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Correlation between toe brachial index and walking ability in peripheral arterial disease with type 2 diabetes mellitus 2型糖尿病外周动脉病变患者脚趾肱指数与行走能力的相关性研究
Pub Date : 2023-10-31 DOI: 10.1186/s43161-023-00155-6
Esha Arora, Hrishikesh Yadav, G. Arun Maiya, Tom Devasia, Ram Bhat, Ganesh Kamath
Abstract Background The primary symptom of peripheral arterial disease (PAD) is intermittent claudication and the most common non-invasive diagnostic method is ankle brachial index. Peripheral arterial disease is usually accompanied by various other co-morbidities like type 2 diabetes mellitus, hypertension, and hypercholesterolemia. Literature suggests that when peripheral arterial disease is accompanied by type 2 diabetes mellitus, the ankle-brachial index can be falsely elevated due to medial calcification of the arteries. Therefore, an assessment of microcirculation using the toe brachial index is needed to diagnose PAD in these individuals. It has been well established that walking ability and ankle-brachial index are correlated in peripheral arterial disease. However, there is a dearth of literature on whether there is a correlation between toe brachial index (TBI) and walking ability. Therefore, the objective of the study is to find the correlation between toe brachial index and walking ability in type 2 diabetes mellitus with peripheral arterial disease. A total of 1485 participants were screened for the study, among which 133 met the inclusion criteria. Informed consent was obtained and the included participants were assessed for their demographic details. Toe brachial index was performed with the help of Doppler and 6-min walk test was performed to measure the claudication in the participants. Results In the present study of 133 participants, we found a strong positive correlation between toe brachial index and 6-min walk distance ( r = 0.911 p value < 0.05). The walking ability is directly proportional to the TBI, i.e., the lesser the values of TBI, the lesser the walking distance covered in peripheral arterial disease with type 2 diabetes mellitus. Conclusion The present study concludes that there is a strong positive correlation between toe brachial index and 6-min walk distance.
摘要背景外周动脉疾病(PAD)的主要症状是间歇性跛行,最常用的无创诊断方法是踝肱指数。外周动脉疾病通常伴有各种其他合并症,如2型糖尿病、高血压和高胆固醇血症。文献提示,当外周动脉疾病合并2型糖尿病时,踝肱指数可因动脉内侧钙化而错误升高。因此,需要使用脚趾肱指数评估微循环来诊断这些个体的PAD。行走能力与踝肱指数在外周动脉疾病中的相关性已被证实。然而,关于脚趾肱指数(TBI)与行走能力之间是否存在相关性的文献很少。因此,本研究的目的是寻找2型糖尿病合并外周动脉疾病患者的趾肱指数与行走能力的相关性。共筛选了1485名参与者,其中133人符合纳入标准。获得知情同意,并评估纳入的参与者的人口统计细节。在多普勒的帮助下测量脚趾肱指数,并进行6分钟步行测试来测量参与者的跛行。结果在133名参与者的研究中,我们发现脚趾肱指数与6分钟步行距离呈正相关(r = 0.911 p值<0.05)。步行能力与TBI成正比,即TBI值越小,2型糖尿病外周动脉病变患者步行距离越小。结论趾肱指数与6 min步行距离呈正相关。
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引用次数: 0
Evaluation of functional aerobic exercise capacity among chronic e-cigarette users compared to combustible cigarette smokers and non-smokers: a comparative study 评价慢性电子烟使用者与可燃香烟吸烟者和非吸烟者的功能性有氧运动能力:一项比较研究
Pub Date : 2023-10-20 DOI: 10.1186/s43161-023-00154-7
Heba Ammar, Rania Hashish, Shrouk Mohamed Ali, Ahmed Salem, Abeer Hagras
Abstract Background Electronic cigarettes or e-cigarettes have gained significant popularity as an alternative to traditional combustible tobacco smoking particularly among the youth. Although there is a growing prevalence of e-cigarette usage, the effects on cardiovascular function and physical capacity have not been adequately studied. The toxic products in combustible tobacco cigarettes negatively impact functional exercise capacity. However, the available data regarding the effect of e-cigarette use on functional exercise capacity are scarce. Thus, in the current study, we aimed to evaluate the functional aerobic exercise capacity among chronic e-cigarette users compared to combustible cigarette smokers and non-smokers. Results This comparative, cross-sectional study was conducted on 105 healthy volunteers. Participants were assigned into three study groups each consisting of 35 participants: chronic e-cigarette users, combustible cigarette smokers, and a non-smoker control group. Basal demographic and clinical data were similar in all groups. Mean heart rates and respiratory rates were significantly higher among e-cigarette smokers and combustible cigarette smokers compared to non-smoker controls ( p < 0.001). Chronic e-cigarette users and combustible cigarette smokers had shorter 6-MWT distances compared to non-smokers (508.3, 488, and 616.6 m, respectively, p < 0.001). Borg scale scores after performing the six-minute walking test were significantly higher in chronic e-cigarette users and combustible cigarette smokers groups compared to non-smokers, where perceived exertion (4.9, 5.5, 2.1, respectively, p < 0.001), dyspnea (5.7, 6.5, 0.1, respectively, p < 0.001) and leg fatigue (4.2, 5.4, 1.4, respectively, p < 0.001). Conclusion In this cross-sectional study, significant evidence demonstrates that e-cigarette use is not harmless. This was particularly presented in apparently healthy e-cigarette users in comparison to the healthy non-smoker control group. Chronic e-cigarette use is associated with reduced functional capacity compared to non-smoker controls. This was signified by decreased 6MWT walking distances, higher Borg scale scores, and lower oxygen saturation percentages among the chronic electronic cigarette users as compared to non-smoker controls after performing the six-minute walking test. All the evaluated parameters in the current study were similarly reduced among both the e-cigarette users group and the combustible cigarette smokers group compared to non-smokers with no statistically significant differences between both smoker groups.
