Medical Science Monitor最新文献

Effects of Remote Exercise on Physical Function in Pre-Frail Older Adults: A Randomized Controlled Trial.

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-01-28 DOI: 10.12659/MSM.947105

Kyeongjin Lee

{"title":"Effects of Remote Exercise on Physical Function in Pre-Frail Older Adults: A Randomized Controlled Trial.","authors":"Kyeongjin Lee","doi":"10.12659/MSM.947105","DOIUrl":"https://doi.org/10.12659/MSM.947105","url":null,"abstract":"BACKGROUND Remote exercise have emerged as a promising solution to overcome barriers to physical activity participation in pre-frail older adults, such as limited mobility and accessibility issues. Pre-frail older adults often face barriers to physical activity due to limited mobility and accessibility, underscoring the need for remote exercise alternatives. This study aimed to evaluate and compare the efficacy of remote versus in-person exercise in improving physical function in pre-frail older adults. MATERIAL AND METHODS Ninety pre-frail older adults aged 65 years and above were recruited, and randomly assigned to 3 groups: the remote exercise group (REG, n=30), the in-person exercise group (IPEG, n=30), and the control group (CG, n=30). The REG and IPEG groups underwent identical exercise, including balance, strength, and gait training, conducted twice weekly for 8 weeks. The REG received live, real-time instructions via video conferencing, while the IPEG participated in identical sessions conducted at a local facility. Outcome measures included assessments of balance, lower-limb strength, gait ability, and fall efficacy. RESULTS Both the REG and IPEG groups demonstrated significant improvements in balance, gait ability, lower-limb strength, and fall efficacy compared to the CG (P<0.05). No significant differences were found between the REG and IPEG groups across all outcome measures, indicating that remote exercise were as effective as in-person sessions. CONCLUSIONS Remote exercise effectively enhanced balance, strength, gait, and fall efficacy in pre-frail older adults, providing a viable alternative to traditional in-person programs and addressing healthcare disparities.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e947105"},"PeriodicalIF":3.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

C-Reactive Protein, Uric Acid, and Coronary Artery Ectasia in Patients with Coronary Artery Disease.

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-01-27 DOI: 10.12659/MSM.947158

Onur Argan, Serdar Bozyel

{"title":"C-Reactive Protein, Uric Acid, and Coronary Artery Ectasia in Patients with Coronary Artery Disease.","authors":"Onur Argan, Serdar Bozyel","doi":"10.12659/MSM.947158","DOIUrl":"https://doi.org/10.12659/MSM.947158","url":null,"abstract":"BACKGROUND Coronary artery ectasia (CAE) is frequently present with coronary artery disease (CAD). However, it is not clear why some patients with CAD progress to CAE while others do not. The pathogenesis of CAE is still poorly elucidated. C-reactive protein (CRP) and serum uric acid are well-known markers of inflammation. We aimed to investigate the possible associations among CRP, uric acid, and CAE in patients with CAD. MATERIAL AND METHODS We retrospectively evaluated data from 2400 patients undergoing coronary angiography. Seventy-four patients with CAE and CAD and 124 patients with only CAD detected on coronary angiography examination were included in this study. Univariate and multivariate logistic regression analyses were performed to evaluate the associated parameters of CAE in patients with CAD. RESULTS Patients with CAE and CAD were younger than patients with only CAD (63±9.5 vs 66.1±9.4, P=0.028). Male sex was more prevalent in patients with CAE and CAD than in patients with only CAD (86.5% vs 74.2%; P=0.029). CRP and uric acid were higher in patients with CAE and CAD compared to the patients with only CAD (10.9±12.8 vs 6.6±6.4; P=0.004; 5.9±1.4 vs 5.2±1.5; P=0.002, respectively). In multivariate regression analysis, age [P=0.029,OR(95% CI) 0.958(0.921-0.996)], CRP [P=0.010,OR (95% CI) 1.058 (1.014-1.103)], and uric acid [P=0.002,OR (95%CI) 1.527 (1.173-1.988)] were associated with CAE in patients with CAD. CONCLUSIONS The CRP and uric acid levels were higher in patients with CAE and CAD compared to the patients who only had CAD. Also, CRP and uric acid were associated with CAE. These results reflect the higher-grade vascular inflammation relative to atherosclerotic involvement in the presence of concomitant CAE in patients with CAD.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e947158"},"PeriodicalIF":3.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Periodontal Treatment on Early Rheumatoid Arthritis and the Role of Porphyromonas gingivalis Antibody Titers.

