal symptoms and health anxiety (p< 0.05). Also, a weak negative correlation was found between physical activity and musculoskeletal symptoms in both genders (p< 0.05). CONCLUSIONS: Females are more anxious and have more musculoskeletal symptoms during the pandemic than males. Also, health anxiety is related to musculoskeletal symptoms in both genders.


Assuntos
Ansiedade/epidemiologia , Doenças Musculoesqueléticas/epidemiologia , Pandemias , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Distribuição por Sexo , Fatores Sexuais , Inquéritos e Questionários , Turquia/epidemiologia
3.
J Occup Health ; 63(1): e12208, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33682989

RESUMO

OBJECTIVES: Work-related musculoskeletal disorders (WMSDs) are common occupational injuries for nurses. Furthermore, rotating and irregular shift work may exacerbate muscle tension and pain in nurses. The objective of this study was to examine the differences between fixed day shift (FDS) nurses and rotating and irregular shift (RS + IS) nurses in WMSDs using a systematic literature review and meta-analysis. METHODS: Databases including PubMed, CINAHL, Cochrane Library, EBSCOhost, and Google Scholar were searched for relevant studies published between 2010 and 2020 using the target keywords. RESULTS: This study obtained data on a total of 18 199 nurses, among which 12 786 comprised the RS + IS group and 5413 constituted the FDS group. The result of the heterogeneity test was Q = 79.27 (P < .001) and I squared = 57.11%, indicating that heterogeneity existed among the studies. Subgroup analyses were also conducted with four groups: neck pain (n = 1818), shoulder and upper limb pain (n = 2525), back pain (n = 11 962), and hip and lower limb pain (n = 1894). Significant differences were found between the RS + IS group and the FDS group with regard to back pain, with the forest plot presenting an odds ratio equaling 1.40 (95% CI: 1.19-1.64, P < .001). CONCLUSIONS: This meta-analysis indicated that RS + IS nurses are more likely to experience back pain associated with WMSD than are FDS nurses. The results can serve as a reference to the clinical management for work improvement and thereby reduce or prevent the adverse effects of rotating and irregular shift work on back pain experienced by nurses.


Assuntos
Doenças Musculoesqueléticas/epidemiologia , Enfermagem , Doenças Profissionais/epidemiologia , Jornada de Trabalho em Turnos , Dor nas Costas/epidemiologia , Humanos , Extremidade Inferior , Cervicalgia/epidemiologia , Dor de Ombro/epidemiologia
4.
Waste Manag ; 125: 98-102, 2021 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-33677182

RESUMO

Solid waste management is a global challenge impacting the lives of thousands of people, among them the recyclable materials waste pickers, through the separation and sale of these materials, make a living for themselves. These workers face unhealthy working conditions and are exposed to various occupational risks, which predispose the prevalence of musculoskeletal as chronic back problems. METHOD: Exploratory cross-sectional study with a semi-structured questionnaire to investigate the prevalence of back pain and related risk factors. RESULTS: 1.025 waste pickers were interviewed, and 970 records of chronic back pain were detected. Among them, 660 were women (68.04%), 310 were men (31.96%), the average age of 40.21 years; 597 were single (61.92%); 629 (64.84%) had over 11 years of work; 942 (97.11%) worked exclusively in the open dump, 899 (92.68%) with bags, 922 (95.05%) on dayshift. We found significant associations between gender (p < 0.001); age (p < 0.001); time at work (p < 0.022) and place at work (p < 0.001). After adjusting, there were higher prevalence of chronic back pain women (OR = 1.7), older age (OR = 2.64); working more than 11 years (OR = 1.09); and working on the open dump (OR = 2.8). CONCLUSION: The prevalence of subjective symptoms of musculoskeletal disorders was high. Women, over 36 years old, who worked more than 11 h a day in the open dump were more exposed to suffer from chronic back problems. The importance of urgently addressing the labor impacts related to solid waste management in developing countries to protect these workers and, especially, women involved in this work is emphasized.


