Dor, nível de atividade física e comportamento sedentário em estudantes de fisioterapia
Resumo
Introdução: O universitário é exposto a uma rotina hipocinética, estressante e com elevado comportamento sedentário (CS), que propicia a dor. Objetivo: Analisar a ocorrência de dor e sua relação com o nível de atividade física (NAF) e CS em estudantes de fisioterapia. Método: Estudo descritivo, transversal e quantitativo, com 64 estudantes, da Universidade Federal de Jataí, Jataí, Goiás, Brasil. A coleta de dados foi realizada entre maio/2021 e fevereiro/2022, por meio de formulário eletrônico contendo informações sociodemográficas, hábitos diários, NAF, CS, ocorrência e intensidade da dor. Os dados foram analisados por estatística descritiva e inferencial, adotando-se p<0,05. Resultados: Notou-se predominância de mulheres (90,6%), faixa etária de 18-27 anos (93,8%), solteiros (82,8%) e residentes com pais (54,6%). Todos os participantes relataram algum local de dor, sendo a média 6,81±3,85 locais, com intensidade média da dor de 1,50±0,38. As regiões das costas inferior (87,5%), cervical (73,4%) e costas superior (71,9%) foram os principais locais de dor. A maioria dos universitários eram ativos (59,4%) e possuíam um tempo sentado ≤400 minutos (73,4%). Para o tempo de tela na semana, predominou o uso do celular/videogame (57,8%) e computador/similar (54,7%) por >4h. Quando analisada a associação dos locais e intensidade para dor com as características sociodemográficas, dos hábitos, NAF e CS não se notou significância (p>0,05). Conclusão: Conclui-se que o NAF e o CS não se associaram com a dor, contudo todos os universitários apresentaram pelo menos um local para dor e as regiões mais acometidas foram as da coluna vertebral.
Referências
Aggarwal, N., Anand, T., Kishore, J., e Ingle, G.K. (2013). Low back pain and associated risk factors among undergraduate students of a medical college in Delhi. Education for Health, 26(2), 103-108. https://doi.org/10.4103/1357-6283.120702
Almeida, I.C.G.B., Sá, K.N., Silva, M., Baptista, A., Matos, M.A., e Lessa, Í. (2008). Prevalência de dor lombar crônica na população da cidade de Salvador. Revista Brasileira de Ortopedia, 43(3), 96-102. https://doi.org/10.1590/S0102-36162008000200007
Alsalameh, A.M., Harisi, M.J., Alduayji, M.A., Almutham, A.A., e Mahmood, F.M. (2019). Evaluating the relationship between smartphone addiction/overuse and musculoskeletal pain among medical students at Qassim University. Journal of Family Medicine and Primary Care, 8(9), 2953–2959. https://doi.org/10.4103/jfmpc.jfmpc_665_19
Arzu D., Tuzun E.H., e Eker L. (2006). Perceived barriers to physical activity in university students. Journal of Sports Science & Medicine, 5(4), 615-20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3861763/#
Ballikaya, E., Kara, M., e Özçakar, L. (2022). Caring for the Neck and Posture in Dentistry: Better Late Than Never. International Dental Journal, 72(2), 150–153. https://doi.org/10.1016/j.identj.2021.08.053
Bakker, E.W., Verhagen, A.P., van Trijffel, E., Lucas, C., e Koes, B.W. (2009). Spinal mechanical load as a risk factor for low back pain: a systematic review of prospective cohort studies. Spine, 34(8), E281-E293. https://doi.org/10.1097/BRS.0b013e318195b257
Brasil (2021). Ministério da Saúde. Vigitel Brasil 2021: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília: Ministério da Saúde. https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/publicacoes-svs/vigitel
Brazil (2021). Ministry of Health. Physical activity guidelines for the brazilian population. Ministry of Health. https://aps.saude.gov.br/biblioteca/visualizar/MjA1Mg==
Cagnie, B., Danneels, L., Van Tiggelen, D., De Loose, V., e Cambier, D. (2007). Individual and work related risk factors for neck pain among office workers: a cross sectional study. European Spine Journal, 16(5), 679-686. https://doi.org/10.1007/s00586-006-0269-7
