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      Enfermedad musculoesquelética en población trabajadora: perfil de los afectados y manejo farmacológico Translated title: Musculoesqueletic diseases in working population: subjects' profile and pharmacological management

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          Abstract

          RESUMEN. Objetivos: El presente estudio describe las enfermedades musculoesqueléticas (EME) de una cohorte de trabajadores de tipo manual, así como el uso de los fármacos indicados para el control del dolor. Estudio observacional retrospectivo llevado a cabo en el ámbito del Aragon Workers' Health Study (AWHS). Se ha analizado la prevalencia de las diferentes EME, la tasa de utilización de fármacos empleados en el tratamiento del dolor y el número de dosis diarias definidas (DDD) consumidas. El 15,4% de los trabajadores estudiados fueron diagnosticados de, al menos, una EME. De ellos, el 54,1% tenía sobrepeso y el 74,0% eran mayores de 55 años. La tasa de utilización de los antiinflamatorios no esteroideos (AINE) fue del 69,5%, y de los analgésicos no opiáceos, del 29,9%. Los datos presentados ponen de manifiesto la utilización elevada y, en algunos casos, continuada que existe de tratamientos analgésicos y antiinflamatorios.

          Translated abstract

          ABSTRACT Objectives: The present study describes the musculoskeletal diseases (MSD) of a cohort of manual workers, as well as the use of drugs indicated for pain control. Retrospective observational study carried out within the framework of the Aragon Workers' Health Study (AWHS). The prevalence of the different EMEs, the rate of use of drugs used in the treatment of pain and the number of defined daily doses (DDD) consumed have been analysed. 15.4% of the workers studied were diagnosed with at least one EME. Of them, 54.1% were overweight and 74.0% were older than 55 years. The utilization rate of non-steroidal anti-inflammatory drugs (NSAIDs) was 69.5%, and of non-opioid analgesics, 29.9%. The data presented show the high use and, in some cases, the continuous use of analgesic and anti-inflammatory treatments.

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          Association Between Overweight and Obesity and Risk of Clinically Diagnosed Knee, Hip, and Hand Osteoarthritis: A Population-Based Cohort Study.

          Studies of previous cohorts have demonstrated an association between a status of overweight/obesity and the presence of knee and hand osteoarthritis (OA). However, no data on the effect of these factors on the OA burden are available. The aim of the present study was to analyze the effect of being overweight or obese on the incidence of routinely diagnosed knee, hip, and hand OA.
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            European guidelines on cardiovascular disease prevention in clinical practice (version 2012) : the fifth joint task force of the European society of cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts).

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              Dietary Inflammatory Index and Non-Communicable Disease Risk: A Narrative Review

              There are over 1,000,000 publications on diet and health and over 480,000 references on inflammation in the National Library of Medicine database. In addition, there have now been over 30,000 peer-reviewed articles published on the relationship between diet, inflammation, and health outcomes. Based on this voluminous literature, it is now recognized that low-grade, chronic systemic inflammation is associated with most non-communicable diseases (NCDs), including diabetes, obesity, cardiovascular disease, cancers, respiratory and musculoskeletal disorders, as well as impaired neurodevelopment and adverse mental health outcomes. Dietary components modulate inflammatory status. In recent years, the Dietary Inflammatory Index (DII®), a literature-derived dietary index, was developed to characterize the inflammatory potential of habitual diet. Subsequently, a large and rapidly growing body of research investigating associations between dietary inflammatory potential, determined by the DII, and risk of a wide range of NCDs has emerged. In this narrative review, we examine the current state of the science regarding relationships between the DII and cancer, cardiometabolic, respiratory and musculoskeletal diseases, neurodevelopment, and adverse mental health outcomes. We synthesize the findings from recent studies, discuss potential underlying mechanisms, and look to the future regarding novel applications of the adult and children’s DII (C-DII) scores and new avenues of investigation in this field of nutritional research.
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                Author and article information

                Journal
                medtra
                Revista de la Asociación Española de Especialistas en Medicina del Trabajo
                Rev Asoc Esp Espec Med Trab
                Asociación Española de Especialistas en Medicina del Trabajo (Madrid, Madrid, Spain )
                1132-6255
                2023
                : 32
                : 1
                : 9-22
                Affiliations
                [7] Figueruelas Zaragoza orgnameStellantis orgdiv1Departamento de Prevención España
                [8] Zaragoza Aragón orgnameUniversidad de Zaragoza orgdiv1Departamento de Microbiología, Pediatría, Radiología y Salud Pública orgdiv2Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA). Instituto de Investigación Sanitaria de Aragón (IIS Aragón) Spain
                [1] Zaragoza orgnameServicio Aragonés de Salud (SALUD) orgdiv1Centro de Salud Las Fuentes Norte España
                [2] Zaragoza orgnameServicio Aragonés de Salud (SALUD) orgdiv1Servicio de Farmacia de Atención Primaria del sector Zaragoza III orgdiv2Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA). Instituto de Investigación Sanitaria de Aragón (IIS Aragón) España
                [6] Zaragoza Aragón orgnameUniversidad de Zaragoza orgdiv1Departamento de Microbiología, Pediatría, Radiología y Salud Pública orgdiv2Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA). Instituto de Investigación Sanitaria de Aragón (IIS Aragón) Spain
                [4] Zaragoza Aragón orgnameUniversidad de Zaragoza orgdiv1Departamento de Microbiología, Pediatría, Radiología y Salud Pública orgdiv2Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA). Instituto de Investigación Sanitaria de Aragón (IIS Aragón) Spain
                [5] Zaragoza Aragón orgnameUniversidad de Zaragoza orgdiv1Departamento de Microbiología, Pediatría, Radiología y Salud Pública orgdiv2Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA). Instituto de Investigación Sanitaria de Aragón (IIS Aragón) Spain
                [3] Zaragoza Aragón orgnameUniversidad de Zaragoza orgdiv1Departamento de Economía Aplicada orgdiv2Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA). Instituto de Investigación Sanitaria de Aragón (IIS Aragón) Spain
                Article
                S1132-62552023000100002 S1132-6255(23)03200100002
                a9ac0028-ceab-47f6-becc-a8811da4ca49

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

                History
                : 20 December 2022
                : 07 March 2023
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 38, Pages: 14
                Product

                SciELO Spain

                Categories
                Textos Originales

                occupational health,salud laboral,dolor no oncológico,tratamiento farmacológico,enfermedad musculoesquelética,musculoskeletal pain,drug therapy,musculoskeletal diseases

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