Assuntos
Doenças Musculoesqueléticas , Eliminação de Resíduos , Adulto , Idoso , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Doenças Musculoesqueléticas/epidemiologia , Prevalência , Reciclagem , Fatores de Risco
5.
Artigo em Chinês | MEDLINE | ID: mdl-33535339

RESUMO

Objective: To investigate the current status of work-related musculoskeletal disorders (WMSDs) in automobile assembly workers, as well as the distribution of WMSDs at multiple sites and related influencing factors. Methods: From March to July 2019, cluster sampling was performed to select 663 male automobile assembly workers as respondents, and the musculoskeletal injury questionnaire was used to investigate their general status and working condition. A multinomial logistic regression analysis was used to analyze the influencing factors for WMSDs at multiple sites. Results: The detection rate of WMSDs within the past 7 days was 37.9% (251/663) among the automobile assembly workers, and the detection rate of WMSDs within the past 1 year was 51.9% (344/663) . Of all workers, 13.6% (90/663) had WMSDs involving only 1 site, while 38.3% (254/663) had WMSDs involving 2 or more sites. The multinomial logistic regression analysis showed that frequent turns during work was a risk factor for WMSDs involving 1-3, 4-6, and 7-9 sites (odds ratio [OR]=1.65, 2.47, and 3.65, respectively) . Repeated action of lower extremities and ankles was a risk factor for WMSDs involving 4-6 and 7-9 sites (OR=2.15 and 2.98, respectively) . Working in an uncomfortable position was a risk factor for WMSDs involving 1-3, 4-6, and 7-9 sites (OR=1.95, 2.67, and 3.04, respectively) . Prolonged standing during work was a risk factor for WMSDs involving 1-3 and 4-6 sites (OR= 1.87 and 1.79, respectively) . Working overtime was a risk factor for WMSDs involving 7-9 sites (OR=5.48) . Adequate time for rest was a protective factor against WMSDs involving 1-3 and 4-6 sites (OR=0.50 and 0.31, respectively) . Conclusion: There is a high detection rate of WMSDs in automobile assembly workers, and WMSDs at multiple sites are more common than WMSDs at a single site. Poor position and organizational management factors are risk factors for occupational WMSDs at multiple sites.


Assuntos
Doenças Musculoesqueléticas , Doenças Profissionais , Automóveis , Estudos Transversais , Humanos , Masculino , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Prevalência , Fatores de Risco , Inquéritos e Questionários
6.
Nutr. hosp ; 38(1): 128-138, ene.-feb. 2021. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-198849

RESUMO

INTRODUCCIÓN: la actividad física es una conducta relacionada con la salud que se asocia a un mayor bienestar de la población que padece enfermedades musculoesqueléticas. OBJETIVO: el objetivo es evaluar la asociación de diferentes factores de salud y estilo de vida con la actividad física en el tiempo libre de la población española que padece enfermedades musculoesqueléticas. MÉTODOS: hemos utilizado datos de la Encuesta Europea de Salud en España de 2014. La población se clasificó en función del diagnóstico médico o no de enfermedad musculoesquelética (artrosis, dolor de espalda, osteoporosis o varias de estas enfermedades). La encuesta recoge datos sobre la actividad física y otras conductas relacionadas con la salud (alimentación, consumo de alcohol y tabaco, entre otras) y otros indicadores de salud (estado de salud percibido, dolor percibido, salud mental, limitaciones físicas, entre otros). Hemos empleado modelos de regresión logística multivariante para analizar la relación entre las diferentes variables estudiadas en la población con diagnóstico de enfermedad musculoesquelética. RESULTADOS: la actividad física se asocia a la ingesta diaria de fruta y verdura, independientemente de la edad y el sexo, y al consumo diario de pescado en las mujeres mayores de 45 años. El consumo de tabaco es mayor en las mujeres y los hombres inactivos, mientras que el consumo semanal de alcohol se asocia a una mayor actividad física (excepto en las mujeres de entre 15 y 44 años). CONCLUSIONES: la actividad física habitual es una conducta que se asocia a un mejor estado de salud y un estilo de vida más saludable en la población española con enfermedad musculoesquelética