电子烟或电子烟作为传统可燃烟草吸烟的替代品,特别是在年轻人中获得了显著的普及。尽管电子烟的使用越来越普遍,但对心血管功能和身体能力的影响尚未得到充分研究。可燃卷烟中的有毒物质对功能性运动能力产生负面影响。然而,关于电子烟使用对功能性运动能力的影响的现有数据很少。因此,在当前的研究中,我们旨在评估慢性电子烟使用者与可燃香烟吸烟者和非吸烟者相比的功能性有氧运动能力。结果对105名健康志愿者进行了横断面对比研究。参与者被分配到三个研究组,每个研究组由35人组成:长期电子烟使用者,可燃香烟吸烟者和不吸烟的对照组。各组的基本人口学和临床资料相似。与不吸烟的对照组相比,电子烟吸烟者和可燃香烟吸烟者的平均心率和呼吸频率明显更高(p <0.001)。与不吸烟者相比,长期电子烟使用者和可燃香烟吸烟者的6-MWT距离更短(分别为508.3米、488米和616.6米)。0.001)。在进行6分钟步行测试后,慢性电子烟使用者和可燃香烟吸烟者组的博格量表得分明显高于非吸烟者,后者的感知运动得分分别为4.9、5.5、2.1,p <0.001),呼吸困难(分别为5.7、6.5、0.1,p <0.001)和腿部疲劳(分别为4.2、5.4、1.4,p <0.001)。在这项横断面研究中,有重要证据表明电子烟的使用并非无害。与健康的非吸烟者对照组相比,这在明显健康的电子烟使用者中表现得尤为明显。与非吸烟者相比,长期使用电子烟与功能能力下降有关。在进行6分钟步行测试后,与非吸烟者相比,慢性电子烟使用者的6MWT步行距离减少,博格量表得分更高,氧饱和度百分比更低。与不吸烟者相比,当前研究中电子烟使用者组和可燃香烟吸烟者组的所有评估参数都类似地降低,两组吸烟者之间没有统计学上的显著差异。
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引用次数: 0
Characteristics of low back pain and its associated factors among healthcare providers at a tertiary hospital in Sylhet city: a cross-sectional study Sylhet市一家三级医院医护人员腰痛特征及其相关因素:一项横断面研究
Pub Date : 2023-10-19 DOI: 10.1186/s43161-023-00152-9
Mohammad Jahirul Islam, Sohel Ahmed, Khandaker Md Kamrul Islam, Muhammad Abdullah Al Mamun, Shankar Kumar Roy, Shishir Ranjan Chakraborty
Abstract Background Healthcare providers serve as the backbone of the healthcare system, yet they frequently have low back pain (LBP) due to ergonomic factors. Therefore, the objective of this research was to identify the characteristics of LBP and its associated factors among healthcare providers in Bangladesh. Methodology In this cross-sectional study, 310 medical providers, both male and female, participated. An interviewer-administered questionnaire was used to evaluate data regarding different measures of LBP. The chi-square test and descriptive statistics were used to evaluate the data. To identify the predicted risk factor for LBP, binary logistic regression was performed. Result A total of 51.9% of healthcare providers reported having LBP at least once a day in the past 12 months, 25.8% had chronic LBP, 18.1% had to take time off work due to LBP, and 57.89% had received combination medication and physiotherapy in the previous 12 months. The advanced age (41–59 years) adjusted odds ratio (AOR) = 1.83, 95% confidence interval (CI) = 1.04–3.22; p = 0.034), lifting objects ( AOR = 2.00, 95% CI = 1.06–3.78; p = 0.032), awkward position ( AOR = 6.54, 95% CI = 3.04–14.10; p = 0.001), physical exercise ( AOR = 3.81, 95% CI = 2.23–6.52; p = 0.001), and comorbidities ( AOR = 1.79, 95% CI = 1.00–3.20) were predictors for developing LBP at least once in the past 12 months. Conclusion According to this study, more than half of healthcare professionals reported having LBP at least once in the previous 12 months. Good working posture, ergonomic knowledge, and safe lifting techniques are essential to getting rid of this problem. In addition, good medical attention and regular exercise are required.
