Lifestyle and metabolic factors in relation to shoulder pain and rotator cuff tendinitis: A population-based study

<p>Abstract</p> <p>Background</p> <p>Shoulder pain is a common health problem. The purpose of this study was to assess the associations of lifestyle factors, metabolic factors and carotid intima-media thickness with shoulder pain and chronic (> 3 months) rotator cuff tendinitis.</p> <p>Methods</p> <p>In this cross-sectional study, the target population consisted of subjects aged 30 years or older participating in a national Finnish Health Survey during 2000-2001. Of the 7,977 eligible subjects, 6,237 (78.2%) participated in a structured interview and clinical examination. Chronic rotator cuff tendinitis was diagnosed clinically. Weight-related factors, C-reactive protein and carotid intima-media thickness were measured.</p> <p>Results</p> <p>The prevalence of shoulder joint pain during the preceding 30 days was 16% and that of chronic rotator cuff tendinitis 2.8%. Smoking, waist circumference and waist-to-hip ratio were related to an increased prevalence of shoulder pain in both genders. Metabolic syndrome, type 2 diabetes mellitus and carotid intima-media thickness were associated with shoulder pain in men, whereas high level of C-reactive protein was associated with shoulder pain in women. Increased waist circumference and type 1 diabetes mellitus were associated with chronic rotator cuff tendinitis in men.</p> <p>Conclusions</p> <p>Our findings showed associations of abdominal obesity, some other metabolic factors and carotid intima-media thickness with shoulder pain. Disturbed glucose metabolism and atherosclerosis may be underlying mechanisms, although not fully supported by the findings of this study. Prospective studies are needed to further investigate the role of lifestyle and metabolic factors in shoulder disorders.</p

Urban spatial restructuring, event-led development and scalar politics

This paper uses Guangzhou’s experience of hosting the 2010 Asian Games to illustrate Guangzhou’s engagement with scalar politics. This includes concurrent processes of intra-regional restructuring to position Guangzhou as a central city in south China and a ‘negotiated scale-jump’ to connect with the world under conditions negotiated in part with the overarching strong central state, testing the limit of Guangzhou’s geopolitical expansion. Guangzhou’s attempts were aided further by using the Asian Games as a vehicle for addressing condensed urban spatial restructuring to enhance its own production/accumulation capacities, and for facilitating urban redevelopment projects to achieve a ‘global’ appearance and exploit the city’s real estate development potential. Guangzhou’s experience of hosting the Games provides important lessons for expanding our understanding of how regional cities may pursue their development goals under the strong central state and how event-led development contributes to this

Forest cover change trajectories and their impact on landslide occurrence in the tropical Andes

Tropical mountain regions are prone to landslide hazards. Given the current land pressure with increasing occupation of steep uplands, landslide hazards are expected to increase in the near future. Understanding the factors that control landslide hazards is therefore essential. Rare event logistic regression allows us to perform a robust detection of landslide controlling factors. This technique is here applied to the tropical Andes to evaluate the impact of dynamic land cover changes on landslide occurrences. Land cover change trajectories (i.e. dynamic evolution of land cover through time) were specifically included in the probabilistic landslide analysis. While natural physical processes such as slope undercutting by rivers and failure of oversteepened slopes are important in this tropical mountainous site, landslides are increasingly associated with human activities. The data show that land cover trajectories are associated with landslide patterns. In this humid mountainous site, forest degradation does not lead to a measurable increase in landslide occurrence. However, few years after forests are converted to pastures, a rapid decline of slope stability is observed. Land cover conversion from forest to pasture permanently reduces slope stability. It is assumed that major changes in soil properties and hydrology induced by the vegetation conversion play a role in accelerating landslide hazards