BACKGROUND: physical activity is a health-related behavior that is associated with increased well-being in people living with musculoskeletal disease. OBJECTIVE: we assessed the association of different health and lifestyle factors with physical activity in the Spanish population living with musculoskeletal disease. METHODS: we used data from the 2014 European Health Survey for Spain. The population was classified according to their musculoskeletal disease (including osteoarthritis, back pain, osteoporosis, or several of these diseases) diagnostic status. The survey collected data on habitual physical activity and other health-related behaviors (diet, alcohol and tobacco consumption, among others) and other health indicators (self-perceived health status, perceived pain, mental health, physical limitations, among others). We used multivariate logistic regression models to analyze the relationship between the different variables studied in the population living with musculoskeletal disease. RESULTS: physical activity is associated with daily fruit and vegetable intake, regardless of age and sex, and with daily fish consumption in women aged 45 years and older. Tobacco smoking is higher in inactive women and men, while weekly consumption of alcohol is associated with more physical activity (except in women aged 15-44 years). CONCLUSIONS: physical activity is a behavior associated with a better health status and healthier lifestyle in the Spanish population living with musculoskeletal disease


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Doenças Musculoesqueléticas/epidemiologia , Atividade Motora , Estilo de Vida , Espanha , Nível de Saúde , Estudos Transversais , Análise por Conglomerados , Índice de Massa Corporal , Saúde Mental , Modelos Logísticos
7.
Am J Gastroenterol ; 116(3): 530-538, 2021 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-33560650

RESUMO

INTRODUCTION: Endoscopy-related injury (ERI) is common in gastroenterologists (GI). The study aim was to assess the prevalence of self-reported ERI, patterns of injury, and endoscopist knowledge of preventative strategies in a nationally representative sample. METHODS: A 38-item electronic survey was sent to 15,868 American College of Gastroenterology physician members. The survey was completed by 1,698 members and was included in analyses. Descriptive, univariate, and multivariate analyses were conducted to evaluate the likelihood of ERI based on workload parameters and gender. RESULTS: ERI was reported by 75% of respondents. ERI was most common in the thumb (63.3%), neck (59%), hand/finger (56.5%), lower back (52.6%), shoulder (47%), and wrist (45%). There was no significant difference in the prevalence of ERI between men and women GI. However, women GI were significantly more likely to report upper extremity ERI while men were more likely to report lower-back pain-related ERI. Significant gender differences were noted in the reported mechanisms attributed to ERI. Most respondents did not discuss ergonomic strategies in their current practice (63%). ERI was less likely to be reported in GI who took breaks during endoscopy (P = 0.002). DISCUSSION: ERI is highly prevalent in GI physicians. Significant gender differences regarding specific sites affected by ERI and the contributing mechanisms were observed. Results strongly support institution of training in ergonomics for all GI as a strategy to prevent its impact on providers of endoscopy.


Assuntos
Endoscopia , Gastroenterologistas , Doenças Musculoesqueléticas/epidemiologia , Traumatismos Ocupacionais/epidemiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Ergonomia , Feminino , Gastroenterologia , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores Sexuais , Inquéritos e Questionários , Adulto Jovem
9.
JAMA Netw Open ; 4(2): e2034993, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-33555330