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-01-26 DOI: 10.12659/MSM.947146

Yoichiro Nakajima, Nahoko Kato-Kogoe, Takako Yasuda, Rika Urakawa, Tomoka Matsuo, Michi Omori, Takaaki Ueno, Tohru Takeuchi

{"title":"Impact of Periodontal Treatment on Early Rheumatoid Arthritis and the Role of Porphyromonas gingivalis Antibody Titers.","authors":"Yoichiro Nakajima, Nahoko Kato-Kogoe, Takako Yasuda, Rika Urakawa, Tomoka Matsuo, Michi Omori, Takaaki Ueno, Tohru Takeuchi","doi":"10.12659/MSM.947146","DOIUrl":"https://doi.org/10.12659/MSM.947146","url":null,"abstract":"BACKGROUND Periodontal disease and rheumatoid arthritis (RA) are closely related, and periodontal therapy can potentially improve RA activity. However, it is not clear in which RA patient populations are more effective periodontal therapy for RA treatment. This study aimed to evaluate the effects of treatment for periodontal disease in 30 patients with rheumatoid arthritis and the titers of antibodies to Porphyromonas gingivalis (P. gingivalis). MATERIAL AND METHODS Thirty patients with RA with mild to severe periodontitis were divided into 3 groups based on the timing of periodontal therapy initiation. RA activity was assessed at baseline and at 3, 6, 9, and 12 months for comparison across groups. Additionally, serum P. gingivalis antibody titers were measured at baseline, patients were divided into 3 groups based on their levels, and their RA activity was compared after 12 months. RESULTS Patients who started periodontal therapy concurrently with RA treatment initiation at baseline showed greater improvement in RA activity, measured by disease activity score, including 28 joints using C-reactive protein (DAS28-CRP), from baseline to 3 months than those who started periodontal therapy after RA treatment. Additionally, RA activity by DAS28-CRP after 12 months of RA treatment with periodontal therapy was significantly improved in patients with higher baseline serum IgG antibody titers against P. gingivalis than in those with lower titers. CONCLUSIONS Treatment for periodontal disease in patients with RA is more effective in patients with early-phase RA and higher serum P. gingivalis antibody titers.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e947146"},"PeriodicalIF":3.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cost-Effective Day Surgery for Arteriovenous Fistula Stenosis: A Viable Model for Hemodialysis Patients.

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-01-25 DOI: 10.12659/MSM.946128

Yi Zeng, Jing Wen, Shen Zhan, Xuyang Hao, Yuzhu Wang, Lihong Zhang

{"title":"Cost-Effective Day Surgery for Arteriovenous Fistula Stenosis: A Viable Model for Hemodialysis Patients.","authors":"Yi Zeng, Jing Wen, Shen Zhan, Xuyang Hao, Yuzhu Wang, Lihong Zhang","doi":"10.12659/MSM.946128","DOIUrl":"https://doi.org/10.12659/MSM.946128","url":null,"abstract":"BACKGROUND For patients with end-stage renal disease, arteriovenous fistulas (AVFs) are often used for hemodialysis, but stenosis can impair their function. Traditional inpatient procedures to address AVF stenosis are effective but resource-intensive, prompting the need for alternative approaches like day surgery to optimize care and reduce costs. This study evaluated the feasibility of a day surgery model for AVF stenosis treatment in maintenance hemodialysis (MHD) patients, aiming to develop a cost-effective and high-quality care model. MATERIAL AND METHODS A prospective cohort study was conducted with 186 MHD patients undergoing AVF stenosis intervention between July 2022 and May, 2023. Patients were divided into a day surgery group (n=112) and a ward group (n=74). Various preoperative, intraoperative, and postoperative parameters were recorded, including AVF patency, complications, and rehospitalization rates. Follow-up assessments were conducted on postoperative days 1, 3, 7, and 30, with long-term patency evaluated at 6 and 12 months. RESULTS The day surgery group achieved a technical success rate of 99.11% and a complication rate of 3.57%, compared to 97.30% and 1.35% in the ward group. The day surgery group also had significantly shorter waiting times for beds, shorter hospital stays, and lower hospitalization costs (P<0.01). No significant differences were found between the groups in preoperative or postoperative parameters. CONCLUSIONS The day surgery model for AVF stenosis intervention in MHD patients is a viable option, showing comparable success and complication rates to inpatient surgery while significantly reducing hospital stays and costs.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e946128"},"PeriodicalIF":3.1,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics and Associated Risk Factors of Broad Ligament Hernia: A Systematic Review.