摘要背景:医疗服务提供者是医疗保健系统的骨干,但由于人体工程学因素,他们经常出现腰痛(LBP)。因此,本研究的目的是确定孟加拉国医疗保健提供者中腰痛的特征及其相关因素。在这项横断面研究中,共有310名男性和女性医疗服务提供者参与。一份由访谈者填写的问卷被用来评估关于不同腰痛测量的数据。采用卡方检验和描述性统计对资料进行评价。为了确定LBP的预测危险因素,进行了二元逻辑回归。结果51.9%的医务人员报告在过去12个月内每天至少发生一次腰痛,25.8%的医务人员患有慢性腰痛,18.1%的医务人员因腰痛而请假,57.89%的医务人员在过去12个月内接受过药物和物理联合治疗。高龄(41 ~ 59岁)校正优势比(AOR) = 1.83, 95%可信区间(CI) = 1.04 ~ 3.22;p = 0.034)、起重物体(AOR = 2.00, 95% CI = 1.06 ~ 3.78;p = 0.032),体位尴尬(AOR = 6.54, 95% CI = 3.04-14.10;p = 0.001)、体育锻炼(AOR = 3.81, 95% CI = 2.23-6.52;p = 0.001),合并症(AOR = 1.79, 95% CI = 1.00-3.20)是过去12个月内发生LBP至少一次的预测因素。根据这项研究,超过一半的医疗保健专业人员报告在过去的12个月内至少有过一次腰痛。良好的工作姿势,人体工程学知识和安全的起重技术是摆脱这个问题的关键。此外,良好的医疗照顾和定期锻炼是必要的。
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引用次数: 0
Correlation between speed and agility with an influence of gender in adolescent Kho-Kho players—an observational study 青少年Kho-Kho运动员速度、敏捷性与性别影响的相关性观察研究
Pub Date : 2023-10-19 DOI: 10.1186/s43161-023-00148-5
Charuhasini Mahapatra, Abhishek Abhinandan
Abstract Background Adolescent girls who participate in sports have injuries 4–6 times greater as compared to boys. Several factors are responsible for the injuries are as anatomical, biomechanical, hormonal, and some extrinsic factors. The ideal level of motor characteristics, including speed, endurance, agility, and flexibility, determines how well a player performs in Kho-Kho. Speed and agility are two major components for better Kho-Kho performance. This study aimed to evaluate the correlation between speed and agility with an influence on gender in Kho-Kho players. Method A total of 75 participants (boys 34 and girls 41) Kho-Kho players in the age groups 11–17 years were included in the study based on selection criteria. For the agility-modified T test for speed, a 50-m Dash test was done. Results Pearson’s correlation was used to analyze the collected data. The results indicated a moderate correlation between agility and speed in both genders ( r = 0.404, p = 0.001), but in boys specifically, it showed a moderate correlation( r = 0.586, p = 0.001) and in girls, it showed a weak correlation ( r = 0.267, p = 0.095). Conclusion It can be concluded from the results of this study that there is a moderate correlation between speed and agility in Kho-Kho players, but boys have a moderate and girls have a weak correlation this indicates combining both genders and a particular gender also shows a weak to moderate correlation between speed and agility in adolescent Kho-Kho players.