RESUMO

Importance: Severe maternal morbidity and mortality are important indicators of maternal health. Pregnancy rates are increasing in women with disabilities, but their risk of severe maternal morbidity and mortality is unknown, despite their significant social and health disparities. Objective: To determine the risk of severe maternal morbidity or mortality among women with a physical, sensory, or intellectual/developmental disability compared with women without disabilities. Design, Setting, and Participants: This population-based cohort study used linked health administrative data in Ontario, Canada, from 2003 to 2018. The cohort included all singleton births to women with preexisting physical, sensory, and intellectual/developmental disabilities as well as with 2 disabilities or more compared with women without a disability. Data analysis was conducted from September 2019 to September 2020. Exposures: Disabilities were identified with published algorithms applied to diagnoses in 2 physician visits or more or at least 1 emergency department visit or hospitalization. Main Outcomes and Measures: Severe maternal morbidity (a validated composite of 40 diagnostic and procedural indicators) or all-cause maternal mortality, arising between conception and 42 days post partum. Relative risks were adjusted for maternal age, parity, income quintile, rurality, chronic medical conditions, mental illness, and substance use disorders. Results: The cohort comprised women with physical disabilities (144 972 women; mean [SD] age, 29.8 [5.6] years), sensory disabilities (45 259 women; mean [SD] age, 29.1 [6.0] years), intellectual/developmental disabilities (2227 women; mean [SD] age, 26.1 [6.4] years), and 2 or more disabilities (8883 women; mean [SD] age, 29.1 [6.1] years), and those without disabilities (1 601 363 women; mean [SD] age, 29.6 [5.4] years). The rate of severe maternal morbidity or death was 1.7% (27 242 women) in women without a disability. Compared with these women, the risk of severe maternal morbidity or death was higher in women with a physical disability (adjusted relative risk [aRR], 1.29; 95% CI, 1.25-1.34), a sensory disability (aRR, 1.14; 95% CI, 1.06-1.21), an intellectual/developmental disability (aRR, 1.57; 95% CI, 1.23-2.01), and 2 or more disabilities (aRR, 1.74; 95% CI, 1.55-1.95). Similar aRRs were observed for severe maternal morbidity or death arising in pregnancy, from birth to 42 days post partum, and from 43 to 365 days post partum. Women with disabilities were more likely than those without disabilities to experience multiple severe maternal morbidity indicators. The most prevalent indicators in all groups were intensive care unit admission, severe postpartum hemorrhage, puerperal sepsis, and severe preeclampsia. Conclusions and Relevance: In this study, women with a preexisting disability were more likely to experience severe maternal morbidity or mortality. Preconception and perinatal care provisions should be considered among women with a disability to mitigate the risk of these rare but serious outcomes.


Assuntos
Pessoas com Deficiência/estatística & dados numéricos , Mortalidade Materna , Complicações na Gravidez/epidemiologia , Adulto , Estudos de Casos e Controles , Anormalidades Congênitas/epidemiologia , Deficiências do Desenvolvimento/epidemiologia , Feminino , Perda Auditiva/epidemiologia , Humanos , Deficiência Intelectual/epidemiologia , Doenças Musculoesqueléticas/epidemiologia , Doenças do Sistema Nervoso/epidemiologia , Ontário/epidemiologia , Gravidez , Transtornos Puerperais/epidemiologia , Risco , Índice de Gravidade de Doença , Transtornos da Visão/epidemiologia , Adulto Jovem
10.
Work ; 68(1): 33-43, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33459678

RESUMO

BACKGROUND: Musculoskeletal and psychosocial problems have tended to increase during the COVID-19 pandemic. OBJECTIVE: To evaluate the changes in musculoskeletal problems and psychosocial status of teachers during the COVID-19 pandemic due to online education and to investigate the effects of preventive telerehabilitation applications for musculoskeletal problems. METHODS: Forty teachers who conducted online education during the pandemic volunteered to participate in the study. All assessments were performed via online methods. The Cornell Musculoskeletal Discomfort Questionnaire (CMDQ), ProFitMap-Neck questionnaire, Oswestry Disability Index (ODI), and Upper Extremity Functional Index (UEFI) were used to evaluate musculoskeletal problems; the Beck Anxiety Inventory (BAI) and the Beck Depression Inventory (BDI) were used to evaluate anxiety and depression, respectively; and the Work-Life Balance Scale (WLBS) was used to evaluate how well individuals achieve this balance. Information about before online education, during online education, and after training was obtained with the assessments. After the first assessment, telerehabilitation, which involved presentations and brochures, was applied to 18 participants willing to participate in the training. RESULTS: The ProFitMap, UEFI, and WLBS scores during the online education decreased significantly, while the scores of the CMDQ, ODI, BDI, and BAI during the online education increased significantly compared to the pre-online education scores (p < 0.05). In addition, the total CMDQ, ProFitMap, and ODI scores improved significantly after the training (p < 0.05). CONCLUSION: Musculoskeletal and psychosocial problems increased in teachers during online education. Preventive telerehabilitation methods will be beneficial for individuals who do not have access to face-to-face physiotherapy.


