Musculoskeletal pain in obese adolescents

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorJANNINI, Suely Nobrega
dc.contributor.authorDORIA-FILHO, Ulysses
dc.contributor.authorDAMIANI, Dorval
dc.contributor.authorSILVA, Clovis Artur Almeida
dc.date.accessioned2017-11-27T16:39:39Z
dc.date.available2017-11-27T16:39:39Z
dc.date.issued2011
dc.description.abstractObjective: To determine the prevalence of pain, musculoskeletal syndromes, orthopedic disorders and using computers and playing videogames among obese adolescents. Methods: This was a cross-sectional study that investigated 100 consecutive obese adolescents and 100 healthy-weight controls using a confidential, self-report questionnaire covering demographic data, sports participation, painful musculoskeletal system symptoms and using computers and playing videogames. The questionnaire's test-retest reliability was tested. Physical examination covered six musculoskeletal syndromes and seven orthopedic disorders. Results: The kappa index for test-retest was 0.724. Pain and musculoskeletal syndromes were equally prevalent in both groups (44 vs. 56%, p = 0.09; 12 vs. 16%, p = 0.541; respectively). Notwithstanding, orthopedic disorders (98 vs. 76%, p = 0.0001), tight quadriceps (89 vs. 44%, p = 0.0001) and genu valgum (87 vs. 24%, p = 0.0001) were significantly more prevalent in obese adolescents than in controls. Median time spent using a computer the day before, on Saturdays and on Sundays were all lower among the obese subjects (30 vs. 60 minutes, p = 0.0001; 1 vs. 60 minutes, p = 0.001; and 0 vs. 30 minutes, p = 0.02; respectively). Obese adolescents were less likely to play handheld videogames (2 vs. 11%, p = 0.003) and there was no difference in the two groups' use of full-sized videogames (p > 0.05). Comparing obese adolescents with pain to those free from pain revealed that pain was more frequent among females (59 vs. 39%, p = 0.048) and was associated with greater median time spent playing on Sundays [0 (0-720) vs. 0 (0-240) minutes, p = 0.028]. Conclusions: Obesity can cause osteoarticular system damage at the start of adolescence, particularly to the lower limbs. Programs developed specifically for obese female adolescents with musculoskeletal pain are needed.
dc.description.abstractObjetivo: Avaliar presença de dor, síndromes músculo-esqueléticas, alterações ortopédicas e uso de computador e videogame em adolescentes obesos. Métodos: Um estudo transversal avaliou 100 adolescentes consecutivos com obesidade e 100 eutróficos a partir de um questionário confidencial, autoaplicável, incluindo dados demográficos, prática esportiva, sintomas dolorosos do sistema músculo-esquelético e uso de computador e videogame. Pré-teste e reteste do questionário foram realizados. O exame físico avaliou seis síndromes músculo-esqueléticas e sete alterações ortopédicas. Resultados: O índice de kappa entre pré-teste e reteste foi 0,724. Dor e síndromes músculo-esqueléticas foram igualmente prevalentes nos dois grupos (44 versus 56%, p = 0,09; 12 versus 16%, p = 0,541; respectivamente). Entretanto, alterações ortopédicas (98 versus 76%, p = 0,0001), encurtamento de quadríceps (89 versus 44%, p = 0,0001) e geno valgo (87 versus 24%, p = 0,0001) foram significantemente mais evidenciados nos obesos versus controles. As medianas do tempo de uso do computador no dia anterior à pesquisa, nos sábados e domingos foram menores nos obesos (30 versus 60 minutos, p = 0,0001; 1 versus 60 minutos, p = 0,001; 0 versus 30 minutos, p = 0,02; respectivamente). Uso de minigame foi menor nos obesos (2 versus 11%, p = 0,003), não havendo diferença no uso de videogame nos dois grupos (p > 0,05). Comparações entre obesos com e sem dor evidenciaram maior frequência no gênero feminino (59 versus 39%, p = 0,048) e maior mediana de tempo de uso nos domingos [0 (0-720) versus 0 (0-240) minutos, p = 0,028]. Conclusões: Obesidade pode causar danos ao sistema osteoarticular no início da adolescência, principalmente nos membros inferiores. Programas específicos para adolescentes obesos do sexo feminino com dor músculo-esquelética precisam ser desenvolvidos.
dc.description.indexMEDLINE
dc.description.sponsorshipConselho Nacional de Desenvolvimento Cientifico and Tecnologico (CNPq - National Council for Scientific and Technological Development) [300248/2008-3]
dc.description.sponsorshipFederico Foundation
dc.identifier.citationJORNAL DE PEDIATRIA, v.87, n.4, p.329-335, 2011
dc.identifier.doi10.2223/JPED.2111
dc.identifier.issn0021-7557
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/23800
dc.language.isoeng
dc.publisherSOC BRASIL PEDIATRIA
dc.relation.ispartofJornal de Pediatria
dc.rightsopenAccess
dc.rights.holderCopyright SOC BRASIL PEDIATRIA
dc.subjectAdolescente
dc.subjectobesidade
dc.subjectdor
dc.subjectsíndrome músculo-esquelética
dc.subjectcomputador
dc.subjectvideogame
dc.subjectAdolescen
dc.subjectobesity
dc.subjectpain
dc.subjectmusculoskeletal syndrome
dc.subjectcomputers
dc.subjectvideogames
dc.subjecthandheld videogames
dc.subject.othercomputer use
dc.subject.otherneck pain
dc.subject.otherchildren
dc.subject.otherdiscomfort
dc.subject.otheroverweight
dc.subject.otherdisorders
dc.subject.otherexercise
dc.subject.otherposture
dc.subject.othercohort
dc.subject.otherschool
dc.subject.wosPediatrics
dc.titleMusculoskeletal pain in obese adolescents
dc.title.alternativeDor músculo-esquelética em adolescentes obesos
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus24
hcfmusp.contributor.author-fmusphcSUELY NOBREGA JANNINI
hcfmusp.contributor.author-fmusphcULYSSES DORIA FILHO
hcfmusp.contributor.author-fmusphcDURVAL DAMIANI
hcfmusp.contributor.author-fmusphcCLOVIS ARTUR ALMEIDA DA SILVA
hcfmusp.description.beginpage329
hcfmusp.description.endpage335
hcfmusp.description.issue4
hcfmusp.description.volume87
hcfmusp.origemWOS
hcfmusp.origem.pubmed21842110
hcfmusp.origem.scopus2-s2.0-80051765038
hcfmusp.origem.wosWOS:000294572100010
hcfmusp.publisher.cityRIO DE JANEIRO, RJ
hcfmusp.publisher.countryBRAZIL
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