参加体育运动的青春期女孩受伤的几率是男孩的4-6倍。造成损伤的因素有解剖学、生物力学、激素和一些外在因素。理想水平的运动特性,包括速度、耐力、敏捷性和灵活性,决定了玩家在Kho-Kho中的表现。速度和敏捷性是提高Kho-Kho性能的两个主要组成部分。本研究的目的是评估Kho-Kho运动员的速度和敏捷性与性别之间的相关性。方法选取年龄11 ~ 17岁的75名Kho-Kho选手,其中男34名,女41名。对于速度的敏捷性修正T检验,进行了50米短跑测试。结果采用Pearson相关法对收集的资料进行分析。结果表明,敏捷性与速度在两性中呈中等相关性(r = 0.404, p = 0.001),但在男生中呈中等相关性(r = 0.586, p = 0.001),在女生中呈弱相关性(r = 0.267, p = 0.095)。结论从本研究的结果可以看出,弹拨运动员的速度与敏捷性之间存在着中等的相关关系,但男孩有中等的相关关系,女孩有弱的相关关系。这表明,结合性别和特定性别,青少年弹拨运动员的速度与敏捷性之间也存在着弱至中等的相关关系。
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引用次数: 0
Knowledge, attitude, and perception of Nigerian-based physiotherapists on the utilization of musculoskeletal ultrasound imaging in the clinical management of musculoskeletal conditions 尼日利亚物理治疗师对肌肉骨骼超声成像在肌肉骨骼疾病临床管理中的应用的知识、态度和看法
Pub Date : 2023-10-18 DOI: 10.1186/s43161-023-00153-8
Chidiebele Petronilla Ojukwu, Emelie Moris Anekwu, Zimuzor Ude-Bassey, Chioma Linda Onuchukwu, Stephen Sunday Ede, Sylvester Caesar Chukwu, Adaora Justina Okemuo, Joseph C. Eze, Chinelo Jennifer Okafor
Abstract Background Musculoskeletal ultrasound imaging (MSUI) is an efficient monitoring and re-evaluation tool used for the management of musculoskeletal conditions in several clinical domains. Its utilization among physiotherapists, particularly in African countries, is yet to be explored. Objective This study investigated the knowledge, attitude, and perception of physiotherapists on the utilization of MSUI in the clinical management of musculoskeletal conditions. Methods One hundred and ninety-two consenting Nigerian-based physiotherapists practicing in public and private health institutions participated in this cross-sectional survey. They responded to a three-sectioned structured questionnaire, investigating socio-demographic and occupational characteristics, knowledge, attitude, and utilization of MSUI for the management of musculoskeletal conditions. Data were analyzed with descriptive statistics and Pearson’s chi-square test at a significant level of 0.05. Results The majority (79.2%) of the respondents had positive knowledge of MSUI and its benefits as a clinical modality for managing MSCs. However, only 4.2% had utilized MSUI in clinical practice. Non-utilization of MSUI was commonly attributed to a lack of access to MSUI (60.3%) and its unavailability in most diagnostic centers (42.9%). Almost all (99.0%) of them agreed to the necessity for increased availability of MSUI to physiotherapists for enhancement of physiotherapy interventions in the management of MSCs. Conclusion Knowledge of MSUI among Nigerian-based physiotherapists is adequate, but its utilization as a clinical tool is poor. Improved availability of MSUI to physiotherapists is necessary as well as specialty training on the utilization and interpretation of MSUI.
摘要背景:在多个临床领域,肌肉骨骼超声成像(MSUI)是一种有效的监测和再评估工具,用于肌肉骨骼疾病的管理。它在物理治疗师中的应用,特别是在非洲国家,还有待探索。目的了解物理治疗师对MSUI在肌肉骨骼疾病临床治疗中的应用的知识、态度和认知。方法192名在尼日利亚公立和私立医疗机构执业的物理治疗师参与了本横断面调查。他们回答了一份分为三部分的结构化问卷,调查了社会人口统计学和职业特征、知识、态度以及MSUI在肌肉骨骼疾病管理中的应用。数据分析采用描述性统计和Pearson卡方检验,显著水平为0.05。结果大多数(79.2%)的受访者对MSUI及其作为治疗间充质干细胞的临床方式的益处有积极的认识。然而,只有4.2%的患者在临床实践中使用了MSUI。不使用MSUI通常归因于缺乏获得MSUI的途径(60.3%)和大多数诊断中心无法获得MSUI(42.9%)。几乎所有(99.0%)的人都同意有必要增加MSUI对物理治疗师的可用性,以加强MSCs管理中的物理治疗干预。结论尼日利亚物理治疗师对MSUI的认识是充分的,但作为临床工具的使用率较低。提高MSUI对物理治疗师的可用性以及对MSUI的使用和解释进行专业培训是必要的。
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引用次数: 0
Exploring rehabilitation options and resources of support for stroke survivors in Eldoret, Kenya: qualitative study 探索康复方案和资源,支持中风幸存者在埃尔多雷特,肯尼亚:定性研究
Pub Date : 2023-10-18 DOI: 10.1186/s43161-023-00149-4
Naomi Wanjiru Kingau
Abstract Background Stroke is a major cause of death and disability in adults globally. Most post-stroke survivors experience various impairments which requires rehabilitation. Likewise, returning home after a stroke represents challenging moments full of struggle. This study, therefore, explores options of rehabilitation and resources of support for stroke survivors in Eldoret, Kenya. Method A qualitative descriptive approach was used to conduct the study. The study utilised semi-structured interviews. Fifteen dyads of stroke survivors (10 men and 5 women; aged 40–75 years) were enrolled from a rehabilitation outpatient clinic (Medical Park Physical Therapy) in Eldoret, Kenya. Interviews were conducted at the patients’ house, and an inductive approach was used to enable thematic content analysis. Results Two dominant themes and several categories emerged from the participants; these included the following: (1) rehabilitation services available for stroke survivors and (2) resources of support. Conclusions The study found that stroke units are only available at the national hospitals and not accessible to many. Patients receive physiotherapy and occupational therapy services during hospital stay but has poor access post discharge. Transport, distance, and lack of finances have been highlighted as the main challenges. There is scarcity of speech therapist as well as advanced orthotics for stroke rehabilitation. From a clinical perspective, healthcare system should be better structured to accommodate continuity of care post discharge for stroke survivors.
