AMELIA PASQUAL MARQUES
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina - Docente
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina
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- Low back pain prevalence in Sao Paulo, Brazil: A cross-sectional study(2021) GONZALEZ, Gabrielle Z.; SILVA, Tatiane da; AVANZI, Marina A.; MACEDO, Gabriel T.; ALVES, Shirley S.; INDINI, Luciana S.; EGEA, Luzinete M. P.; MARQUES, Amelia P.; PASTRE, Carlos M.; COSTA, Luciola da C. M.; COSTA, Leonardo O. P.Background: Low back pain (LBP) is the leading cause of disability worldwide, and the burden of LBP is expected to increase in coming decades, particularly in middle-income countries. There is a lack of large and high-quality studies investigating the prevalence of LBP in Brazil. Objective: To estimate the point, one-year, and lifetime prevalence of non-specific LBP in adults from the city of Sao Paulo, Brazil. Methods: This community-based, cross-sectional study recruited 3000 participants in flow point locations randomly selected from census sectors of Sao Paulo. Interviews and self-administered questionnaires were used to estimate point prevalence, one-year prevalence, and lifetime prevalence of LBP. Results: The estimate of point prevalence was 9.8% (95% CI: 8.8, 11.0), one-year prevalence was 48.1% (95% CI: 46.3, 49.9), and lifetime prevalence was 62.6% (95% CI: 60.8, 64.3). One-year and lifetime prevalence were higher in females, obese people, people insufficiently active and sedentary, current smokers, people who are exposed to repetitive movements, crouched or kneeling position, people dissatisfied with their job, people a little bit or very stressed, a little bit or very anxious, and a little bit depressed, and people with good and fair or poor general health. Lifetime prevalence was also higher in people exposed to standing positions and exposure to carrying weight. Conclusions: The high point, one-year, and lifetime prevalence of LBP in Brazil indicates that there is a need for coordinated efforts from government, the private sector, universities, health workers, and civil society to deliver appropriate management of LBP in middle-income countries.
conferenceObject Amigos de FIBRO (FIBRO Friends): development of a multidisciplinary health promotions program for individuals with fibromyalgia in Brazil(2021) TORRES, Sarina; ANTUNES, Mateus; YUAN, Susan; SCHMITT, Ana Carolina; MARQUES, Amelia- Effects of a six-week mobile app versus paper book intervention on quality of life, symptoms, and self-care in patients with fibromyalgia: a randomized parallel trial(2021) YUAN, Susan Lee King; COUTO, Leticia Assis; MARQUES, Amelia PasqualBackground: The ProFibro application (app) was developed as a Mobile Health resource to promote self-care in fibromyalgia management. Objective: This study aimed to assess the effects of the use of the ProFibro app for six weeks compared to the use of a traditional paper book of similar content to improve health-related quality of life, symptoms, and self-care agency in individuals with fibromyalgia. Methods: Forty individuals with fibromyalgia were included in this randomized, single-blind, parallel trial. One group received intervention content using the ProFibro app on a smartphone while the other received similar information using a paper book. Participants were assessed at baseline and after six weeks. The primary outcome was the Revised Fibromyalgia Impact Questionnaire. Secondary outcomes were Widespread Pain Index, Pain Visual Analog Scale, Symptom Severity Scale, and Appraisal of Self-Care Agency Scale - Revised. Results: No differences in changes were found between groups at the end of the treatment for any outcome. Both groups showed improvements in symptom severity. Conclusions: The use of the ProFibro app for six weeks was not more effective than the use of a traditional paper book with similar content for health-related quality of life, symptoms, or self-care agency in individuals with fibromyalgia. Both groups showed improvements from baseline on severity of symptoms, suggesting that the self-care program using a mobile app or a paper book may be beneficial for individuals with fibromyalgia.