Chau, J.Y., Grunseit, A.C., Chey, T., Stamatakis, E., Brown, W.J., Matthews, C.E. et al. (2013). Daily sitting time and all-cause mortality: a meta-analysis. PloS One, 8(11), e80000. https://doi.org/10.1371/journal.pone.0080000
Chen, S.M., Liu, M.F., Cook, J., Bass, S., e Lo, S.K. (2009). Sedentary lifestyle as a risk factor for low back pain: a systematic review. International Archives of Occupational and Environmental Health, 82(7), 797-806. https://doi.org/10.1007/s00420-009-0410-0
Chiu, T.T.W., Ku, W.Y., Lee, M.H., Sum, W.K., Wan, M.P., Wong, C.Y. et al. (2002). A study on the prevalence of and risk factors for neck pain among university academic staff in Hong Kong. Journal of Occupational Rehabilitation, 12(2), 77-91. https://doi.org/10.1023/A:1015008513575
Corlett, E.N., e Bishop, R.P. (1976). A technique for assessing postural discomfort. Ergonomics, 19(2), 175-182. https://doi.org/10.1080/00140137608931530
Couto, D.A.C., Martin; D.R.S., Molina, G.E., Fontana, K.E., Junqueira, L.F., e Porto, L.G.G. (2019). Insufficient level of physical activity is associated with reduced quality of life and night-time studying in Brazilian undergraduate students. Revista Brasileira de Ciências do Esporte, 41(3), 322-330. https://doi.org/10.1016/j.rbce.2018.04.017
Díaz Caballero, A.J., Gomez Palencia, I.P., e Díaz Cárdenas, S. (2010). Ergonomic factors that cause the presence of pain muscle in students of dentistry. Medina Oral, Patología Oral y Cirurgía Bucal, 15 (6), e906-911. https://doi.org/10.4317/medoral.15.e906
Dzakpasu, F.Q., Carver, A., Brakenridge, C.J., Cicuttini, F., Urquhart, D.M., Owen, N. et al. (2021). Musculoskeletal pain and sedentary behaviour in occupational and non-occupational settings: a systematic review with meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 18(1), 1-56. https://doi.org/10.1186/s12966-021-01191-y
Eloi, D.R.L., Quemelo, P.R.V., e Sousa, M.N.A. (2022). Influence of physical activity and time in the sitting position on the condition of low back pain among university students. Coluna/Columna, 21(1), e253794. https://doi.org/10.1590/S1808-185120222101253794
Fontes, A.C.D., e Vianna, R.P.T. (2009). Prevalência e fatores associados ao baixo nível de atividade física entre estudantes universitários de uma universidade pública da região Nordeste-Brasil. Revista Brasileira de Epidemiologia, 12(1), 20-29. https://doi.org/10.1590/S1415-790X2009000100003
Gałczyk M., Zalewska A., Białokoz-Kalinowska I., e Sobolewski M. (2021). Chronic back condition and the level of physical activity as well as internet addiction among physiotherapy students during the COVID-19 pandemic in Poland. International Journal of Environmental Resarch and Public Health, 18(13), e6718. https://doi.org/10.3390/ijerph18136718
Gomes-Neto, M., Sampaio, G.S., Santos, P.S. (2016). Frequência e fatores associados a dores musculoesqueléticas em estudantes universitários. Revista Pesquisa em Fisioterapia, 6(1), 26-34. https://doi.org/10.17267/2238-2704rpf.v6i1.790
Grasdalsmoen M., Engdahl B., Fjeld M.K., Steingrímsdóttir Ó.A., Nielsen C.S., Eriksen H.R. et al. (2020). Physical exercise and chronic pain in university students. PloS One, 15(6), e0235419. https://doi.org/10.1371/journal.pone.0235419 4
Grøntved, A., e Hu, F.B. (2011). Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: a meta-analysis. JAMA, 305(23), 2448-2455. https://doi.org/10.1001/jama.2011.812
Guimarães, B., Chimenez, T., Munhoz, D., e Minikovski, H. (2022). COVID-19 pandemic and remote teaching activities: ergonomic risks and musculoskeletal symptoms of professors at Instituto Federal Catarinense. Fisioterapia e Pesquisa, 29(1), 96-102. https://doi.org/10.1590/1809-2950/21020229012022PT
Harutunian, K., Gargallo Albiol, J., Barbosa de Figueiredo, R.P., e Gay Escoda, C. (2011). Ergonomics and musculoskeletal pain among postgraduate students and faculty members of the School of Dentistry of the University of Barcelona (Spain). A cross-sectional study. Medicina Oral, Patología Oral y Cirugía Bucal, 16(3), 425-429. http://dx.doi.org/doi:10.4317/medoral.16.e425