脑卒中是全球成年人死亡和残疾的主要原因。大多数中风后的幸存者都会经历各种需要康复的损伤。同样,中风后回家也代表着充满挑战的时刻。因此,本研究探讨了肯尼亚埃尔多雷特中风幸存者的康复选择和支持资源。方法采用定性描述方法进行研究。该研究采用了半结构化访谈。15对中风幸存者(10男5女;年龄40-75岁)从肯尼亚埃尔多雷特的一家康复门诊(医学公园物理治疗)登记入组。在患者家中进行访谈,并采用归纳方法进行主题内容分析。结果:参与者产生了两个主导主题和多个类别;其中包括:(1)为中风幸存者提供的康复服务和(2)支持资源。结论:研究发现卒中治疗单元仅在国立医院提供,并不是很多医院都可以使用。患者在住院期间接受物理治疗和职业治疗服务,但出院后获得的服务却很少。交通、距离和缺乏资金被强调为主要挑战。中风康复的语言治疗师和高级矫形器都很缺乏。从临床角度来看,医疗保健系统应该更好地适应中风幸存者出院后护理的连续性。
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引用次数: 0
Relationship of functional movement screening with balance and flexibility in adult nonathletes—an observational study 成人非运动员功能运动筛查与平衡和柔韧性的关系——一项观察性研究
Pub Date : 2023-10-18 DOI: 10.1186/s43161-023-00151-w
Charuhasini Mahapatra, Joseph Oliver Raj Alexander
Abstract Background The functional movement screening (FMS), Flamingo balance, Y balance, and sit and reach tests are the screening tools for fundamental movement patterns, balance, and flexibility, respectively; the latter three tests are components of quantifying fitness levels. Functional movement screening is used to measure the quality of movement, and it is an injury risk predictor. There are several studies done to find the correlation between functional movement screening and fitness parameters in athletes but has not been studied much in non-athlete population. The aim of this study is to determine the correlation between functional movement screening with static and dynamic balance and flexibility in healthy adult nonathletes, and to find gender differences, if any. Method A total of 65 healthy nonathletes in the age group 18 to 27 years were included in the study based on the selection criteria. The functional movement screening, Y-balance test, Flamingo balance test, and sit and reach test were done for all participants. Results Pearson’s correlation was used to analyze the collected data. The results indicated a poor correlation between FMS and fitness parameters. These are FMS and Y-balance test left and right side ( r = 0.216, 0.144, p = 0.084, 0.251), FMS with Flamingo balance test left and right side ( r = 0.071, 0.197 p = 0.575, 0.115), and FMS with sit and reach test ( r = 0.006, p = 0.961). Conclusion The results showed that functional movement screening and balance (Flamingo and Y balance) and sit and reach cannot be used interchangeably as they do not have any strong correlation. The results of the study also indicate that using only one of the tools cannot predict injury risk in healthy individuals. They have to be used in conjunction with each other.