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-01-24 DOI: 10.12659/MSM.946710

Kelsey Dowers, Sabrina Costantini, Michael J Montalbano, Vasilis Paraschos, Ewarld G Marshall, Marios Loukas

{"title":"Characteristics and Associated Risk Factors of Broad Ligament Hernia: A Systematic Review.","authors":"Kelsey Dowers, Sabrina Costantini, Michael J Montalbano, Vasilis Paraschos, Ewarld G Marshall, Marios Loukas","doi":"10.12659/MSM.946710","DOIUrl":"https://doi.org/10.12659/MSM.946710","url":null,"abstract":"The broad ligament, a double-layered peritoneum attaching the lateral uterus to the pelvic sidewall, plays a vital role in pelvic anatomy. Small bowel herniation through a defect in the broad ligament, known as broad ligament herniation, involving protrusion of viscera through defects in this ligament, is rare but can lead to severe complications. This systematic review aims to evaluate the presentation, diagnosis, management, and factors associated with broad ligament herniation. Following PRISMA guidelines, a systematic search was conducted in PubMed and Cumulative Index to Nursing and Allied Health Literature databases using the terms \"broad ligament AND hernia\" and \"broad ligament AND herniation\". Case reports and series with detailed anatomical descriptions were included. Articles not in English or without full-text access were excluded. Extracted data included patient demographics, history of abdominal surgeries, herniated organs, and classification. Results were synthesized to identify patterns and risk factors. A total of 71 articles met the inclusion criteria, with patients predominantly aged 30 to 49 years. A history of abdominal surgery and multiparity were noted to be key risk factors. The small bowel was the most herniated organ (90% of cases). The fenestra type defect accounted for 88.9% of cases, and CT imaging emerged as the preferred diagnostic modality. Detailed surgical and medical histories are crucial in diagnosing broad ligament herniation. Future research should focus on pathogenesis and standardized classification systems to improve management strategies.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e946710"},"PeriodicalIF":3.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Affecting Medication Adherence in Middle-Aged and Elderly Patients in China: A Cross-Sectional Study.

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-01-23 DOI: 10.12659/MSM.945805

Jun-Kai Dou, Huan Liu, Yan Mei, Jin Mei, Xue-Zhi Shi, Aoqi Dong, Zhengxia Yang, Xiubin Tao, Ming Zhang

{"title":"Factors Affecting Medication Adherence in Middle-Aged and Elderly Patients in China: A Cross-Sectional Study.","authors":"Jun-Kai Dou, Huan Liu, Yan Mei, Jin Mei, Xue-Zhi Shi, Aoqi Dong, Zhengxia Yang, Xiubin Tao, Ming Zhang","doi":"10.12659/MSM.945805","DOIUrl":"https://doi.org/10.12659/MSM.945805","url":null,"abstract":"BACKGROUND As the population ages, comorbidities among elderly patients are becoming a significant problem, due to associated risks and mortality. Medication adherence is crucial for controlling chronic diseases and improving patient outcomes; therefore, it is important to understand medication adherence among hospitalized patients. MATERIAL AND METHODS A cross-sectional study was conducted from June 2023 to April 2024 in 2 tertiary hospitals in Wuhu City, Anhui Province, China. Patients were divided into 2 age groups: 45 to 60 years and over 60 years. Data were collected using a self-designed sociodemographic questionnaire, the 4-item Morisky Medication Adherence Scale (MMAS-4), frailty scale, social frailty scale, and subjective cognitive decline questionnaire 9 (SCD-Q9). RESULTS A total of 963 inpatients were recruited, with 18.0% being middle-aged and 82.0%, elderly. The prevalence of medication adherence was 50.2%. Univariate analysis showed that medication adherence was significantly associated with place of residence, having relatives as medical personnel, physical frailty, social frailty, and subjective cognitive symptoms. Correlation analysis revealed that medication adherence was significantly negatively correlated with physical frailty, social frailty, and subjective cognitive symptoms. Binary logistic regression confirmed significant associations between medication adherence and physical frailty, social frailty, and subjective cognitive symptoms. CONCLUSIONS This study investigated medication adherence and its influencing factors among hospitalized patients with comorbidities in Anhui Province, China, identifying several influencing factors. Therefore, targeted interventions should be implemented by the government and relevant departments to improve patients' medication adherence.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e945805"},"PeriodicalIF":3.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of the Carhart Effect and Outcomes from Surgery: A Retrospective Study of 532 Patients with Conductive Hearing Loss Due to Otosclerosis, Otitis Media with Effusion, and Chronic Otitis Media. Carhart效应的作用和手术结果：对532例由耳硬化、分泌性中耳炎和慢性中耳炎引起的传导性听力损失患者的回顾性研究

