Musculoskeletal pain in overweight and obese children

This review seeks to provide a current overview of musculoskeletal pain in overweight and obese children. Databases searched were Academic Search Complete, CINAHL, Medline, Proquest Health and Medical Complete, Scopus, Google Scholar, SPORTDiscuss and Trove for studies published between 1 January 2000 and 30 December 2012. We used a broad definition of children within a 3- to 18-year age range. The search strategy included the following terms: obesity, morbid obesity, overweight, pain, musculoskeletal pain, child, adolescent, chronic pain, back pain, lower back pain, knee pain, hip pain, foot pain and pelvic pain. Two authors independently assessed each record, and any disagreement was resolved by the third author. Data were analysed using a narrative thematic approach owing to the heterogeneity of reported outcome measures. Ninety-seven records were initially identified using a variety of terms associated with children, obesity and musculoskeletal pain. Ten studies were included for thematic analysis when predetermined inclusion criteria were applied. Bone deformity and dysfunction, pain reporting and the impact of children being overweight or obese on physical activity, exercise and quality of life were the three themes identified from the literature. Chronic pain, obesity and a reduction in physical functioning and activity may contribute to a cycle of weight gain that affects a child’s quality of life. Future studies are required to examine the sequela of overweight and obese children experiencing chronic musculoskeletal pain

Spatial variability of soil acidity attributes and the spatialization of liming requirement for corn Variabilidade espacial de atributos de acidez do solo e espacialização da necessidade de calagem para o milho

In Brazil, technicians, in most cases, ignore the aspects related to the spatial variability of the soil acidity attributes when liming requirement is calculated. The objective of this study was to validate the liming practice, evaluating the presence of spatial variability of the soil acidity attributes and the existence of areas with differentiated liming requirement, which were calculated by different methods. The experiment was carried out in an area cultivated with corn under conventional management and irrigation. The soil (0-0.2 m) was sampled in a conventional way (composite soil sample) and in a systematic scheme, by use of a grid sampling. In sequence to the soil fertility attributes analysis, it was calculated the liming requirement, according to the methods of SMP pH, aluminum neutralization and elevation of soil Ca and Mg levels, and increase of the soil base saturation. After the descriptive analysis of the data set was accomplished, the semivariograms were calculated and the maps were obtained through the kriging technique. Absence of spatial dependence, as well as the non necessity of limestone application, was observed for the Al neutralization calculation method. Spatial dependence was only verified for the soil acidity attributes and to the liming requirement calculated by the base saturation and SMP pH methods; for these two methods, the semivariogram ranges obtained varied from 35.7 to 200.5 m. The results have highlighted the existence of differentiated liming requirement zones when the variability of the soil acidity attributes was considered in the calculation of the dose and type of limestone to be used for corn soil acidity correction.<br>No Brasil, a prática de calagem desconsidera, na maioria das vezes, os aspectos relacionados à variabilidade espacial dos atributos de acidez do solo. Objetivou-se, neste estudo, validar a prática da calagem, avaliando a presença de variabilidade espacial de atributos de acidez do solo e a existência de áreas com necessidades diferenciadas de corretivo, por meio de diferentes métodos de cálculo da necessidade de calagem. O experimento foi realizado em lavoura de milho sob manejo convencional. O solo foi amostrado de forma convencional (amostra composta) e sistemática (mediante uso de grade amostral), na profundidade de 0-0,2 m. Posteriormente à análise de fertilidade de rotina, determinaram-se as necessidades de calagem segundo os métodos do tampão SMP, da neutralização de alumínio e elevação do Ca e Mg, e da saturação por bases. Após análise descritiva, foram obtidos os semivariogramas e os mapas por krigagem. Ausência de dependência espacial, assim como da necessidade de aplicação do corretivo calcário foram observadas para o método da neutralização de Al. A dependência espacial foi encontrada para os atributos de acidez do solo e para as necessidades de calagem calculadas pelos métodos de saturação por bases e pH SMP, com alcances variando entre 35,7 e 200,5 m. Esses últimos mostraram também, uma coincidência regionalizada entre as maiores demandas de calcário. Os resultados permitiram evidenciar a existência de zonas de aplicação de calcário diferenciadas, quando consideradas a variabilidade dos atributos de acidez do solo no cálculo espacializado da dose e o tipo de corretivo calcário a ser utilizado