功能运动筛查(functional movement screening, FMS)、Flamingo balance、Y平衡和坐下及伸及测试分别是基本运动模式、平衡和柔韧性的筛查工具;后三项测试是量化健康水平的组成部分。功能运动筛查用于衡量运动质量,是一种损伤风险预测指标。已经有一些研究发现功能性运动筛查与运动员体能参数之间的相关性,但对非运动员人群的研究还不多。本研究的目的是确定功能运动筛查与健康成年非运动员静态和动态平衡和柔韧性之间的相关性,并发现性别差异,如果有的话。方法选取年龄在18 ~ 27岁的健康非运动员65例为研究对象。对所有受试者进行功能运动筛查、y型平衡测试、火烈鸟平衡测试、坐及够及测试。结果采用Pearson相关法对收集的资料进行分析。结果表明,FMS与适应度参数的相关性较差。分别是FMS和y -平衡试验左右侧(r = 0.216, 0.144, p = 0.084, 0.251), FMS和Flamingo平衡试验左右侧(r = 0.071, 0.197, p = 0.575, 0.115), FMS和坐下及到达试验(r = 0.006, p = 0.961)。结论功能性运动筛选与平衡(Flamingo和Y平衡)与坐与够不能互换使用,两者之间没有很强的相关性。研究结果还表明,仅使用其中一种工具无法预测健康个体的受伤风险。它们必须相互配合使用。
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引用次数: 0
Prevalence of pelvic floor dysfunction and associated risk factors among Nulligravida college students: a cross-sectional study 盆底功能障碍患病率及相关危险因素在纽利格拉维达大学学生:一项横断面研究
Pub Date : 2023-10-16 DOI: 10.1186/s43161-023-00147-6
Ayoola Ibifubara Aiyegbusi, Desire Ifeoma Eze, Oluwaseyi Jessy Balogun, Joseph Ayodeji Olamijulo
Abstract Background Pelvic floor dysfunction (PFD) is a global health problem affecting millions of women worldwide. Vaginal childbirth has been reported to be the most important factor in the etiology of PFD though a prior study also reported a high prevalence of PFD in nulliparous women. Some previous studies had suggested Urinary incontinence before pregnancy as a major risk factor for incontinence later in life, thus prevention of PFD has become a major priority in women’s health, and identification of women at risk is a key element in current prevention strategies It is therefore necessary to investigate the prevalence and risk factors for PFD in Nulligravida women who have never been pregnant to enable preventative measures especially as it regards lifestyle modification. Methods Participants were 160 Nulligravida students aged between 17 and 26 years. They were screened for pelvic floor dysfunction using an Australian pelvic floor questionnaire which assessed their bladder function, bowel function, pelvic organ prolapse, and sexual function. Descriptive statistics of frequency and percentage were used to summarize categorical variables. Univariate analysis of Fisher’s exact test and Wilcoxon rank-sum test were conducted to show the association of categorical and continuous variables with pelvic floor dysfunction (PFD) respectively. The risk factors of PFD with p values < 0.05 were considered significant. All analyses were performed using R Statistical Computing Programming version 4.2.2. Results The prevalence of having at least one of any of the PFD was 73.1% while the prevalence of bladder, bowel, prolapse, and sex dysfunction were 25.63% (41/160), 53.75% (86/160), 1.88% (3/160), and 23.13% (37/160) respectively. BMI was not a significant risk factor for any type of PFD while multi-variable logistic regression identified the level of study, height, history of UTI, and non-sport participation as significant ( p < 0.05) risk factors for at least one type of PFD with Odd ratio of 4.91, > 100, 8.47, and 2.86 respectively. Conclusion There is high prevalence of PFD among Nulligravida students, with non-participation in sports and history of urinary tract infections being the main significant risk factors.
盆底功能障碍(PFD)是一个全球性的健康问题,影响着全世界数百万妇女。据报道,阴道分娩是PFD病因学中最重要的因素,尽管先前的一项研究也报道了PFD在未分娩妇女中的高患病率。先前的一些研究表明,孕前尿失禁是以后生活中尿失禁的主要危险因素,因此预防PFD已成为妇女健康的主要优先事项,识别有风险的妇女是当前预防策略的关键因素。因此,有必要调查从未怀孕的Nulligravida妇女PFD的患病率和危险因素,以便采取预防措施,特别是在生活方式改变方面。方法研究对象为160名17 ~ 26岁的Nulligravida学生。他们使用澳大利亚盆底问卷进行盆底功能障碍筛查,该问卷评估了他们的膀胱功能、肠道功能、盆腔器官脱垂和性功能。使用频率和百分比的描述性统计来总结分类变量。采用Fisher精确检验和Wilcoxon秩和检验进行单因素分析,分别显示分类变量和连续变量与盆底功能障碍(PFD)的相关性。PFD的危险因素与p值<0.05为显著性。所有分析均使用R统计计算程序设计4.2.2版进行。结果至少有一种疾病的患病率为73.1%,膀胱、肠、脱垂和性功能障碍的患病率分别为25.63%(41/160)、53.75%(86/160)、1.88%(3/160)和23.13%(37/160)。BMI不是任何类型PFD的显著危险因素,而多变量logistic回归发现,学习水平、身高、尿路感染史和非运动参与是显著的(p <0.05)至少一种PFD的危险因素,奇数比为4.91,>分别为100、8.47和2.86。结论我校学生PFD患病率较高,不参加体育运动和有尿路感染史是主要危险因素。
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引用次数: 0
Influence of sport type and gender on bone turnover markers in young athletes 运动类型和性别对青年运动员骨转换指标的影响
Pub Date : 2023-10-16 DOI: 10.1186/s43161-023-00150-x
Joy O. Apiloko, Oluwakayode S. Aje, Taofeek O. Awotidebe, Martin I. Okhawere, Chidozie E. Mbada, Ogochukwu K. Onyeso, Festus A. Idomeh, Charles O. Adagbusi, Kayode I. Oke