Assuntos
Educação a Distância/métodos , Doenças Musculoesqueléticas/etiologia , Psicologia , Telerreabilitação/normas , Adulto , /prevenção & controle , Educação a Distância/normas , Ergonomia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/epidemiologia , Pandemias/prevenção & controle , Pandemias/estatística & dados numéricos , Medicina Preventiva/instrumentação , Medicina Preventiva/métodos , Escalas de Graduação Psiquiátrica , Inquéritos e Questionários , Telerreabilitação/instrumentação , Telerreabilitação/métodos , Turquia
11.
Mil Med ; 186(Suppl 1): 704-708, 2021 01 25.
Artigo em Inglês | MEDLINE | ID: mdl-33499457

RESUMO

INTRODUCTION: The Security Force Assistance Brigades (SFABs) are specialized units designed to strengthen allied and partnered nations through advising, supporting, liaising, and assessing in support of U.S. national security interests and combatant commanders' war fighting objectives. As the 1st SFAB was the pioneer unit, descriptive analysis of the musculoskeletal injures and body regions occurring before, during, and after deployment was previously unavailable, limiting the ability of embedded holistic health and fitness teams to proactively address the unit's musculoskeletal needs and medical readiness. MATERIALS AND METHODS: Physical therapists collected and retrospectively analyzed data from 4597 encounters over 19 months: 4 months before, 9 months during, and 4 months after deployment using descriptive statistics. RESULTS: Physical therapy encounters averaged 124 per month during pre-deployment preparation, 363 per month during deployment, and 206 per month post-deployment. The most common musculoskeletal injuries identified during pre-deployment were to the lumbar spine (31.8%), knee (18.1%), and shoulder (9.1%). The most common areas of injury during deployment were to the lumbar spine (28.4%), thoracic spine (18.3%), and shoulder (14.0%). The most common post-deployment injuries consulted were to the lumbar spine (21.3), shoulder (19.6%), and knee (17.8%). CONCLUSION: Musculoskeletal injuries are a concern that may limit medical readiness in the SFABs in the time of before, during, and after deployment. Low back pain is the primary musculoskeletal injury of the 1st SFAB throughout the entire deployment cycle. Based on these findings, recommendations include embedding injury prevention programs to address low back pain to improve medical readiness. More research is required to assess the effectiveness of these programs in reducing incidents of musculoskeletal injuries before, during, and after deployment cycles.


Assuntos
Militares , Doenças Musculoesqueléticas , Humanos , Doenças Musculoesqueléticas/epidemiologia , Fisioterapeutas , Prevalência , Estudos Retrospectivos
12.
J Foot Ankle Res ; 14(1): 4, 2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-33413562

RESUMO

BACKGROUND: Foot health problems are common in the general population, and particularly so in people with rheumatic and musculoskeletal disorders (RMD). Several clinical guidelines state that people with RMDs should have access to foot health services, although service capacity is often limited. The current COVID-19 pandemic has increased the need for alternative ways to provide patient care. The aim of this clinical audit was to review a newly implemented telephone follow-up appointment service conducted within the Rheumatology Podiatry Department in Leeds, UK. METHODS: Fifty-eight patients attending the Rheumatology Podiatry Department at Leeds Teaching Hospitals NHS Trust were contacted by telephone approximately 6-8 weeks following initial intervention. During the telephone consultation, all patients were asked pre-defined questions relating to their symptoms, intervention efficacy, the need for further appointments and their preference for the type of consultation. To assess the cost of the telephone consultation the number of attempts needed in order to make successful contact, the duration of the call and the number of telephone follow-up appointments completed in a working day were also recorded. RESULTS: Twenty-five patients (43%) were successfully contacted within the 6-8 weeks stipulated time frame and were included in the analysis. Of the 25 contacted, twelve (48%) patients were successfully contacted on the first attempt. Ten (40%) were successfully contacted on the second attempt. The remaining three patients (12%) required 3 or more attempts to make successful contact. Telephone consultations were estimated not to last longer than 10 min, including notes screening and documentation. Eleven patients (44%) reported an improvement in their symptoms, thirteen (52%) reported no change and one patient (4%) reported their symptoms to be worse. CONCLUSION: Telephone follow-up consultations may be a potentially cost-effective alternative to face-to-face appointments when implemented in a Rheumatology Podiatry Department, and provide an alternative way of providing care, especially when capacity for face-to-face contact is limited. The potential cost saving and efficiency benefits of this service are likely to be enhanced when telephone consultations are pre-arranged with patients.


