{"id":8221,"date":"2020-05-04T16:49:05","date_gmt":"2020-05-04T14:49:05","guid":{"rendered":"https:\/\/semmelweis.hu\/magtud\/?p=8221"},"modified":"2020-05-05T10:05:06","modified_gmt":"2020-05-05T08:05:06","slug":"godo-major-gyimesi-szikszai-adam-a-kronikus-fajdalom-lehetseges-rizikotenyezoi-es-kovetkezmenyei-a-magyar-tizenevesek-koreben","status":"publish","type":"post","link":"https:\/\/semmelweis.hu\/magtud\/2020\/05\/04\/godo-major-gyimesi-szikszai-adam-a-kronikus-fajdalom-lehetseges-rizikotenyezoi-es-kovetkezmenyei-a-magyar-tizenevesek-koreben\/","title":{"rendered":"God\u00f3-Major-Gyimesi-Szikszai-\u00c1d\u00e1m: A kr\u00f3nikus f\u00e1jdalom lehets\u00e9ges rizik\u00f3t\u00e9nyez\u0151i \u00e9s k\u00f6vetkezm\u00e9nyei a magyar tizen\u00e9vesek k\u00f6r\u00e9ben"},"content":{"rendered":"<p>God\u00f3 Kinga, Major J\u00e1nos, Gyimesi-Szikszai Andrea, \u00c1d\u00e1m Szilvia:<br \/>\n<strong>A kr\u00f3nikus f\u00e1jdalom lehets\u00e9ges rizik\u00f3t\u00e9nyez\u0151i \u00e9s k\u00f6vetkezm\u00e9nyei\u00a0 a magyar tizen\u00e9vesek k\u00f6r\u00e9ben<\/strong><br \/>\n<strong>[Potential risk factors and consequences of chronic pain among Hungarian adolescents]<\/strong><br \/>\nOrv Hetil. 2020; 161(13): 502\u2013509. \u00a0DOI: 10.1556\/650.2020.31666<\/p>\n<p><strong>Bevezet\u00e9s:<\/strong><br \/>\nA kr\u00f3nikus f\u00e1jdalom prevalenci\u00e1ja nemzetk\u00f6zi adatok alapj\u00e1n 25% a tizen\u00e9vesek k\u00f6r\u00e9ben, \u00e9s a rossz \u00e9letmin\u0151s\u00e9g mellett gyakran t\u00e1rsul az eg\u00e9szs\u00e9g\u00fcgy kiterjedt haszn\u00e1lat\u00e1val \u00e9s t\u00falzott gy\u00f3gyszerfogyaszt\u00e1ssal. Kev\u00e9s magyarorsz\u00e1gi adat \u00e1ll rendelkez\u00e9sre a gy\u00f3gyszerszed\u00e9s gyakoris\u00e1g\u00e1r\u00f3l \u00e9s a kr\u00f3nikus f\u00e1jdalommal val\u00f3 \u00f6sszef\u00fcgg\u00e9seir\u0151l.<\/p>\n<p><strong>C\u00e9lkit\u0171z\u00e9s:<\/strong><br \/>\nA kr\u00f3nikus f\u00e1jdalom prevelanci\u00e1j\u00e1nak \u00e9s lehets\u00e9ges szociodemogr\u00e1fiai rizik\u00f3faktorainak, valamint a gy\u00f3gyszerszed\u00e9st befoly\u00e1sol\u00f3 t\u00e9nyez\u0151knek a vizsg\u00e1lata magyar tizen\u00e9vesek k\u00f6r\u00e9ben.<\/p>\n<p><strong>M\u00f3dszer:<\/strong><br \/>\nKeresztmetszeti epidemiol\u00f3giai, k\u00e9rd\u0151\u00edves vizsg\u00e1latot v\u00e9gezt\u00fcnk budapesti 4, 6 oszt\u00e1lyos gimn\u00e1ziumokban \u00e9s \u00e1ltal\u00e1nos iskol\u00e1kban 354 di\u00e1k bevon\u00e1s\u00e1val. A demogr\u00e1fiai mutat\u00f3k mellett vizsg\u00e1ltuk a kr\u00f3nikus f\u00e1jdalom jellemz\u0151it, az eg\u00e9szs\u00e9g\u00fcgyi rendszer haszn\u00e1lat\u00e1t, valamint a gy\u00f3gyszerszed\u00e9si szok\u00e1sokat.<\/p>\n<p><strong>Eredm\u00e9nyek:<\/strong><br \/>\nA vizsg\u00e1lt szem\u00e9lyek 31,1%-a (n = 110) szenvedett kr\u00f3nikus f\u00e1jdalomban. A leggyakoribb f\u00e1jdalom a v\u00e9gtagi f\u00e1jdalom volt, amelyet gyakoris\u00e1gban a fejf\u00e1j\u00e1s k\u00f6vetett. A tizen\u00e9vesek 4,6%-\u00e1nak (n = 5) folyamatos f\u00e1jdalma volt. A fi\u00fak (\u03c72 = 9,4; p = 0,002) \u00e9s a fiatalabb \u00e9letkor\u00fa (Mann\u2013Whitney U = 10906,5; p = 0,004) alanyok k\u00f6r\u00e9ben szignifik\u00e1nsan alacsonyabb volt a kr\u00f3nikus f\u00e1jdalom gyakoris\u00e1ga. Kr\u00f3nikus f\u00e1jdalom eset\u00e9n az alv\u00e1szavar szignifik\u00e1nsan gyakoribb volt (\u03c72 = 8,9; p = 0,03). A f\u00e1jdalom fenn\u00e1ll\u00e1si ideje, er\u0151ss\u00e9ge, gyakoris\u00e1ga \u00e9s id\u0151tartama egyenes ar\u00e1ny\u00fa szignifik\u00e1ns kapcsolatot mutatott az orvoshoz fordul\u00e1s prevalenci\u00e1j\u00e1val. A megk\u00e9rdezettek 78%-a (n = 276) szedett gy\u00f3gyszert a megel\u0151z\u0151 hat h\u00f3napban, ugyanakkor a rendszeresen gy\u00f3gyszert szed\u0151k ar\u00e1nya is 48,3% volt (n\u00a0=\u00a0171). A gy\u00f3gyszerhaszn\u00e1lat val\u00f3sz\u00edn\u0171s\u00e9g\u00e9t a magasabb \u00e9letkor, a n\u0151i nem, valamint a kr\u00f3nikus f\u00e1jdalom megl\u00e9te n\u00f6velte. A kr\u00f3nikus f\u00e1jdalommal \u00e9l\u0151k k\u00f6r\u00e9ben szignifik\u00e1nsan magasabb, f\u00e1jdalom miatt t\u00f6rt\u00e9nt gy\u00f3gyszerfogyaszt\u00e1st igazoltunk (n = 83,0, 75,5%).