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-01-22 DOI: 10.12659/MSM.947061

Kamila Szpak, Agnieszka Wiatr, Maciej Wiatr

{"title":"Role of the Carhart Effect and Outcomes from Surgery: A Retrospective Study of 532 Patients with Conductive Hearing Loss Due to Otosclerosis, Otitis Media with Effusion, and Chronic Otitis Media.","authors":"Kamila Szpak, Agnieszka Wiatr, Maciej Wiatr","doi":"10.12659/MSM.947061","DOIUrl":"10.12659/MSM.947061","url":null,"abstract":"BACKGROUND The Carhart effect consists of a reduction in bone conduction thresholds associated with conductive hearing loss. The aim of this study was to evaluate the role of the Carhart effect in predicting outcomes from surgery in 3 age groups. MATERIAL AND METHODS This study included 532 patients with conductive hearing loss due to otosclerosis, otitis media with effusion, and chronic otitis media who underwent surgery between 2010 and 2020. RESULTS The depth of the Carhart effect is a favorable prognostic factor for changes in BC (bone conduction) thresholds after ear surgery in younger patients. A deep Carhart effect in older people is an unfavorable prognostic factor for improving BC thresholds. The restoration of physiological amplification of the sound that was transmitted through the ossicular chain led to a statistically significant change in the Carhart effect and a strong positive correlation between the change in the Carhart effect and the change in average BC thresholds. The influence of the Carhart effect on the postoperative change in the ABG (air-bone gap) is most noticeable when the physiological strengthening of the middle ear is maintained. CONCLUSIONS This findings from this study have shown that the depth of the Carhart effect is one of many factors that should be considered when predicting the results of ear surgery. The depth of the Carhart effect is a favorable prognostic factor for the postoperative changes in BC threshold and for change in the ABG when the physiological strengthening of the middle ear is maintained.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e947061"},"PeriodicalIF":3.1,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Butorphanol Tartrate Nasal Spray for Post-Cesarean Analgesia and Prolactin Secretion. 酒石酸丁托啡诺鼻喷雾剂用于剖宫产后镇痛及催乳素分泌。

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-01-21 DOI: 10.12659/MSM.945224

Jingzheng Zeng, Xiaoqin Sun, Mingyan Luo, Yunju Rao, Gu Gong

{"title":"Butorphanol Tartrate Nasal Spray for Post-Cesarean Analgesia and Prolactin Secretion.","authors":"Jingzheng Zeng, Xiaoqin Sun, Mingyan Luo, Yunju Rao, Gu Gong","doi":"10.12659/MSM.945224","DOIUrl":"10.12659/MSM.945224","url":null,"abstract":"BACKGROUND Butorphanol, an opioid receptor agonist and antagonist, is widely used for post-cesarean section analgesia in the form of intravenous or intramuscular injection, but nasal sprays are less used. This study aimed to evaluate the analgesic effect of butorphanol nasal spray on uterine contraction pain after cesarean section and explore its effect on postpartum prolactin secretion. MATERIAL AND METHODS We randomly divided 120 patients scheduled for cesarean section into 3 groups (40 per group): intranasal saline (control), butorphanol intranasal (BI), and butorphanol pumped intravenously (BV). The same analgesic pump protocol was used in all groups. The visual analog scale (VAS) and Ramsay sedation scale (RASS) were used to evaluate analgesic and sedation levels 6, 12, and 24 h postoperatively. We recorded the start time of breastfeeding, number of PCIA presses, consumption of butorphanol, and preoperative and postoperative serum prolactin levels. RESULTS At 6 h postoperatively, the BI and BV groups had lower VAS and higher RASS (P<0.05) than the control group, no difference between the BI and BV groups, but the consumption of butorphanol was lower in the BI group (P<0.05). The analgesic and sedative effects in the BI group were lower than those in the BV group at 12 h (P<0.05). No difference in the start time of breastfeeding, serum prolactin levels among the 3 groups (P>0.05). CONCLUSIONS Patients may prefer butorphanol tartrate nasal spray because they can obtain satisfactory analgesia in the early postoperative period, with high non-invasive comfort and reduced use of opioids. No effect on prolactin levels or lactation initiation was observed.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e945224"},"PeriodicalIF":3.1,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Five-Year Impact of Weight Loss on Knee Pain and Quality of Life in Obese Patients. 体重减轻对肥胖患者膝关节疼痛和生活质量的5年影响