Assuntos
/epidemiologia , Doenças Musculoesqueléticas/epidemiologia , Pandemias , Podiatria/organização & administração , Encaminhamento e Consulta , Telefone , Adulto , Idoso , Idoso de 80 Anos ou mais , Comorbidade , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/diagnóstico , Estudos Retrospectivos , Doenças Reumáticas/diagnóstico , Doenças Reumáticas/epidemiologia
13.
J Vasc Interv Radiol ; 32(2): 235-241, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33358387

RESUMO

Ergonomic research in the field of interventional radiology remains limited. Existing literature suggests that operators are at increased risk for work-related musculoskeletal disorders related to the use of lead garments and incomplete knowledge of ergonomic principles. Data from existing surgical literature suggest that musculoskeletal disorders may contribute to physician burnout and female operators are at a higher risk of developing musculoskeletal disorders. This review article aims to summarize the existing ergonomic challenges faced by interventional radiologists, reiterate existing solutions to these challenges, and highlight the need for further ergonomic research in multiple areas, including burnout and gender.


Assuntos
Esgotamento Profissional/prevenção & controle , Ergonomia , Doenças Musculoesqueléticas/prevenção & controle , Radiografia Intervencionista , Radiologistas , Esgotamento Profissional/epidemiologia , Feminino , Humanos , Masculino , Destreza Motora , Doenças Musculoesqueléticas/epidemiologia , Saúde do Trabalhador , Postura , Radiografia Intervencionista/efeitos adversos , Medição de Risco , Fatores de Risco , Fatores Sexuais , Fluxo de Trabalho
14.
Arch Gerontol Geriatr ; 92: 104181, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32971397

RESUMO

OBJECTIVES: This study evaluated clinical and cardiometabolic markers associated with relative hand-grip strength (HGS), and investigated odds ratios (ORs) for chronic cardiometabolic and musculoskeletal diseases according to relative HGS. METHODS: This cross-sectional observational study enrolled subjects from the Korea National Health and Nutrition Examination Survey who were 50 years and older (N = 2451). Information on chronic diseases was taken by individual surveys and other proper criteria were applied for undiagnosed subjects. Absolute HGS was calculated from the maximal bilateral HGS (kg) as measured by a dynamometer and relative HGS was calculated by dividing absolute HGS by body mass index (BMI). Associated clinical and cardiometabolic markers to relative HGS were investigated and ORs for chronic diseases according to relative HGS tertiles were estimated from multivariate linear or logistic regression analyses. RESULTS: The mean relative HGS (kg/BMI) was 3.1 ± 0.6 for men and 1.9 ± 0.5 for women. Insulin-resistance parameters and high-sensitivity C-reactive protein were negatively and high-density lipoprotein cholesterol was positively related with relative HGS in both sexes adjusting for age and lifestyle factors, while systolic blood pressure showed negative relationship in women. High ORs for various chronic diseases were observed in the lowest relative HGS tertile of both sexes, but high OR for hyperlipidemia was observed only in women. CONCLUSIONS: Relative HGS is a convenient measure for overall muscle strength according to body size and may have an influence on chronic disease development or aggravation. Thus, relative HGS might be a cost-effective and useful tool to screen for prevalent chronic diseases in elderly population.


