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Cumulative trauma disorders, overweight and obesity among Brazilian dentists. This study aimed to assess the prevalence of cumulative trauma disorders CTDoverweight and obesity and the association between them, among public health dentists. The study included dentists working at various public health system units in Recife, PE, Veretbrales.
A descriptive analysis was carried out using SPSS The cervical region was the most involved, accounting verterales The year-old age group was most affected by CTD and females were more affected than males, accounting for However, given the multifactorial nature of occupational diseases, it is alias that overweight and obesity may act as a predisposing factor in these diseases, interacting and enhancing the effects of other important risk factors for the occurrence of work-related musculoskeletal disorders.
Recently there have been reports of an increase in the prevalence of musculoskeletal conditions among dental professionals, with an etiology of repetitive movements, injuries due to cumulative trauma or work-related musculoskeletal disorders Cumulative trauma disorders CTD are a group of diseases that affect muscles, tendons, nerves and vessels of the upper zlgias fingers, hands, wrists, forearms, arms, shoulder, neck and spine and lower limbs knee and ankle, especially that are directly related to the demands of work tasks, physical environments and with the organization of work.
They include clinical manifestations characterized by the occurrence of various symptoms, concomitant or not, such as pain, numbness, heaviness and fatigue and are often causes of temporary or permanent employment disability There are several risk factors associated with these disorders, which vetebrales be divided into individual risk factors and occupational risk factors.
The following are considered to be the most likely individual risk factors: Overweight and obesity may act as a permissible factor vertebtales musculoskeletal disease, interacting and enhancing the effects of other risk factors, as well as the alignment of the skeleton and the condition of muscles In a Swedish study that compared 6, obese individuals with 1, individuals from the general population of either gender, it was found that neck pain, along with pain in the back, hip, knee and ankle, was more common in obese people than in the general population 7.
Although they are not recent illnesses, CTD are undoubtedly taking on an epidemic character, and some of their pathologies are chronic and recurring, difficult to treat and are creating disability that is not restricted to the workplace but also found in other normal activities of personal life8. A high prevalence of musculoskeletal complaints was found in Greek dentists participating in a study verteebrales a questionnaire was applied.
In another study, Pain was the primary symptom of disorder, affecting mainly the regions of the cervical spine, the elbows, lumbar alggias and shoulders Musculoskeletal disorders have a major impact on quality of life of the population in many countries, not to mention the financial costs. Although not exclusively caused by work, they represent a verttebrales of the occupational diseases in countries vettebrales as Japan, the United States and the Scandinavian countries In Brazil, the total of benefits provided by Social Security during vergebrales months from January to August agias 1,; of these, In order to draw attention to occupational health and to contribute to the quality of the working lives of these professionals, the aim of this study was to assess the prevalence of musculoskeletal symptoms and the association with obesity and overweight among Brazilian public sector dentists.
This is a cross-sectional study that investigates the factor and effect at the same historical moment. The study was carried out from April to July vertebralee included dentists drawn from a population of who worked in various units that are part of the public health system in the city of Recife, PE, Brazil, selected by the calculation for finite vertebralse, from a list provided by the Municipality of the city of Recife. Of the professionals who originally appeared in the list, 33 were excluded because they were managers and did not perform clinical activities in health units, two had died and five were removed two professionals for maternity leave, one for an ongoing long-term out of state, and two due to health problems.
The aim was to investigate the occurrence of musculoskeletal symptoms in the previous 12 months, the anatomical regions most affected, the frequency of symptoms, the a,gias demographic profile gender, age, education and marital status and the characterization of the work process activity time and work schedule.
Pain intensity was assessed from the clinical stages of CTD as advocated by Oliveira 15using an increasing scale of symptoms reported by the interviewee. The questionnaire was given to the dentists in their work environment. After filling it out, their anthropometric measurements were taken to assess if they were overweight or obese.
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Obesity and overweight were observed across the BMI body mass indexwith the objective of determining if there is an association between this variable and the occurrence of CTD in this sample. To record the BMI, dentists were weighed using a digital scale with a maximum capacity of kg and precision of 0.
Height was measured in meters, using a flexible measuring tape fixed to the wall. The participants verteebrales asked to remove their shoes, their heels and shoulders touching the wall, after which his head was positioned so that the occlusal plane were parallel to the ground.
So, with the help of a frame of wood, the individual’s height was marked on the tape, making it easier to read.
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Initially, a descriptive analysis was carried out to evaluate the frequency of the distribution of variables and to check if there were errors in data entry, seeking thereby to characterize the sample.
The bivariate relationships between the dependent and independent variables were examined using tests of association chi-square and Fisher’s exact test. Data analysis revealed that Among respondents, 77 The cervical region was identified by respondents as the most affected by painful symptoms, accounting for Physical activity was carried out by 35 Among these, 14 The most affected age group by CTD was the 40 to 49 years one and females were more affected than males, accounting for Of the 30 professionals diagnosed with CTD, 13 One of the main objectives of the results of this study was to describe and analyze how dentists are affected by work-related musculoskeletal symptoms.
