Constipation in patients with myofascial pain syndrome as important aspect for clinical and nutritional treatment: A case-control study
ABSTRACT Objective To identify the occurrence of constipation in patients with myofascial pain syndrome and to correlate these disorders with the clinical and nutritional variables. Methods This report describes a case-control study performed with 98 adults of both sexs, including 49 patients and...
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Pontifícia Universidade Católica de Campinas
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doaj-6bf5d86d94e844fcbbcd4b55cf58775a2020-11-25T00:19:14ZengPontifícia Universidade Católica de CampinasRevista de Nutrição1678-986530556758110.1590/1678-98652017000500003S1415-52732017000500567Constipation in patients with myofascial pain syndrome as important aspect for clinical and nutritional treatment: A case-control studyJoão Araújo BARROS-NETOTascya Morganna de Morais SANTOSMatheus Lopes CORTESRosangela Passos de JESUSMariana Carvalho FREITASDurval Campos KRAYCHETEABSTRACT Objective To identify the occurrence of constipation in patients with myofascial pain syndrome and to correlate these disorders with the clinical and nutritional variables. Methods This report describes a case-control study performed with 98 adults of both sexs, including 49 patients and 49 individuals without pain. The intensity of the reported pain was evaluated using the Pain Visual Analog Scale, which provided a simple and efficient measurement of pain intensity consisting of a 10cm horizontal line with the ends marked “absence of pain” and “worst possible pain”. The occurrence of constipation was evaluated using the Rome III criteria. A multivariate linear regression was proposed to investigate risk factors between the frequency of bowel movements per week and independent variables this study. Results The mean ages of the patients and controls were 45.9 (7.6) years and 41.2 (12.2) years, respectively. The intensity of the reported pain showed a mean of 7.3 (1.6) points. The likelihood of exhibiting constipation was 4.5 times higher in the patients than in the controls (p=0.001). The number of stools per week was negatively correlated with the intensity of the reported pain (r=-0.613, p<0.001). The use of benzodiazepines was negatively correlated with the frequency of bowel movements per week, while the use of muscle relaxants appeared to increase the frequency of defecation when combined with the use of benzodiazepines and adjusted for the intake of fiber, water and sexs (p=0.037). Conclusion Constipation was a frequent nosological entity in this patient population and the persistence of a change in intestinal motility showed a significant correlation with the pain intensity and low water intake. The reduction of the number of stools per week seems to be associated with the use of benzodiazepines.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-52732017000500567&lng=en&tlng=enChronic painConstipationMyofascial pain syndromes |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
João Araújo BARROS-NETO Tascya Morganna de Morais SANTOS Matheus Lopes CORTES Rosangela Passos de JESUS Mariana Carvalho FREITAS Durval Campos KRAYCHETE |
spellingShingle |
João Araújo BARROS-NETO Tascya Morganna de Morais SANTOS Matheus Lopes CORTES Rosangela Passos de JESUS Mariana Carvalho FREITAS Durval Campos KRAYCHETE Constipation in patients with myofascial pain syndrome as important aspect for clinical and nutritional treatment: A case-control study Revista de Nutrição Chronic pain Constipation Myofascial pain syndromes |
author_facet |
João Araújo BARROS-NETO Tascya Morganna de Morais SANTOS Matheus Lopes CORTES Rosangela Passos de JESUS Mariana Carvalho FREITAS Durval Campos KRAYCHETE |
author_sort |
João Araújo BARROS-NETO |
title |
Constipation in patients with myofascial pain syndrome as important aspect for clinical and nutritional treatment: A case-control study |
title_short |
Constipation in patients with myofascial pain syndrome as important aspect for clinical and nutritional treatment: A case-control study |
title_full |
Constipation in patients with myofascial pain syndrome as important aspect for clinical and nutritional treatment: A case-control study |
title_fullStr |
Constipation in patients with myofascial pain syndrome as important aspect for clinical and nutritional treatment: A case-control study |
title_full_unstemmed |
Constipation in patients with myofascial pain syndrome as important aspect for clinical and nutritional treatment: A case-control study |
title_sort |
constipation in patients with myofascial pain syndrome as important aspect for clinical and nutritional treatment: a case-control study |
publisher |
Pontifícia Universidade Católica de Campinas |
series |
Revista de Nutrição |
issn |
1678-9865 |
description |
ABSTRACT Objective To identify the occurrence of constipation in patients with myofascial pain syndrome and to correlate these disorders with the clinical and nutritional variables. Methods This report describes a case-control study performed with 98 adults of both sexs, including 49 patients and 49 individuals without pain. The intensity of the reported pain was evaluated using the Pain Visual Analog Scale, which provided a simple and efficient measurement of pain intensity consisting of a 10cm horizontal line with the ends marked “absence of pain” and “worst possible pain”. The occurrence of constipation was evaluated using the Rome III criteria. A multivariate linear regression was proposed to investigate risk factors between the frequency of bowel movements per week and independent variables this study. Results The mean ages of the patients and controls were 45.9 (7.6) years and 41.2 (12.2) years, respectively. The intensity of the reported pain showed a mean of 7.3 (1.6) points. The likelihood of exhibiting constipation was 4.5 times higher in the patients than in the controls (p=0.001). The number of stools per week was negatively correlated with the intensity of the reported pain (r=-0.613, p<0.001). The use of benzodiazepines was negatively correlated with the frequency of bowel movements per week, while the use of muscle relaxants appeared to increase the frequency of defecation when combined with the use of benzodiazepines and adjusted for the intake of fiber, water and sexs (p=0.037). Conclusion Constipation was a frequent nosological entity in this patient population and the persistence of a change in intestinal motility showed a significant correlation with the pain intensity and low water intake. The reduction of the number of stools per week seems to be associated with the use of benzodiazepines. |
topic |
Chronic pain Constipation Myofascial pain syndromes |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-52732017000500567&lng=en&tlng=en |
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