Assuntos
Doenças Cardiovasculares , Doenças Musculoesqueléticas , Idoso , Doenças Cardiovasculares/epidemiologia , Estudos Transversais , Feminino , Força da Mão , Humanos , Masculino , Doenças Musculoesqueléticas/epidemiologia , Inquéritos Nutricionais , República da Coreia/epidemiologia
16.
Artigo em Inglês | MEDLINE | ID: mdl-33322079

RESUMO

Supermarket cashiers face a significant amount of stress, including time constraints, mental pressure, and physical demands that require repetitive movements. The job description of a supermarket cashier involves work-related risk factors that may lead to musculoskeletal disorder (MSD) symptoms. This study aimed to investigate supermarket cashiers to determine the prevalence of MSD symptoms and their quality of life. Data were collected from a convenience sample of supermarket cashiers working in Saudi Arabia. Information included direct questions on pain in the previous 12 months, demographic data, and health- or occupation-related factors. Moreover, data was collected based on the 36-item short form survey (SF-36), and descriptive statistics were computed. A total of 193 supermarket cashiers participated in this study. The sample included 140 men (72.5%) and 53 women (27.5%), with a mean age of 27.2 ± 6.4 years. The majority of the participants (90%) had MSD symptoms in at least one body region, with the neck (66.84%) and lower back (65.80%) constituting the most prominent regions. The mean SF-36 scores were higher in participants without pain compared to participants with pain in all domains, except for the physical functioning domain. The high prevalence of MSD symptoms among young cashiers suggest the need for additional investigations to determine the risk factors of these disorders. Additionally, this study recommends preventive procedures to reduce the prevalence of MSD symptoms among cashiers.


Assuntos
Doenças Musculoesqueléticas , Doenças Profissionais , Qualidade de Vida , Adulto , Criança , Feminino , Humanos , Masculino , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Prevalência , Fatores de Risco , Arábia Saudita/epidemiologia , Autorrelato , Inquéritos e Questionários , Adulto Jovem
17.
J Environ Public Health ; 2020: 9793425, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33376494

RESUMO

Environmental influence is one of the attributing factors for health status. Chronic interaction with electronic display technology and lack of outdoor activities might lead to health issues. Given the concerns about the digital impact on lifestyle and health challenges, we aimed to investigate the daily activity inclination and health complaints among the Malaysian youth. A self-administered questionnaire covering lifestyle and health challenges was completed by 220 youths aged between 16 and 25. There were a total of 22 questions. Seven questions inspected the patterns of indoor and outdoor activities. Fifteen questions focused on the visual and musculoskeletal symptoms linked to both mental and physical health. The total time spent indoors (15.0 ± 5.4 hours/day) was significantly higher than that spent outdoors (2.5 ± 2.6 hours/day) (t = 39.01, p < 0.05). Total time engrossed in sedentary activities (13.0 ± 4.5 hours/day) was significantly higher than that in nonsedentary activities (4.5 ± 3.8 hours/day) comprised of indoor sports and any outdoor engagements (t = 27.10, p < 0.05). The total time spent on electronic related activities (9.5 ± 3.7 hours/day) was were higher than time spent on printed materials (3.4 ± 1.6 hours/day) (t = 26.01, p < 0.05). The association of sedentary activities was positive in relation to tired eyes (χ 2 = 17.58, p < 0.05), sensitivity to bright light (χ 2 = 12.10, p < 0.05), and neck pain (χ 2 = 17.27, p < 0.05) but negative in relation to lower back pain (χ 2 = 8.81, p < 0.05). Our youth spent more time in building and engaged in sedentary activities, predominantly electronic usage. The health-related symptoms, both visual and musculoskeletal symptoms, displayed a positive association with a sedentary lifestyle and a negative association with in-building time.