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-01-20 DOI: 10.12659/MSM.946550

Mehmet Cenk Belibağlı, Mehmet Yiğit Gökmen

{"title":"Five-Year Impact of Weight Loss on Knee Pain and Quality of Life in Obese Patients.","authors":"Mehmet Cenk Belibağlı, Mehmet Yiğit Gökmen","doi":"10.12659/MSM.946550","DOIUrl":"10.12659/MSM.946550","url":null,"abstract":"BACKGROUND Studies on patients with obesity who lose a considerable amount of body fat show that the severity of knee pain and movement limitation is decreased. This study aimed to analyze the effects of weight loss on knee pain and quality of life in patients with obesity. MATERIAL AND METHODS The study included patients aged 18-65 years with a body mass index (BMI) of 30 kg/m² and above, who expressed knee pain in daily life routines and applied to the Obesity Center of Adana City Training and Research Hospital as of June 2018. The retrospective analysis included age, sex, weight, height, annual radiological imaging follow-up scores (Kellgren-Lawrence), visual analog scale (VAS) scores, EuroQol-5D (EQ-5D) scores, and Western Ontario and McMaster Universities Arthritis Index (WOMAC) scores of the patients throughout the 5-year follow-up period. RESULTS The mean age of the 89 patients was 50.3±10.5 years, and 82% were women. The initial BMI, EQ-5D, VAS, and WOMAC scores differed significantly from the scores at year 5 (P=0.0001). Receiver operating characteristic analysis showed the probability of reducing the progression of knee joint degeneration was 74% if the BMI reduction was greater than 13.3% over the 5-year follow-up period. CONCLUSIONS The overall interpretation of the results was that a 13.3% or greater reduction in BMI in the first year, despite an increase in the following years, triggered improvements in various aspects of pain and functionality scores, improved quality of life, and reduced KOA progression.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e946550"},"PeriodicalIF":3.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Smovey Vibration Versus Dumbbell Resistance on Muscle Activation in Women. Smovey振动与哑铃阻力对女性肌肉激活的影响。

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-01-19 DOI: 10.12659/MSM.946567

Donghun Seong, Juyeon Lee

{"title":"Impact of Smovey Vibration Versus Dumbbell Resistance on Muscle Activation in Women.","authors":"Donghun Seong, Juyeon Lee","doi":"10.12659/MSM.946567","DOIUrl":"10.12659/MSM.946567","url":null,"abstract":"BACKGROUND The Smovey Vibroswing exercise device consists of a circular tube containing 4 steel balls, partly covered by a cushioning handle, to strengthen the arm and shoulder muscles. This study aimed to compare the effects of using a Smovey Vibroswing versus dumbbell exercises on muscle activity and body composition of the upper limbs in 23 women under 30 years of age. MATERIAL AND METHODS Subjects were 23 women under the age of 30 years, residing in South Korea, with no musculoskeletal diseases or shoulder surgeries in the past year. Shoulder flexion-extension and abduction-adduction exercises were conducted using Smovey Vibroswing or 2-kg dumbbells. Electromyography (EMG) was used to measure muscle activity in the upper extremities. Data analysis was performed using two-way ANOVA with repeated measures, considering differences significant at P<.05. RESULTS Exercise using the Smovey Vibroswing provided vibratory stimulation that improved muscle activity, coordination, and stability in the upper arm muscles of women under 30 years of age. Muscle activation in specific muscles, such as the anterior deltoid, biceps brachii, and brachioradialis, was significantly higher during Smovey exercises compared to dumbbell exercises (P<.05). CONCLUSIONS The vibratory stimulation of Smovey was found to improve upper-limb muscle activity and positively affect stability and coordination in women. These findings suggest that Smovey can serve as a safer, more controllable alternative for resistance exercise. This study highlights the need for standardized Smovey exercise programs, especially tailored for varying ages and fitness levels.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e946567"},"PeriodicalIF":3.1,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0