Abstract Background Exercise is beneficial to bone health. However, little is known about the interaction effect of gender and sport type on bone turnover in young athletes. This study aimed to examine the influence of gender and sports categories (high, medium, and low impact) on bone turnover: reabsorption markers–osteocalcin, calcium, inorganic phosphate (IP), alkaline phosphatase (ALP), and resorption marker–cross-linked N-telopeptides of type 1 collagen (NTx) among a university’s undergraduate athletes. Methods The study was an ex-post facto design involving forty-seven purposively recruited gender- and sport-type-matched undergraduate athletes whose demographic characteristics and BMI were obtained. Participants’ 5 mL antecubital blood samples were collected and analysed for serum levels of osteocalcin, calcium, IP, ALP, and NTx using standard laboratory protocols, Bio-Tek spectrometer, and KC4 (3.3) software. Data were analysed using descriptive statistics and two-way ANOVA. Results The study involved 24 females and 23 males ( n = 47) aged 22.15 ± 3.35 years with an average BMI of 23.34 ± 4.66. There was no significant gender effect on the biomarkers. However, there was a significant effect of the sports category on IP ( F = 4.307, p = 0.020), calcium ( F = 6.807, p = 0.003), and ALP serum levels ( F = 11.511, p < 0.001). Specifically, mid-impact sports participants had a higher IP than the low-impact group (mean difference [MD] = 0.81 mg/dL, p = 0.036). Low-impact had a higher calcium level than mid-impact (MD = 0.40 mg/dL, p = 0.022) and high-impact (MD = 0.49 mg/dL, p = 0.003). Conversely, low-impact had lower ALP than mid-impact (MD = − 11.13 U/L, p = 0.013) and high-impact (MD = − 17.44 IU/L, p < 0.001). Conclusion Moderate to high-impact sports positively affected bone turnover in young athletes. However, gender had no significant impact.
运动有益于骨骼健康。然而,关于性别和运动类型对年轻运动员骨转换的相互作用知之甚少。本研究旨在研究性别和运动类别(高、中、低影响)对骨更替的影响:重吸收标志物-骨钙素、钙、无机磷酸盐(IP)、碱性磷酸酶(ALP)和重吸收标志物- 1型胶原的交联n端肽(NTx)。方法采用事后设计的方法,有目的地招募了47名性别和运动类型匹配的大学生运动员,获得了他们的人口统计学特征和体重指数。使用标准实验室方案、Bio-Tek光谱仪和KC4(3.3)软件,收集参与者5ml的阴道前血液样本,分析血清骨钙素、钙、IP、ALP和NTx的水平。数据分析采用描述性统计和双向方差分析。结果女性24例,男性23例(n = 47),年龄22.15±3.35岁,平均BMI为23.34±4.66。在生物标志物上没有显著的性别影响。然而,运动类别对血清IP (F = 4.307, p = 0.020)、钙(F = 6.807, p = 0.003)和ALP水平有显著影响(F = 11.511, p <0.001)。具体而言,中等冲击运动参与者的IP高于低冲击组(平均差异[MD] = 0.81 mg/dL, p = 0.036)。低撞击组的钙含量高于中撞击组(MD = 0.40 mg/dL, p = 0.022)和高撞击组(MD = 0.49 mg/dL, p = 0.003)。相反,低撞击的ALP低于中撞击(MD = - 11.13 U/L, p = 0.013)和高撞击(MD = - 17.44 IU/L, p <0.001)。结论中高强度运动对青年运动员骨转换有积极影响。然而,性别没有显著影响。
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引用次数: 0
Influence of body and hand anthropometric characteristics on handgrip strength in young Nigerian women 身体和手部人体测量特征对尼日利亚年轻女性握力的影响
Pub Date : 2023-10-11 DOI: 10.1186/s43161-023-00146-7
Taofeek O. Awotidebe, Olufesola M. Fasakin, Adekola B. Ademoyegun, Chiedozie C. Nwajei, Kayode I. Oke, Rufus A. Adedoyin
Abstract Background and aim Women are well known for having lower handgrip strength (HGS) compared to men. However, factors contributing to lower HGS in women remain unclear. This study investigated the influence of body and hand anthropometric characteristics (HAC) on HGS among young Nigerian undergraduate women. Methods Apparently healthy 500 young female adults from a Nigerian University were recruited conveniently. Age and physical characteristics were recorded. Right and left (R&L) HGS were measured using an electronic dynamometer. HAC including R&L arm girth (ArG), forearm girth (FaG), wrist girth (WrG), finger span (FSp), finger breath (FBr), finger length (FLg) and palm length (PLg) were measured. Data were analysed using descriptive and inferential statistics. Alpha level was set at p < 0.05. Results The mean age of the participants was 22.46 ± 3.72 years. Age and body mass index (BMI) contributed about 20.0 and 12.0% to the prediction of HGS, respectively. Similarly, R&L HAC: ArG, FaG, WrG, FSp, FBr, FLg and PLg contributed about 22.8 and 14.8% to the prediction of HGS, respectively. Significant correlations occurred between HGS and each of BMI, R&L HAC ( p < .05). Furthermore, significant correlations were also found between age and each of R&L HAC ( p < .001). Conclusions Age, BMI and HAC have significant influence on the HGS of young Nigerian undergraduate women. Hence, physical factors such as weight, height, BMI, and hand anthropometric measurements are recommended as part of routine assessment for effective rehabilitation plans in the care of women with hand disability or poor hand function.