Assuntos
Estilo de Vida , Saúde da População Urbana/estatística & dados numéricos , Adolescente , Feminino , Humanos , Malásia/epidemiologia , Masculino , Doenças Musculoesqueléticas/epidemiologia , Tempo de Tela , Comportamento Sedentário , Transtornos da Visão/epidemiologia , Adulto Jovem
18.
Artigo em Inglês | MEDLINE | ID: mdl-33348698

RESUMO

This study examined the relationship of musculoskeletal symptoms with exposure to a combination of ergonomic risk factors at work and the possible ameliorating effect of enough time to rest during working hours or between consecutive shifts in Korean workers. Data were from the 2017 Korean Working Conditions Survey. Workers exposed to ergonomic risk factors were more likely to report musculoskeletal symptoms than those without exposure, and exposure to more ergonomic risk factors increased the probability of musculoskeletal symptoms. Workers who had the opportunity to rest when desired and those who had enough time to rest between consecutive shifts were less likely to report musculoskeletal symptoms. In conclusion, workers exposed to more ergonomic risk factors had an increased risk for musculoskeletal symptoms, and providing enough time to rest and recovery to workers reduced the risk of musculoskeletal symptoms.


Assuntos
Ergonomia , Doenças Musculoesqueléticas/epidemiologia , Doenças Musculoesqueléticas/etiologia , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , República da Coreia/epidemiologia , Fatores de Risco
19.
Artigo em Inglês | MEDLINE | ID: mdl-33352725

RESUMO

Brazil is the leader in poultry meat exports, in which most products are in the form of cuts. This study analyzed the exertion perception of poultry slaughterhouses workers when performing cutting tasks, as well as the influence of knife sharpness on the risk of developing musculoskeletal disorders by Occupational Repetitive Action (OCRA) method. Participants (n = 101) from three slaughterhouses were asked to rate their perceived exertion on the Borg scale during the cutting task when the knife was well and poorly sharpened. The OCRA results showed that the score for cutting with a dull knife was greater (43.57 ± 13.51) than with a sharp knife (23.79 ± 3.10) (p < 0.001). Consequently, there was a significant increase in the risk level of acquiring upper-limb work-related musculoskeletal disorders (UL-WMSD) by using a "poorly sharpened" knife (29%; p < 0.001; Borg scale 2-8). Thus, maintaining well-sharpened knives for optimal performance of the cutting task (fewer technical actions) is suggested, as well as including knife sharpening in the standard operating procedure to reduce musculoskeletal disorders.


Assuntos
Matadouros , Indústria de Embalagem de Carne , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Esforço Físico , Adolescente , Adulto , Animais , Brasil/epidemiologia , Ergonomia , Humanos , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/etiologia , Doenças Profissionais/etiologia , Percepção , Aves Domésticas , Medição de Risco , Adulto Jovem
20.
Cent Eur J Public Health ; 28 Suppl: S06-S11, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33069174

RESUMO

OBJECTIVES: The authors evaluate situation in the field of musculoskeletal disorders (MSDs) and working risk factors in the Czech Republic. METHODS: Analysis of selected data from the Czech National Registry of Occupational Diseases during 2008-2018, description of criteria for recognition of occupational MSDs and risk factors associated with MSDs. RESULTS: 6,152 cases of 6 selected recognized occupational musculoskeletal diseases represent 47% of all recognized occupational diseases. The main proportion formed diseases of peripheral nerves in the extremities in terms of compressive neuropathies due to long-term and stereotyped overload, diseases of tendons, tendon capsules or insertions of muscles or joints in the extremities due to long-term and stereotyped overload and diseases of peripheral nerves in the upper extremities in terms of ischaemic and compressive neuropathies due to work with vibrating tools and devices. The authors discussed decreasing trend of the exposure time in three main diagnoses and association of the incidence of MSDs with the risky work related to overload of the musculoskeletal system of the upper extremities. CONCLUSIONS: Important factors for the prevention of MSDs are directly related to the technical provision of production, the organization of work and the regime of work and rest, the length of working hours and the setting of production standards, and generally to the work related stress.


Assuntos
Doenças Musculoesqueléticas , Doenças Profissionais , República Tcheca/epidemiologia , Humanos , Incidência , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Fatores de Risco
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