- Impacts of social distancing during the covid19 pandemic on the development of children with autism in Brazil(2021) PACHECO, P.; PACHECO, M.; MARINHO, D.; OLIVEIRA, T.; MARQUES, A.; SOUZA, K.; FRANCO, E.; MAIA, J.; SILVA, L.; MOLINI-AVEJONAS, D.
conferenceObject AMIGOS DE FIBRO (FIBRO FRIENDS): DEVELOPMENT OF A MULTIDISCIPLINARY HEALTH PROMOTION PROGRAM FOR FIBROMYALGIA IN BRAZIL(2021) ANTUNES, Mateus; SCHMITT, Ana Carolina; MARQUES, Amelia- Efficacy of low-level laser therapy combined with exercise for subacromial impingement syndrome: A randomised controlled trial(2021) ALFREDO, Patricia Pereira; BJORDAL, Jan Magnus; STEAGALL JUNIOR, Washington; MARQUES, Amelia Pasqual; CASAROTTO, Raquel AparecidaObjective: To investigate the effect of low-level laser therapy (LLLT) combined with exercise on shoulder pain and disability in patients with subacromial impingement syndrome (SIS). Design: Randomised controlled trial. Setting: Pontifical Catholic University. Subjects: We enrolled 120 subacromial impingement syndrome patients Intervention: Groups I (n = 42), II (n = 42) and III (n = 36) were treated with Low-level laser therapy and exercise, exercise only and Low-level laser therapy only, respectively. Interventions were conducted three times a week for 8 weeks. Main outcome measures: The primary outcome was the change in shoulder pain and disability index (SPADI). Secondary outcomes included changes in the numeric pain rating scale and medication intake. Results: Average ages of patients in groups I, II and III were 51.9 +/- 8.7 years, 56.0 +/- 10.4 years and 54.2 +/- 7.1 years, respectively. Pain scores at baseline (P = 0.829), 2 months (P = 0.057) and 3 months follow-ups (p = 0.004) were 6.8 (4.7-7.7), 0.2 (0.0-0.5) and 0.3 (0.0-1.0) for group I; 6.6 (5.7-8.0), 0.5 (0.2-2.0) and 0.2 (0.0-3.3) for group II; and 6.5 (5.1-7.4), 2.4 (0.1-6.7) and 4.0 (2.0-5.0) for group III, respectively. SPADI scores at baseline (P = 0.029), 2 months (P < 0.001) and 3 months follow-ups (P = 0.001) were 60.8 (37.7-70.8), 3.8 (0.0-10.8) and 2.3 (0.8-10.8) for group I; 61.5 (41.5-71.5), 9.2 (3.8-29.2) and 14.2 (1.5-38.0) for the group II; and 73.3 (59.2-80.8), 34.2 (16.9-54.6) and 33.1 (22.3-49.2) for the group III, respectively. Conclusion: Low-level laser therapy combined with exercises reduce pain intensity, improve shoulder function and reduces pain intensity and medication intake over 3 months.
- Prevalence of Low Back Pain and Associated Factors in Older Adults: Amazonia Brazilian Community Study(2021) SOUZA, Ingred Merllin Batista de; MERINI, Lilian Regiani; RAMOS, Luiz Armando Vidal; PASSARO, Anice de Campos; FRANCA, Joao Italo Dias; MARQUES, Amelia PasqualTo investigate the prevalence of low back pain (LBP) and associated factors in the older adult Amazonia Brazilian community, a cross-sectional study was conducted to evaluate 700 participants that were >= 60 years old. Pain intensity and functional disability were assessed using the Numerical Pain Scale and the Roland Morris Questionnaire, respectively, and their sociodemographic, clinical, and behavior variables were collected, i.e., age, sex, education level, socioeconomic level, anthropometric measurements, physical activity, health perception, and emotional state. The punctual prevalence rates of LBP were 42.4% (95% CI: 38.2-46.6%), and for the last 365 days, these prevalence rates were 93.7% (95% CI: 91.3-95.6%), the mean pain and functional disability scores were 6.17 +/- 2.13 and 11.30 +/- 6.07, and the moderate-to-severe disability was 39.7%. Pain and functional disability were associated with sex, chronic diseases, body mass index (BMI), physical activity level, health perception, and emotional level. In conclusion, the prevalence of LBP was high (for both punctual and the last 365 days), but the variables associated with being female, fewer years of schooling, sedentary behavior, diseases related to diet and the cardiovascular system, and impaired emotional levels had a higher level LBP, even though they considered themselves in good health. These findings can aid with coordinated efforts from government and health professionals to help manage and promote the prevention of LBP by considering the older adult population's needs in the state of Amazonas.