Despite the occurrence of musculoskeletal disorders found in the study group was considered high, of professionals reported some work-related painful symptoms in the previous 12 months, only 30 were diagnosed with CTD. This suggests that even though the presence of musculoskeletal pain corresponding to the first clinical stage of the CTD condition, dentists trend towards minimization of signs pointing to musculoskeletal changes that somehow relate to their laboring.
The symptoms of CTD vary during the working activity and tend to relieve through the rest. Over time, they may become frequent throughout the workday, and also in the performance of other activities. People tend to seek medical help only when the pain becomes unbearable or their movements are restricted On the other hand, treatment is often based only on prescription of antiinflammatory drugs and physical therapy sessions, which will only mask the problem without reaching its causes, neglecting the changes in conditions of work These data reinforce the observation that the practice of dentistry favors, by its own nature, the occurrence of disorders affecting primarily the musculoskeletal system of dental surgeons.
In this study, the body region that was most affected by the symptoms was the cervical spine, followed by wrists, hands and fingers, lower back and shoulders.
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In a survey lagias Polish dentists 22 symptoms were also mainly related to the thoracolumbar region With respect to CTD, women were more affected in the present study. This is in accordance with the study by Regis Filho et al.
The mean age obtained in this study was This is in contrast with the study by Santana et al. However, our study did agree with these authors regarding the higher prevalence of painful symptoms of CTD in females and those professionals who worked 8 hours per day. Of these, 14 These results are similar to those obtained in the study of dental students from Recife and Camaragibe, PE, Brazil, where 42 This fact is of great importance and should be taken into account on the establishment of preventive practices.
The prevalence of overweight and obesity was Among those interviewees who were overweight, the most affected age group was the 50 to vertebralrs years group and 26 This is in contrast with the study by Abrantes et al.
The study that compared estimates of the Household Budget Survey with data from the National Health and Nutrition Survey, found that the prevalence of overweight and obesity is higher in the male population 27as in this study. As overweight and obesity are consistently identified as risk factors for the development of a number of diseases, evaluation of their prevalence among various population groups is needed, especially when it comes to individuals who develop occupational activities.
The illness among workers may lead to dismissal or even partially or totally unable to work, as can occur with people who develop workrelated musculoskeletal disorders.
Some authors report that given the multifactorial nature of musculoskeletal disorders, it is likely that overweight and obesity may act as a permissible factor in musculoskeletal disease, interacting and enhancing the effects of other risk factors, as well as the alignment of the skeleton and the muscular condition6. One study from Sweden, which compared 6, obese individuals with 1, individuals from the general population of both genders, found that pain in the neck, lumbar algiae, hip, knee and ankle was more common in obese people than in the general population odds ratio – OR ranging from 1.
In the present study, the statistical analysis showed no significant association zlgias CTD and overweight and obesity. However, although there was no association, one cannot overlook the fact that overweight and obesity are present in these professionals and can cause, in addition to musculoskeletal problems, other vertebdales problems, such as hypertension, diabetes and vascular problems, which can interfere with the work quality of these people.
The evaluation of the prevalence of overweight and obesity, which act as risk factors for the onset of work-related diseases, should be continued, since it is known that the population, not only in Brazil but in many countries, has increasingly showing an increase of body mass.
Because dentists are part of a category rather prone to developing diseases related to work due to the ergonomic features and overload of dental activity, this study had the scope to contribute to an initial analysis of productive working health professionals to highlight the need for preventive measures that should be implemented since the academic training of dentists. This way, they are less likely to have problems with their verrtebrales life quality and suffer impediments in exercising their professional activity.
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Occupational activity and prevalence of upper-limb and back pain among dentists in Belo Horizonte, Minas Gerais State, Brazil: Ministries of Welfare, of Health, of Labour and Employment. National Policy on Occupational Health and Safety.
Ministries of Welfare, of Health, of Labour and Employment; Groups activity with Cumulative Trauma Disorders workers: Musculoskeletal pain in the obese: Prevalence of musculoskeletal disorders in dentists.
Prevalence of musculoskeletal disorders in Caxias alggias Sul’s dentists.
Punnett L, Wegman D. Rucker LM, Sunell S.
Ergonomic risk factors associated with clinical dentristry. J Calif Dent Assoc. Disorders of the musculoskeletal system among dentists from the aspect of ergonomics and prophylaxis. Ann Agric Environ Med. Musculoskeletal disorders among dentists and variation in dental work. Universidade Estadual de Feira de Santana; Rev Assoc Med Bras. December 14, Accepted: Introduction Recently there have been reports of an increase in the prevalence of musculoskeletal conditions among dental professionals, with an etiology of repetitive movements, injuries due to cumulative trauma or work-related musculoskeletal disorders Material and methods This is a cross-sectional study that investigates the factor and effect at the same historical moment.
Results Data analysis revealed that Alyias One of the main objectives of the results of this study was to describe and analyze how dentists are affected by work-related musculoskeletal symptoms.
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