Densidade mineral óssea em crianças: associação com dor músculo-esquelética e/ou hipermobilidade articular
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0021-75572002000600014 http://repositorio.unifesp.br/handle/11600/1572 |
Resumo: | ABSTRACT Objective: joint hypermobility can be associated with benign musculoskeletal pain. The relation between hypermobility and low bone mineral density is still unknown. Osteoporosis can be observed in some genetic syndromes associated with joint hypermobility. The aim of our study was to detect the possible relation between joint hypermobility, benign musculoskeletal pain and bone mineral density in children. Patients and methods: ninety-three children from 5 to 10 years of age were evaluated concerning the presence of joint hypermobility and the presence of musculoskeletal pain based on a questionnaire directed to parents. We also performed densitometry to measure bone mineral density. All children underwent an L2-L4 lumbar bone densitometry. Results: children were distributed into four groups according to the presence or not of joint hypermobility associated or not with musculoskeletal pain: 29 (31.2%) with hypermobility and pain, 20 (21.5%) with hypermobility and without pain, 22 (23.6%) without hypermobility and with pain and 22 (23.6%) without hypermobility and without pain (control group). Twenty-four children (25.8%) presented reduction in bone mineral density over 10% related to the adequate bone mineral density for age and gender. Bone mineral density was significantly lower in relation to the controls in the following groups: with hypermobility (independently of the presence of pain), with pain (independently of the presence of hypermobility), with hypermobility and without pain and without hypermobility and with pain. Conclusion: bone mineral density may be lower in children with joint hypermobility (independently of musculoskeletal pain) and in children with pain (independently of hypermobility) when compared to controls. |
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Densidade mineral óssea em crianças: associação com dor músculo-esquelética e/ou hipermobilidade articularBone mineral density in children: association with musculoskeletal pain and/or joint hypermobilitybone mineral densityjoint hypermobilitymusculoskeletal paindensidade mineral ósseahipermobilidade articulardor músculo-esqueléticaABSTRACT Objective: joint hypermobility can be associated with benign musculoskeletal pain. The relation between hypermobility and low bone mineral density is still unknown. Osteoporosis can be observed in some genetic syndromes associated with joint hypermobility. The aim of our study was to detect the possible relation between joint hypermobility, benign musculoskeletal pain and bone mineral density in children. Patients and methods: ninety-three children from 5 to 10 years of age were evaluated concerning the presence of joint hypermobility and the presence of musculoskeletal pain based on a questionnaire directed to parents. We also performed densitometry to measure bone mineral density. All children underwent an L2-L4 lumbar bone densitometry. Results: children were distributed into four groups according to the presence or not of joint hypermobility associated or not with musculoskeletal pain: 29 (31.2%) with hypermobility and pain, 20 (21.5%) with hypermobility and without pain, 22 (23.6%) without hypermobility and with pain and 22 (23.6%) without hypermobility and without pain (control group). Twenty-four children (25.8%) presented reduction in bone mineral density over 10% related to the adequate bone mineral density for age and gender. Bone mineral density was significantly lower in relation to the controls in the following groups: with hypermobility (independently of the presence of pain), with pain (independently of the presence of hypermobility), with hypermobility and without pain and without hypermobility and with pain. Conclusion: bone mineral density may be lower in children with joint hypermobility (independently of musculoskeletal pain) and in children with pain (independently of hypermobility) when compared to controls.Introdução: a hipermobilidade articular pode estar associada à dor músculo-esquelética. A relação da hipermobilidade com a redução da densidade mineral óssea ainda é desconhecida. Existem relatos de osteoporose em associação com doenças genéticas que cursam com hipermobilidade articular. O nosso objetivo foi detectar a possível associação entre hipermobilidade articular e alterações na densidade mineral óssea (DMO) em crianças com e sem dor músculo-esquelética. Casuística e métodos: foram avaliadas 93 crianças, com idade entre 5 e 10 anos, quanto à presença de hipermobilidade articular e quanto à presença de dor músculo-esquelética, através de questionário dirigido aos pais. Todas as crianças realizaram densitometria óssea de coluna lombar ao nível das vértebras L2-L4. Resultados: as crianças foram distribuídas de acordo com a presença ou não de hipermobilidade articular associada ou não à dor músculo-esquelética: 29 (31,2%) com hipermobilidade e com dor músculo-esquelética, 20 (21,5%) com hipermobilidade e sem dor, 22 (23,6%) sem hipermobilidade e com dor e 22 (23,6%) sem hipermobilidade e sem dor (grupo controle). Vinte e quatro (25,8%) crianças apresentaram perda de DMO maior que 10% com relação à DMO adequada para a idade e sexo. A DMO mostrou-se significantemente menor em relação ao grupo controle nos grupos: com hipermobilidade (independente da presença de dor), com dor (independente da presença de hipermobilidade), com hipermobilidade e sem dor e sem hipermobilidade e com dor. Conclusão: a DMO pode estar diminuída em crianças com hipermobilidade (independente da presença de dor músculo-esquelética) e em crianças com dor (independente da presença de hipermobilidade) em relação aos controles.Universidade