Associação de ansiedade, equilíbrio e velocidade de caminhada entre mulheres na pós-menopausa com doença articular degenerativa do joelho: um estudo transversal
DOI:
https://doi.org/10.17267/2238-2704rpf.2024.e5944Palavras-chave:
Velocidade de Caminhada, Osteoartrite do Joelho, Transtornos de Ansiedade, Pós-MenopausaResumo
A menopausa está frequentemente associada a complicações músculo-esqueléticas, como desmineralização óssea, perda de massa muscular e doenças articulares degenerativas. A osteoartrite do joelho é a doença articular degenerativa mais comum entre mulheres na pós-menopausa. Existe uma interação complexa entre ansiedade percebida, experiência de dor e limitações funcionais entre mulheres na pós-menopausa. OBJETIVO: Determinar a associação dos níveis de ansiedade em mulheres pós-menopáusicas com osteoartrite no agravamento do equilíbrio e da velocidade de marcha. MÉTODOS: Este desenho de estudo transversal foi realizado entre maio e julho de 2023, de acordo com as guidelines STROBE. Mulheres na pós-menopausa com osteoartrose do joelho foram recrutadas num hospital privado, em Chennai, Índia. Com base na pontuação da escala de sintomas de ansiedade e dor (PASS-20), foram categorizadas em mulheres com e sem ansiedade. Todas as participantes foram submetidos ao teste Timed Up and Go (TUG) e ao teste de marcha de 4 metros para identificar o equilíbrio e a velocidade de marcha. Os dados recolhidos foram analisados adequadamente através de estatística qui-quadrado e métodos de regressão. RESULTADOS: A idade média das 100 participantes recrutados neste estudo foi de 49,66 + 6,3 anos. O tempo médio de início da osteoartrite nas participantes foi de 49,28 meses. O estudo identificou que 49% das mulheres na pós-menopausa com osteoartrite apresentavam sintomas de ansiedade. A ansiedade esteve significativamente associada ao aumento da idade (P = 0,017) e à duração da menopausa (P = 0,005). O desempenho no teste TUG foi significativamente fraco (P = 0,005) nos indivíduos com ansiedade. A regressão linear não ajustada e ajustada demonstrou que a ansiedade não está associada ao equilíbrio e à velocidade de marcha em mulheres pós-menopáusicas com osteoartrose do joelho. CONCLUSÃO: A presença de ansiedade em mulheres na pós-menopausa com osteoartrite não afetou os resultados de equilíbrio e velocidade de marcha. A idade, a duração da menopausa e o peso corporal estiveram significativamente associados.
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Referências
(1) Vina ER, Kwoh CK. Epidemiology of Osteoarthritis: literature update. Curr Opin Rheumatol. 2018;30(2):160-7. https://doi.org/10.1097/bor.0000000000000479 DOI: https://doi.org/10.1097/BOR.0000000000000479
(2) He Y, Zhang M, Lin EHB, Bruffaerts R, Posada-Villa J, Angermeyer MC, et al. Mental disorders among persons with arthritis: results from the World Mental Health Surveys. Psychol Med. 2008;38(11):1639–50. https://doi.org/10.1017/s0033291707002474 DOI: https://doi.org/10.1017/S0033291707002474
(3) Steenkamp W, Rachuene PA, Dey R, Mzayiya NL, Ramasuvha BE. The correlation between clinical and radiological severity of osteoarthritis of the knee. SICOT J. 2022;8:14. https://doi.org/10.1051/sicotj/2022014 DOI: https://doi.org/10.1051/sicotj/2022014
(4) Khera T, Rangasamy V. Cognition and Pain: A Review. Front Psychol. 2021;12:673962. https://doi.org/10.3389/fpsyg.2021.673962 DOI: https://doi.org/10.3389/fpsyg.2021.673962
(5) Singh A, Das S, Chopra A, Danda D, Paul BJ, March L, et al. Burden of osteoarthritis in India and its states, 1990–2019: findings from the Global Burden of disease study 2019. Osteoarthritis Cartilage. 2022;30(8):1070–8. https://doi.org/10.1016/j.joca.2022.05.004 DOI: https://doi.org/10.1016/j.joca.2022.05.004
(6) Frew N, Johnson G. Survival of the Birmingham hip resurfacing in young men up to 13 years post-operatively [Internet]. Acta Orthop Belg. 2017;83(1):67-73. Available from: http://www.actaorthopaedica.be/assets/2487/11-Frew.pdf
(7) Koh JL. CORR Insights®: Radiographic Severity May Not be Associated with Pain and Function in Glenohumeral Arthritis. Clin Orthop Relat Res. 2022;480(2):364-6. https://doi.org/10.1097/CORR.0000000000002021 DOI: https://doi.org/10.1097/CORR.0000000000002021
