We agree with Seemungal that vertigo is a well known risk for falls—for example, odds ratio 1.81 ... more We agree with Seemungal that vertigo is a well known risk for falls—for example, odds ratio 1.81 2 3—and that benign paroxysmal positional vertigo (BPPV) causes balance impairment and can lead to falls. While symptomatic patients are often seen initially in primary care, diagnostic studies, including the Dix-Hallpike manoeuvre, and particularly treatment …
Resumen Antecedentes y objetivos Existe escasa informacion acerca de valores de referencia para e... more Resumen Antecedentes y objetivos Existe escasa informacion acerca de valores de referencia para el umbral de dolor a la presion (UDP) en el hombro. Nuestros objetivos fueron evaluar el UDP normal en cinco sitios de relevancia clinica del hombro y analizar la influencia de factores como el metodo de calculo, el sexo, la composicion corporal y la habilidad manual. Materiales y metodos Este estudio transversal incluyo 58 individuos asintomaticos de ambos sexos de entre 18 a 65 anos. El UDP fue evaluado a nivel del musculo infraespinoso (IE), del musculo deltoides medio (DM), de la insercion del musculo pectoral menor (IPM), de la articulacion acromioclavicular (AAC) y del musculo trapecio superior (TS). En cada sitio se tomaron 3 mediciones, eliminando la primera para el calculo del valor promedio. Se utilizo el test t de Student para comparar las diferencias entre grupos (nivel de significacion del 95%). Resultados El punto mas sensible fue el TS (4,31 ± 2,09 kg/cm2), seguido por la IPM (4,63 ± 1,85 kg/cm2), el DM (5,60 ± 2,28 kg/cm2), el IE (6,33 ± 2,25 kg/cm2) y la AAC (6,70 ± 2,26 kg/cm2). Solo el DM demostro una diferencia significativa entre ambos lados. Los hombres tuvieron valores de UDP superiores, excepto en el TS. Los sujetos con sobrepeso tuvieron valores superiores de UDP a nivel del DM y la IPM. Conclusiones No se encontraron diferencias significativas con los valores de referencia reportados previamente. Las discrepancias entre diferentes estudios podrian ser independientes de la metodologia utilizada para el calculo del UDP. Se encontro una correlacion estadistica entre el UDP del musculo DM y el dominio manual, aunque dicha asociacion puede no ser clinicamente relevante. Finalmente, este estudio demostro que el UDP a nivel del DM y la IPM es dependiente del indice de masa corporal (IMC).
Journal of nutrition in gerontology and geriatrics, Jun 21, 2019
Abstract Inadequate protein intake contributes to poor nutritional status, reduced muscle mass, s... more Abstract Inadequate protein intake contributes to poor nutritional status, reduced muscle mass, strength and function, and increased mortality. Evaluating differences in protein intake and related health indicators among racial/ethnic groups enables the development of targeted interventions. This study’s purpose was to determine differences in protein intake, nutritional status, and muscle strength/function among 273 older African, European, and Hispanic Americans. Protein intake, nutritional status, grip strength, timed-up-and-go (TUG), and chair stand assessments were conducted. Protein intake was significantly greater among Hispanic Americans (0.96 g/kg body weight) followed by European Americans (0.83 g/kg body weight), and African Americans (0.64 g/kg body weight). Intakes by all groups were below recommendations. Low nutritional status, grip strength, chair rise, and TUG scores were observed in African Americans and European American females and were consistent with lower protein intakes. Results show significant differences among the groups and the need for interventions to improve diet and physical health.
We agree with Seemungal that vertigo is a well known risk for falls—for example, odds ratio 1.81 ... more We agree with Seemungal that vertigo is a well known risk for falls—for example, odds ratio 1.81 2 3—and that benign paroxysmal positional vertigo (BPPV) causes balance impairment and can lead to falls. While symptomatic patients are often seen initially in primary care, diagnostic studies, including the Dix-Hallpike manoeuvre, and particularly treatment …
Resumen Antecedentes y objetivos Existe escasa informacion acerca de valores de referencia para e... more Resumen Antecedentes y objetivos Existe escasa informacion acerca de valores de referencia para el umbral de dolor a la presion (UDP) en el hombro. Nuestros objetivos fueron evaluar el UDP normal en cinco sitios de relevancia clinica del hombro y analizar la influencia de factores como el metodo de calculo, el sexo, la composicion corporal y la habilidad manual. Materiales y metodos Este estudio transversal incluyo 58 individuos asintomaticos de ambos sexos de entre 18 a 65 anos. El UDP fue evaluado a nivel del musculo infraespinoso (IE), del musculo deltoides medio (DM), de la insercion del musculo pectoral menor (IPM), de la articulacion acromioclavicular (AAC) y del musculo trapecio superior (TS). En cada sitio se tomaron 3 mediciones, eliminando la primera para el calculo del valor promedio. Se utilizo el test t de Student para comparar las diferencias entre grupos (nivel de significacion del 95%). Resultados El punto mas sensible fue el TS (4,31 ± 2,09 kg/cm2), seguido por la IPM (4,63 ± 1,85 kg/cm2), el DM (5,60 ± 2,28 kg/cm2), el IE (6,33 ± 2,25 kg/cm2) y la AAC (6,70 ± 2,26 kg/cm2). Solo el DM demostro una diferencia significativa entre ambos lados. Los hombres tuvieron valores de UDP superiores, excepto en el TS. Los sujetos con sobrepeso tuvieron valores superiores de UDP a nivel del DM y la IPM. Conclusiones No se encontraron diferencias significativas con los valores de referencia reportados previamente. Las discrepancias entre diferentes estudios podrian ser independientes de la metodologia utilizada para el calculo del UDP. Se encontro una correlacion estadistica entre el UDP del musculo DM y el dominio manual, aunque dicha asociacion puede no ser clinicamente relevante. Finalmente, este estudio demostro que el UDP a nivel del DM y la IPM es dependiente del indice de masa corporal (IMC).
Journal of nutrition in gerontology and geriatrics, Jun 21, 2019
Abstract Inadequate protein intake contributes to poor nutritional status, reduced muscle mass, s... more Abstract Inadequate protein intake contributes to poor nutritional status, reduced muscle mass, strength and function, and increased mortality. Evaluating differences in protein intake and related health indicators among racial/ethnic groups enables the development of targeted interventions. This study’s purpose was to determine differences in protein intake, nutritional status, and muscle strength/function among 273 older African, European, and Hispanic Americans. Protein intake, nutritional status, grip strength, timed-up-and-go (TUG), and chair stand assessments were conducted. Protein intake was significantly greater among Hispanic Americans (0.96 g/kg body weight) followed by European Americans (0.83 g/kg body weight), and African Americans (0.64 g/kg body weight). Intakes by all groups were below recommendations. Low nutritional status, grip strength, chair rise, and TUG scores were observed in African Americans and European American females and were consistent with lower protein intakes. Results show significant differences among the groups and the need for interventions to improve diet and physical health.
Uploads
Papers by Edgar R Vieira