- Effectiveness of interdisciplinary health education programs for individuals with fibromyalgia: A systematic review(2021) ANTUNES, Mateus Dias; COUTO, Leticia Assis; BERTOLINI, Sonia Maria Marques Gomes; LOURES, Felipe Cayres Nogueira da Rocha; SCHMITT, Ana Carolina Basso; MARQUES, Amelia PasqualFibromyalgia has been increasing worldwide and is considered a public health problem. Nonpharmacological treatment through exercise and education is recommended for fibromyalgia management. In this sense, there is a need for interdisciplinary programs to promote health and improve symptoms in fibromyalgia. The purpose of this study was to verify the effectiveness of interdisciplinary health education programs for individuals with fibromyalgia. This is a systematic review that followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations and was registered at Prospective Register of Systematic Reviews (CRD4201913228). A search was conducted in the following databases: Scientific Electronic Library Online, Lilacs, Medical Literature Analysis and Retrieval System Online, Scopus, Web of Knowledge ISI, Physiotherapy Evidence Database, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, and SPORTDiscus. The descriptors used were ""Fibromyalgia"" and ""Health Education."" Clinical trials published between 1990 and 2019 were selected. The Jadad Quality Scale and the Cochrane Risk-of-Bias Tool were used to evaluate the risk of bias and the methodological quality of the clinical trials. The search found 2887 articles, and only two studies were included in the analysis. Both studies conducted the interventions through lectures and group activities. In particular, the topics most frequently approached at the interdisciplinary health education programs were general information about fibromyalgia, body practices, physical activities, and pharmacological approaches. An interdisciplinary health education program can improve pain and quality of life in people with fibromyalgia; however, evidence shows low methodological quality. This systematic review indicates that studies are of low quality, interfering with the effectiveness of interdisciplinary health education programs.
conferenceObject PREVALENCE OF ARTHRITIS/RHEUMATISM IN BRAZIL(2021) ANTUNES, Mateus; CRUZ, Ariela; JANUARIO, Priscila; JACOB, Flavia; MARQUES, Amelia- Low Back Pain in Elderly from Belem-Pa, Brazil: Prevalence and Association with Functional Disability(2021) SATO, Elaine Miyuka; MAGALHAES, Mauricio Oliveira; JENKINS, Beatriz Coelho; FERREIRA, Lays da Silva; SILVA, Hallyson Andrey Raposo da; FURTADO, Paulo Renan Farias; FERREIRA, Eder Gabriel Soares; SANTOS, Emmanuele Celina Souza dos; CALLEGARI, Bianca; MARQUES, Amelia PasqualBackground: This cross-sectional study aimed to determine the prevalence of low back pain (LBP) in the elderly population living in Belem-Para and to assess the spectrum of problems related to these diseases including the demographic, socioeconomic, occupational characteristics and disability in this population. Methods: Three structured questionnaires were applied in a randomly selected representative sample of 512 elderly people aged >= 60 years. Results: LBP prevalence in the elderly population was 55.7%. Among then, 56.1% had pain at the time of the interview (punctual prevalence), 91.7% had LBP in the last 365 days (prevalence in the last year), and 85.3% at some point in life (prevalence at some point in life). Overall, most studies are above average. LBP was positively associated with hypertension and the influence of the physical and mental health on their social activities ranged from slightly to extreme. LBP was negatively associated with characteristics, such as education (over 11 years), class A or B income, physical activity, high satisfaction with previous work, and excellent self-perceived health, corroborating to the literature. Conclusions: Greater intensity of pain and functional disability were associated with the presence of comorbidities, smoking habits, and low physical activity. LBP prevalence was high, above the national average, mainly affecting the underprivileged classes related to several modifiable factors, highlighting the importance of preventive and interventionist actions for healthy aging.