(8) Curtin KB, Norris D. The relationship between chronic musculoskeletal pain, anxiety and mindfulness: Adjustments to the Fear-Avoidance Model of Chronic Pain. Scand J Pain. 2017;17:156-166. https://doi.org/10.1016/j.sjpain.2017.08.006 DOI: https://doi.org/10.1016/j.sjpain.2017.08.006
(9) Kilinç H, Karahan S, Atilla B, Kinikli Gİ. Can Fear of Movement, Depression and Functional Performance be a Predictor of Physical Activity Level in Patients With Knee Osteoarthritis? Arch Rheumatol. 2018;34(3):274-280. https://doi.org/10.5606/ArchRheumatol.2019.7160 DOI: https://doi.org/10.5606/ArchRheumatol.2019.7160
(10) Stein BP, Boyer KA. Impact of parity on biomechanical risk factors for knee OA initiation. Gait Posture. 2021;84:287–92. https://doi.org/10.1016/j.gaitpost.2020.12.024 DOI: https://doi.org/10.1016/j.gaitpost.2020.12.024
(11) Hainline G, Hainline RD, Handlery R, Fritz S. A Scoping Review of the Predictive Qualities of Walking Speed in Older Adults. J Geriatr Phys Ther. 2024;47(4):183-191. https://doi.org/10.1519/jpt.0000000000000398 DOI: https://doi.org/10.1519/JPT.0000000000000398
(12) Yu H, Zhang Q, Liu S, Liu C, Dai P, Lan Y, et al. Effect of Executive Dysfunction on Posture Control and Gait after Stroke. Evid Based Complement Alternat Med. 2021;2021:3051750. https://doi.org/10.1155/2021/3051750 DOI: https://doi.org/10.1155/2021/3051750
(13) Saraiva M, Vilas-Boas JP, Fernandes OJ, Castro MA. Effects of Motor Task Difficulty on Postural Control Complexity during Dual Tasks in Young Adults: A Nonlinear Approach. Sensors (Basel). 2023;23(2):628. https://doi.org/10.3390/s23020628 DOI: https://doi.org/10.3390/s23020628
(14) Apthorp D, Bolbecker AR, Bartolomeo LA, O'Donnell BF, Hetrick WP. Postural Sway Abnormalities in Schizotypal Personality Disorder. Schizophr Bull. 2019;45(3):512-521. https://doi.org/10.1093/schbul/sby141 DOI: https://doi.org/10.1093/schbul/sby141
(15) Montero-Odasso M, Velde NVD, Martin FC, Petrovic M, Tan MP, Ryg J, et al. Task Force on Global Guidelines for Falls in Older Adults. World guidelines for falls prevention and management for older adults: a global initiative. Age Ageing. 2022;51(9):205. https://doi.org/10.1093/ageing/afac205 DOI: https://doi.org/10.1093/ageing/afac205
(16) Marks R. Anxiety and Osteoarthritis Disability: Updated Overview and Commentary. Open Orthop J. 2020;14(1):46–57. http://dx.doi.org/10.2174/1874325002014010046 DOI: https://doi.org/10.2174/1874325002014010046
(17) Smalley A, White SC, Burkard R. The effect of augmented somatosensory feedback on standing postural sway. Gait Posture. 2018;60:76-80. https://doi.org/10.1016/j.gaitpost.2017.11.015 DOI: https://doi.org/10.1016/j.gaitpost.2017.11.015
(18) Minnick MR, Pérez-Edgar KE, Soto JA. A Disruption in the Balance of Attentional Systems Plays a Role in Trait Anxiety. Brain Sci. 2020;10(10):761. https://doi.org/10.3390/brainsci10100761 DOI: https://doi.org/10.3390/brainsci10100761
(19) Shi R, Sharpe L, Abbott M. A meta-analysis of the relationship between anxiety and attentional control. Clin Psychol Rev. 2019;72:101754. https://doi.org/10.1016/j.cpr.2019.101754 DOI: https://doi.org/10.1016/j.cpr.2019.101754
(20) Hachul H, Hachul de Campos B, Lucena L, Tufik S. Sleep during menopause. Sleep Med Clin. 2023;18(4):423-33. https://doi.org/10.1016/j.jsmc.2023.06.004 DOI: https://doi.org/10.1016/j.jsmc.2023.06.004
(21) Abrams MP, Carleton RN, Asmundson GJ. An exploration of the psychometric properties of the PASS-20 with a nonclinical sample. J Pain. 2007;8(11):879-86. https://doi.org/10.1016/j.jpain.2007.06.004 DOI: https://doi.org/10.1016/j.jpain.2007.06.004
(22) Siviero P, Limongi F, Gesmundo A, Zambon S, Cooper C, Dennison EM, et al. European Project on Osteoarthritis Research Group. Factors Associated With Functional Decline in Hand and Hip/Knee Osteoarthritis After One Year: Data From a Population-Based Study. Arthritis Care Res (Hoboken). 2021;73(9):1343-1353. https://doi.org/10.1002/acr.24404 DOI: https://doi.org/10.1002/acr.24404
(23) Huang S, Wang Z, Zheng D, Liu L. Anxiety disorder in menopausal women and the intervention efficacy of mindfulness-based stress reduction [Internet]. Am J Transl Res. 2023;15(3):2016-2024. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10086901/
(24) Nightingale CJ, Mitchell SN, Butterfield SA. Validation of the Timed Up and Go Test for Assessing Balance Variables in Adults Aged 65 and Older. J Aging Phys Act. 2019;1;27(2):230-233. https://doi.org/10.1123/japa.2018-0049 DOI: https://doi.org/10.1123/japa.2018-0049