Haskell, W.L., Lee, I.M., Pate, R.R., Powell, K.E., Blair, S.N., Franklin, B.A. et al. (2007). Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116(9), 1081-1093. https://doi.org/10.1161/CIRCULATION.107.185649
Heneweer, H., Staes, F., Aufdemkampe, G., van Rijn, M., e Vanhees, L. (2011). Physical activity and low back pain: a systematic review of recent literature. European Spine Journal, 20(6), 826-845. https://doi.org/10.1007/s00586-010-1680-7
Heneweer, H., Vanhees, L., e Picavet, H.S.J. (2009). Physical activity and low back pain: a U-shaped relation? Pain, 143(1-2), 21-25. https://doi.org/10.1016/j.pain.2008.12.033
Holth, H.S., Werpen, H.K.B., Zwart, J.A., e Hagen, K. (2008). Physical inactivity is associated with chronic musculoskeletal complaints 11 years later: results from the Nord-Trøndelag Health Study. BMC Musculoskeletal Disorders, 9(1), e159. https://doi.org/10.1186/1471-2474-9-159
Jackson, J., e Liles, C. (1994). Working postures and physiotherapy students. Physiotherapy, 80(7), 432-436. https://doi.org/10.1016/S0031-9406(10)60791-2
Jones, B. H., Cowan, D. N., Tomlinson, J. P., Robinson, J. R., Polly, D. W., e Frykman, P. N. (1993). Epidemiology of injuries associated with physical training among young men in the army. Medicina & Science in Sports & Exercise, 25(2), 197-203. https://pubmed.ncbi.nlm.nih.gov/8450721/
Katzmarzyk, P.T., Powell, K.E., Jakicic, J.M., Troiano, R.P., Piercy, K., e Tennant, B. (2019). Sedentary behavior and health: update from the 2018 physical activity guidelines advisory committee. Medicina & Science in Sports & Exercise, 51(6), e1227. https://doi.org/10.1249%2FMSS.0000000000001935
Kędra, A., Kolwicz-Gańko, A., Kędra, P., Bochenek, A., e Czaprowski, D. (2017). Back pain in physically inactive students compared to physical education students with a high and average level of physical activity studying in Poland. BMC Musculoskeletal Disorders, 18(1), e501. https://doi.org/10.1186/s12891-017-1858-9
Lida, I. (1998). Ergonomia: projeto e produção. São Paulo: Edgard Blücher.
Leão, A.M., Gomes, I.P., Ferreira, M.J.M., e Cavalcanti, L.P.D.G. (2018). Prevalência e fatores associados à depressão e ansiedade entre estudantes universitários da área da saúde de um grande centro urbano do Nordeste do Brasil. Revista Brasileira de Educação Médica, 42(4), 55-65. https://doi.org/10.1590/1981-52712015v42n4RB20180092
Lourenço, C., Sousa, T., Fonseca, S., Junior, J.V., e Barbosa, A. (2016). Comportamento sedentário em estudantes Universitários. Revista Brasileira de Atividade Física & Saúde, 21(1), 67-77. https://doi.org/10.12820/rbafs.v.21n1p67-77
Matsudo, S., Araújo, T., Marsudo, V., Andrade, D., Andrade, E., Oliveira, L.C. et al. (2001). Questionário internacional de atividade física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Revista Brasileira de Atividade Física e Saúde, 6(2), 05-18. https://doi.org/10.12820/rbafs.v.6n2p5-18
Matusiak-Wieczorek, E., Lipert, A., Kochan, E., e Jegier, A. (2020). The time spent sitting does not always mean a low level of physical activity. BMC Public Health, 20(1), e317. https://doi.org/10.1186/s12889-020-8396-3
Ming, Z., Närhi, M., e Siivola, J. (2004). Neck and shoulder pain related to computer use. Pathophysiology, 11(1), 51-56. https://doi.org/10.1016/j.pathophys.2004.03.001
Morais, B.X., Dalmolin, G.D.L., Andolhe, R., Dullius, A.I.D.S., e Rocha, L.P. (2019). Musculoskeletal pain in undergraduate health students: prevalence and associated factors. Revista da Escola de Enfermagem USP, 53, e03444. https://doi.org/10.1590/S1980-220X2018014403444
Oyeyemi, A.L., Muhammed, S., Oyeyemi, A.Y., e Adegoke, B.O. (2017). Patterns of objectively assessed physical activity and sedentary time: Are Nigerian health professional students complying with public health guidelines? PLoS One, 12(12), e0190124. https://doi.org/10.1371/journal.pone.0190124
Piercy, K.L., Troiano, R.P., Ballard, R.M., Carlson, S.A., Fulton, J.E., Galuska. et al. (2018). The physical activity guidelines for Americans. JAMA, 320(19), 2020-2028. https://doi.org/10.1001/jama.2018.14854
