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      Frequency of pain and eating disorders among professional and amateur dancers Translated title: Frequência de dor e distúrbios alimentares entre bailarinos profissionais e amadores

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          ABSTRACT CONTEXT AND OBJECTIVE: The pursuit of perfection can cause anxiety and lead dancers to exceed their physical limits. The aim here was to evaluate the prevalence of pain symptoms and eating disorders among professional and amateur dancers. DESIGN AND SETTING: Observational cross-sectional study; Curitiba, PR, Brazil. METHODS: Data on 150 professional and non-professional practitioners of ballet, jazz and street dance were collected through specific questionnaires: Brief Pain Inventory-Short Form (BPI-SF), Eating Attitudes Test-26 (EAT-26), Bulimic Investigatory Test Edinburgh (BITE) and State-Trait Anxiety Inventory-T-6 (STAI-T-6). RESULTS: Pain was observed in 58.6% of the sample, equally between professionals and amateurs (P = 0.19). Ballet dancers had more lower-limb pain than the other groups (P = 0.05). EAT-26 showed a tendency towards more eating disorders among the amateurs (P = 0.06). Higher risk of eating disorders was found among ballet dancers (P = 0.004) and jazz practitioners (P = 0.02) than among street dancers. Amateurs had more symptoms on the BITE scale (P < 0.0001), more pain (P = 0.002) and higher anxiety (P < 0.0001). Eating disorders were more common among females (P = 0.01) and singles (P = 0.02). Professionals were more satisfied with their own body image than amateurs (P < 0.001). CONCLUSIONS: Pain symptoms were found in almost half of the sample, equally among professionals and amateurs as well as between the three dance styles. Female and singles had more eating disorders. Those with eating disorders had higher levels of pain and anxiety.

          Translated abstract

          RESUMO CONTEXTO E OBJETIVO: Buscar a perfeição pode causar ansiedade e levar bailarinos a ultrapassar seus limites físicos. O objetivo foi avaliar a prevalência de sintomas dolorosos e distúrbios alimentares entre bailarinos profissionais e amadores. TIPO E LOCAL: Estudo transversal observacional; Curitiba, PR, Brasil. MÉTODOS: Dados de 150 praticantes profissionais e não profissionais de ballet, jazz e street dance foram coletados por meio de questionários específicos: Brief Pain Inventory-Short Form (BPI-SF), Eating Attitudes Test-26 (EAT-26), Bulimic Investigatory Test Edinburgh (BITE) e State-Trait Anxiety Inventory-T-6 (STAI-T-6). RESULTADOS: Encontrou-se dor em 58,6% da amostra, igualmente entre profissionais e amadores (P = 0,19). Praticantes de ballet tinham mais dor em membros inferiores que os demais (P = 0,05). No EAT- 26, encontrou-se uma tendência para mais transtornos alimentares entre os amadores (P = 0,06). Alto risco para transtornos alimentares apareceu naqueles que praticavam o ballet (P = 0,004) e jazz (P = 0,02) mais do que street dance ; amadores tinham mais sintomas no BITE (P < 0,0001), mais dor (P = 0,002) e ansiedade (P < 0,0001). Transtornos alimentares foram mais comuns em mulheres (P = 0,01) e solteiros (P = 0,02). Bailarinos profissionais estavam mais satisfeitos com sua imagem corporal do que amadores (P < 0,001). CONCLUSÕES: Encontrou-se sintomatologia dolorosa em quase metade da amostra, tanto em bailarinos profissionais como amadores, bem como nos três estilos de dança. Mulheres e pessoas solteiras tiveram mais transtornos alimentares. Aqueles com distúrbios alimentares tinham níveis mais elevados de dor e ansiedade.

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          Most cited references 24

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          Perfectionism and learning experiences in dance class as risk factors for eating disorders in dancers

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            Care of a dancer calls for a unique balance between athlete and artist. The physician must familiarize himself or herself with dance terminology, common moves, correct technique, and dancer's mentality. The goal is to work intimately with the dancer to care for the injury and, if possible, continue to participate in portions of dance class to limit anxiety and increase compliance to treatment. The spine is the second most injured area of the body in dancers, and many issues stem from poor technique and muscle imbalance. This often leads to hyperlordosis, spondylolysis, spondylolisthesis, lumbar facet sprain, discogenic back pain, and muscle spasm and piriformis syndrome. This article reviews these causes of low back pain with a focus on dance-related presentation and treatment issues.
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              The eating attitudes test: an index of symptoms of anorexia nervosa


                Author and article information

                Role: ND
                Role: ND
                Role: ND
                Sao Paulo Medical Journal
                Sao Paulo Med. J.
                Associação Paulista de Medicina - APM (São Paulo, SP, Brazil )
                December 2016
                : 134
                : 6
                : 501-507
                Curitiba orgnameHospital Universitário Evangélico de Curitiba Brazil
                Curitiba PR orgnameFaculdade Evangélica do Paraná Brazil

                This work is licensed under a Creative Commons Attribution 4.0 International License.

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