(25) Fenton SAM, Neogi T, Dunlop D, Nevitt M, Doherty M, Duda JL, et al. Does the intensity of daily walking matter for protecting against the development of a slow gait speed in people with or at high risk of knee osteoarthritis? An observational study. Osteoarthritis Cartilage. 2018;26(9):1181-9. https://doi.org/10.1016/j.joca.2018.04.015 DOI: https://doi.org/10.1016/j.joca.2018.04.015
(26) Uritani D, Campbell PK, Metcalf B, Egerton T. A comparison of psychological characteristics in people with knee osteoarthritis from Japan and Australia: A cross-sectional study. Tan MP, editor. PLOS ONE. 2022;17(5):e0267877. https://doi.org/10.1371/journal.pone.0267877 DOI: https://doi.org/10.1371/journal.pone.0267877
(27) Loureiro A, Constantinou M, Diamond LE, Beck B, Barrett R. Individuals with mild-to-moderate hip osteoarthritis have lower limb muscle strength and volume deficits. BMC Musculoskelet Disord. 2018;19(1):303. https://doi.org/10.1186/s12891-018-2230-4 DOI: https://doi.org/10.1186/s12891-018-2230-4
(28) Manjunatha N, Jayasankar P, Suhas S, Rao GN, Gopalkrishna G, Varghese M et al., Prevalence and its correlates of anxiety disorders from India's National Mental Health Survey 2016. Indian J Psychiatry. 2022;64(2):138-142. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_964_21 DOI: https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_964_21
(29) Feldman R, Schreiber S, Pick CG, Been E. Gait, balance, mobility and muscle strength in people with anxiety compared to healthy individuals. Hum Mov Sci. 2019;67:102513. https://doi.org/10.1016/j.humov.2019.102513 DOI: https://doi.org/10.1016/j.humov.2019.102513
(30) Ho HH, Fang IY, Yu YC, Huang YP, Kuo IL, Wang LT, et al. Is functional fitness performance a useful predictor of risk of falls among community-dwelling older adults? Arch Public Health. 2021;79(1):108. https://doi.org/10.1186/s13690-021-00608-1 DOI: https://doi.org/10.1186/s13690-021-00608-1
(31) Hoogendijk EO, Rijnhart JJM, Skoog J, Robitaille A, Hout AVD, Ferrucci L, et al., Gait speed as predictor of transition into cognitive impairment: Findings from three longitudinal studies on aging. Exp Gerontol. 2020;129:110783. https://doi.org/10.1016/j.exger.2019.110783 DOI: https://doi.org/10.1016/j.exger.2019.110783
(32) Toyoda H, Hayashi C, Okano T. Associations between physical function, falls, and the fear of falling among older adults participating in a community-based physical exercise program: A longitudinal multilevel modeling study. Arch Gerontol Geriatr. 2022;102:104752. https://doi.org/10.1016/j.archger.2022.104752 DOI: https://doi.org/10.1016/j.archger.2022.104752
(33) Svensson M, Brundin L, Erhardt S, Hållmarker U, James S, Deierborg T. Physical Activity Is Associated With Lower Long-Term Incidence of Anxiety in a Population-Based, Large-Scale Study. Front Psychiatry. 2021;12:714014. https://doi.org/10.3389/fpsyt.2021.714014 DOI: https://doi.org/10.3389/fpsyt.2021.714014
(34) Guglielmo D, Hootman JM, Boring MA, Murphy LB, Theis KA, Croft JB, et al. Symptoms of Anxiety and Depression Among Adults with Arthritis - United States, 2015-2017. MMWR Morb Mortal Wkly Rep. 2018;67(39):1081-7. https://doi.org/10.15585/mmwr.mm6739a2 DOI: https://doi.org/10.15585/mmwr.mm6739a2
(35) Schiphof D, Runhaar J, Waarsing JH, van Spil WE, Middelkoop MV, Bierma-Zeinstra SMA. The clinical and radiographic course of early knee and hip osteoarthritis over 10 years in CHECK (Cohort Hip and Cohort Knee). Osteoarthritis Cartilage. 2019;27(10):1491-1500. https://doi.org/10.1016/j.joca.2019.06.002 DOI: https://doi.org/10.1016/j.joca.2019.06.002
(36) Schooten KSV, Freiberger E, Sillevis Smitt M, Keppner V, Sieber C, Lord SR, et al. Concern About Falling Is Associated With Gait Speed, Independently From Physical and Cognitive Function. Phys Ther. 2019;1;99(8):989-997. https://doi.org/10.1093/ptj/pzz032 DOI: https://doi.org/10.1093/ptj/pzz032
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Copyright (c) 2024 Kanimozhiselvi Sounderrajan Jamunarani, Radhika Krishnan Jayaraman, Hariharasudhan Ravichandran, Antony Leo Aseer, Balamurugan Janakiraman, Senthil Purushothaman
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Esta obra está licenciada com uma Licença Creative Commons Atribuição 4.0 Internacional.