Raposo, F., Ramos, M., e Lúcia Cruz, A. (2021). Effects of exercise on knee osteoarthritis: A systematic review. Musculoskeletal Care, 19(4), 399-435. https://doi.org/10.1002/msc.1538
Rodrigues, E.S.R., Cheik, N.C., e Mayer, A.F. (2008). Level of physical activity and smoking in undergraduate students. Revista de Saúde Pública, 42(2), 672-678. https://doi.org/10.1590/S0034-89102008000400013
Rodríguez-Nogueira, Ó., Leirós-Rodríguez, R., Benítez-Andrades, J.A., Álvarez-Álvarez, M.J., Marqués-Sánchez, P., e Pinto-Carral, A. (2021). Musculoskeletal pain and teleworking in times of the COVID-19: analysis of the impact on the workers at two Spanish universities. International Journal of Environmental Resarch and Public Health, 18(1), e31. https://doi.org/10.3390/ijerph18010031
Roggio, F., Trovato, B., Ravalli, S., Di Rosa, M., Maugeri, G., Bianco, A. et al. (2021). One year of COVID-19 pandemic in Italy: effect of sedentary behavior on physical activity levels and musculoskeletal pain among university students. International Journal of Environmental Research and Public Health, 18(16), e8680. https://doi.org/10.3390/ijerph18168680
Sá, K., Baptista, A.F., Matos, M.A., e Lessa, I. (2009). Prevalência de dor crônica e fatores associados na população de Salvador, Bahia. Revista de Saúde Pública, 43(4), 622-630. https://doi.org/10.1590/S0034-89102009005000032
Silva, A.G., Sa-Couto, P., Queirós, A., Neto, M., e Rocha, NP. (2017). Pain, pain intensity and pain disability in high school students are differently associated with physical activity, screening hours and sleep. BMC Musculoskeletal Disorders, 18(1), e194. https://doi.org/10.1186/s12891-017-1557-6
Silva, G.R.R., Pitangui, A.C.R., Xavier, M.K.A., Correia-Júnior, M.A.V., e Araújo, R.C.D. (2016). Prevalence of musculoskeletal pain in adolescents and association with computer and videogame use. Jornal de Pediatria, 92(2), 188-196. https://doi.org/10.1016/j.jped.2015.06.006
Smetaniuk, T., Johnson, D., Creurer, J., Block, K., Schlegel, M., Butcher, S. et al. (2017). Physical activity and sedentary behaviour of master of physical therapy students: an exploratory study of facilitators and barriers. Physiotherapy Canada, 69(3), 260-270. https://doi.org/10.3138/ptc.2015-76EP
Sun, J.W., Zhao, L.G., Yang, Y., Ma, X., Wang, Y.Y., e Xiang, Y.B. (2015). Association between television viewing time and all-cause mortality: a meta-analysis of cohort studies. American Journal of Epidemiology, 182(11), 908-916. https://doi.org/10.1093/aje/kwv164
Toscano, J.J.O., Zefferino, A.C.G., Felix, J.B.C., Júnior, C.R.C., e Silva, D.A.S. (2016). Pain prevalence on public servants: association with sedentary behavior and physical leisure activity. Revista Dor, 17(2), 106-110. https://doi.org/10.5935/1806-0013.20160025
Tremblay, M.S., LeBlanc, A.G., Janssen, I., Kho, M.E., Hicks, A., Murumets, K. et al. (2011). Canadian sedentary behaviour guidelines for children and youth. Applied Physiology, Nutrition, and Metabolism, 36(1), 59-64. https://doi.org/10.1139/H11-012
Wandner, L.D., Scipio, C.D., Hirsh, A.T., Torres, C.A., e Robinson, M.E. (2012). The perception of pain in others: how gender, race, and age influence pain expectations. The Journal of Pain, 13(3), 220-227. https://doi.org/10.1016/j.jpain.2011.10.014
Wong, A.Y., Chan, L.L., Lo, C.W., Chan, W.W., Lam, K.C., Bao, J.C. et al. (2021). Prevalence/Incidence of low back pain and associated risk factors among nursing and medical students: a systematic review and meta‐analysis. Physical Medicine and Rehabilitation, 13(11), 1266-1280. https://doi.org/10.1002/pmrj.12560
Yücel, H., e Torun, P. (2016). Incidence and risk factors of low back pain in students studying at a health university. Bezmialem Science, 1,12-18. https://doi.org/10.14235/bs.2016.618
Direitos de Autor (c) 2023 Lecturas: Educación Física y Deportes
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