背景和目的与男性相比,女性的握力(HGS)较低。然而,导致女性HGS降低的因素尚不清楚。本研究调查了身体和手部人体测量特征(HAC)对尼日利亚年轻本科女性HGS的影响。方法方便地从尼日利亚某大学招募500名身体健康的年轻成年女性。记录年龄和身体特征。右、左(R&L) HGS用电子测功机测量。测量HAC,包括左臂围(ArG)、前臂围(FaG)、手腕围(WrG)、指幅(FSp)、指呼吸(FBr)、指长(FLg)、手掌长(PLg)。数据分析采用描述性和推断性统计。α水平设为p <0.05. 结果患者平均年龄为22.46±3.72岁。年龄和体重指数(BMI)对HGS预测的贡献率分别为20.0%和12.0%。同样,R&L HAC: ArG、FaG、WrG、FSp、FBr、FLg和PLg对HGS的预测贡献率分别为22.8%和14.8%。HGS与BMI、R&L; HAC均呈显著相关(p <. 05)。此外,年龄与R&L; HAC (p <措施)。结论年龄、BMI、HAC对尼日利亚年轻本科女性的HGS有显著影响。因此,建议将体重、身高、身体质量指数和手部人体测量等物理因素作为常规评估的一部分,以制定有效的手部残疾或手部功能差的女性康复计划。
{"title":"Influence of body and hand anthropometric characteristics on handgrip strength in young Nigerian women","authors":"Taofeek O. Awotidebe, Olufesola M. Fasakin, Adekola B. Ademoyegun, Chiedozie C. Nwajei, Kayode I. Oke, Rufus A. Adedoyin","doi":"10.1186/s43161-023-00146-7","DOIUrl":"https://doi.org/10.1186/s43161-023-00146-7","url":null,"abstract":"Abstract Background and aim Women are well known for having lower handgrip strength (HGS) compared to men. However, factors contributing to lower HGS in women remain unclear. This study investigated the influence of body and hand anthropometric characteristics (HAC) on HGS among young Nigerian undergraduate women. Methods Apparently healthy 500 young female adults from a Nigerian University were recruited conveniently. Age and physical characteristics were recorded. Right and left (R&amp;L) HGS were measured using an electronic dynamometer. HAC including R&amp;L arm girth (ArG), forearm girth (FaG), wrist girth (WrG), finger span (FSp), finger breath (FBr), finger length (FLg) and palm length (PLg) were measured. Data were analysed using descriptive and inferential statistics. Alpha level was set at p < 0.05. Results The mean age of the participants was 22.46 ± 3.72 years. Age and body mass index (BMI) contributed about 20.0 and 12.0% to the prediction of HGS, respectively. Similarly, R&amp;L HAC: ArG, FaG, WrG, FSp, FBr, FLg and PLg contributed about 22.8 and 14.8% to the prediction of HGS, respectively. Significant correlations occurred between HGS and each of BMI, R&amp;L HAC ( p < .05). Furthermore, significant correlations were also found between age and each of R&amp;L HAC ( p < .001). Conclusions Age, BMI and HAC have significant influence on the HGS of young Nigerian undergraduate women. Hence, physical factors such as weight, height, BMI, and hand anthropometric measurements are recommended as part of routine assessment for effective rehabilitation plans in the care of women with hand disability or poor hand function.","PeriodicalId":34220,"journal":{"name":"Bulletin of Faculty of Physical Therapy","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Bulletin of Faculty of Physical Therapy
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