Federal de São Paulo (UNIFESP) EPM Departamento de PediatriaUniversidade Federal de São Paulo (UNIFESP) EPM Dep. de MedicinaUNIFESP, EPM, Depto. de PediatriaUNIFESP, EPM, Dep. de MedicinaSciELOSociedade Brasileira de PediatriaUniversidade Federal de São Paulo (UNIFESP)Roberto, Adriana Madureira [UNIFESP]Terreri, Maria Teresa Ramos Ascensão [UNIFESP]Szejnfeld, Vera Lucia [UNIFESP]Hilário, Maria Odete Esteves [UNIFESP]2015-06-14T13:29:51Z2015-06-14T13:29:51Z2002-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion523-528application/pdfhttp://dx.doi.org/10.1590/S0021-75572002000600014Jornal de Pediatria. Sociedade Brasileira de Pediatria, v. 78, n. 6, p. 523-528, 2002.10.1590/S0021-75572002000600014S0021-75572002000600014.pdf0021-7557S0021-75572002000600014http://repositorio.unifesp.br/handle/11600/1572porJornal de Pediatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-03T16:47:33Zoai:repositorio.unifesp.br/:11600/1572Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-03T16:47:33Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Densidade mineral óssea em crianças: associação com dor músculo-esquelética e/ou hipermobilidade articular Bone mineral density in children: association with musculoskeletal pain and/or joint hypermobility |
title |
Densidade mineral óssea em crianças: associação com dor músculo-esquelética e/ou hipermobilidade articular |
spellingShingle |
Densidade mineral óssea em crianças: associação com dor músculo-esquelética e/ou hipermobilidade articular Roberto, Adriana Madureira [UNIFESP] bone mineral density joint hypermobility musculoskeletal pain densidade mineral óssea hipermobilidade articular dor músculo-esquelética |
title_short |
Densidade mineral óssea em crianças: associação com dor músculo-esquelética e/ou hipermobilidade articular |
title_full |
Densidade mineral óssea em crianças: associação com dor músculo-esquelética e/ou hipermobilidade articular |
title_fullStr |
Densidade mineral óssea em crianças: associação com dor músculo-esquelética e/ou hipermobilidade articular |
title_full_unstemmed |
Densidade mineral óssea em crianças: associação com dor músculo-esquelética e/ou hipermobilidade articular |
title_sort |
Densidade mineral óssea em crianças: associação com dor músculo-esquelética e/ou hipermobilidade articular |
author |
Roberto, Adriana Madureira [UNIFESP] |
author_facet |
Roberto, Adriana Madureira [UNIFESP] Terreri, Maria Teresa Ramos Ascensão [UNIFESP] Szejnfeld, Vera Lucia [UNIFESP] Hilário, Maria Odete Esteves [UNIFESP] |
author_role |
author |
author2 |
Terreri, Maria Teresa Ramos Ascensão [UNIFESP] Szejnfeld, Vera Lucia [UNIFESP] Hilário, Maria Odete Esteves [UNIFESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Roberto, Adriana Madureira [UNIFESP] Terreri, Maria Teresa Ramos Ascensão [UNIFESP] Szejnfeld, Vera Lucia [UNIFESP] Hilário, Maria Odete Esteves [UNIFESP] |
dc.subject.por.fl_str_mv |
bone mineral density joint hypermobility musculoskeletal pain densidade mineral óssea hipermobilidade articular dor músculo-esquelética |
topic |
bone mineral density joint hypermobility musculoskeletal pain densidade mineral óssea hipermobilidade articular dor músculo-esquelética |
description |
ABSTRACT Objective: joint hypermobility can be associated with benign musculoskeletal pain. The relation between hypermobility and low bone mineral density is still unknown. Osteoporosis can be observed in some genetic syndromes associated with joint hypermobility. The aim of our study was to detect the possible relation between joint hypermobility, benign musculoskeletal pain and bone mineral density in children. Patients and methods: ninety-three children from 5 to 10 years of age were evaluated concerning the presence of joint hypermobility and the presence of musculoskeletal pain based on a questionnaire directed to parents. We also performed densitometry to measure bone mineral density. All children underwent an L2-L4 lumbar bone densitometry. Results: children were distributed into four groups according to the presence or not of joint hypermobility associated or not with musculoskeletal pain: 29 (31.2%) with hypermobility and pain, 20 (21.5%) with hypermobility and without pain, 22 (23.6%) without hypermobility and with pain and 22 (23.6%) without hypermobility and without pain (control group). Twenty-four children (25.8%) presented reduction in bone mineral density over 10% related to the adequate bone mineral density for age and gender. Bone mineral density was significantly lower in relation to the controls in the following groups: with hypermobility (independently of the presence of pain), with pain (independently of the presence of hypermobility), with hypermobility and without pain and without hypermobility and with pain. Conclusion: bone mineral density may be lower in children with joint hypermobility (independently of musculoskeletal pain) and in children with pain (independently of hypermobility) when compared to controls. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-12-01 2015-06-14T13:29:51Z 2015-06-14T13:29:51Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0021-75572002000600014 Jornal de Pediatria. Sociedade Brasileira de Pediatria, v. 78, n. 6, p. 523-528, 2002. 10.1590/S0021-75572002000600014 S0021-75572002000600014.pdf 0021-7557 S0021-75572002000600014 http://repositorio.unifesp.br/handle/11600/1572 |
url |
http://dx.doi.org/10.1590/S0021-75572002000600014 http://repositorio.unifesp.br/handle/11600/1572 |
identifier_str_mv |
Jornal de Pediatria. Sociedade Brasileira de Pediatria, v. 78, n. 6, p. 523-528, 2002. 10.1590/S0021-75572002000600014 S0021-75572002000600014.pdf 0021-7557 S0021-75572002000600014 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Jornal de Pediatria |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
523-528 application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268370659311616 |