<\/p>\n<p><strong>K\u00f6vetkeztet\u00e9s:<\/strong><br \/>\nA nemzetk\u00f6zi eredm\u00e9nyekhez hasonl\u00f3an a kr\u00f3nikus f\u00e1jdalom, a gy\u00f3gyszerszed\u00e9s \u00e9s az orvoshoz fordul\u00e1s prevalenci\u00e1ja a magyarorsz\u00e1gi tizen\u00e9vesek k\u00f6r\u00e9ben is sz\u00e1mottev\u0151, ami jelent\u0151s eg\u00e9szs\u00e9g\u00fcgyi probl\u00e9m\u00e1t jelent feln\u0151ttkorig terjed\u0151 hat\u00e1sokkal.<\/p>\n<p><strong>Kulcsszavak:<\/strong> adolescens, kr\u00f3nikus f\u00e1jdalom, fejf\u00e1j\u00e1s, gy\u00f3gyszerszed\u00e9s<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Potential risk factors and consequences of chronic pain among Hungarian adolescents<\/strong><\/p>\n<p><strong>Introduction:<br \/>\n<\/strong>Based on international data, the prevalence of chronic pain is 25% among adolescents which is associated with poor quality of life, extensive use of healthcare, and overuse of pain medication. Little is known about the medication use and chronic pain in Hungary.<\/p>\n<p><strong>Aim:<\/strong><br \/>\nTo assess the prevalence and potential socio-demographic risk factors of chronic pain and medication use among Hungarian adolescents.<\/p>\n<p><strong>Method:<\/strong><br \/>\nWe conducted a cross-sectional epidemiological study at primary and secondary schools with 354 schoolchildren. Adolescents responded to questionnaires about demographic variables, characteristics of chronic pain, use of health-care system and medication.<\/p>\n<p><strong>Results:<\/strong><br \/>\n110 adolescents (31.1%) suffered from chronic pain in our sample. Pain in extremities was the most prevalent pain type. 4.6% (n = 5) of children suffered from continuous pain. The prevalence was lower among boys (\u03c72 = 9.4; p = 0.002) and younger subjects (Mann\u2013Whitney U = 10906.5; p = 0.004). Sleep disorder was more frequent among adolescents with chronic pain (\u03c72 = 8.9; p = 0.03). Time from onset, intensity, prevalence and duration of pain were associated with the prevalence of visits to physicians. 78% (n = 276) of the sample took medication in the previous 6 months, however, regular medication use was as high as 48.3% (n = 171). We found a significant association between medication use and older age, female sex, and the presence of chronic pain. Medication use against pain among adolescents with chronic pain was significantly higher (n = 83.0, 75.5%).<\/p>\n<p><strong>Conclusion:<\/strong><br \/>\nThe prevalence of chronic pain, medication use and visits to physicians is considerable among Hungarian adolescents. It is an important healthcare challenge with long-term consequences until adulthood.<\/p>\n<p><strong>Keywords:<\/strong> adolescent, chronic pain, headache, medication use<\/p>\n","protected":false},"excerpt":{"rendered":"<p>God\u00f3 Kinga, Major J\u00e1nos, Gyimesi-Szikszai Andrea, \u00c1d\u00e1m Szilvia: A kr\u00f3nikus f\u00e1jdalom lehets\u00e9ges rizik\u00f3t\u00e9nyez\u0151i \u00e9s k\u00f6vetkezm\u00e9nyei\u00a0 a magyar tizen\u00e9vesek k\u00f6r\u00e9ben [Potential risk factors and consequences of chronic pain among Hungarian adolescents] Orv Hetil. 2020; 161(13): 502\u2013509. \u00a0DOI: 10.1556\/650.2020.31666 Bevezet\u00e9s: A kr\u00f3nikus f\u00e1jdalom prevalenci\u00e1ja nemzetk\u00f6zi adatok alapj\u00e1n 25% a tizen\u00e9vesek k\u00f6r\u00e9ben, \u00e9s a rossz \u00e9letmin\u0151s\u00e9g mellett gyakran &hellip;<\/p>\n","protected":false},"author":101277,"featured_media":8222,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[202,210,212,206,208,214,204,216],"class_list":["post-8221","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hirek","tag-adolescens","tag-adolescent","tag-chronic-pain","tag-fejfajas","tag-gyogyszerszedes","tag-headache","tag-kronikus-fajdalom","tag-medication-use"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/posts\/8221","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/users\/101277"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/comments?post=8221"}],"version-history":[{"count":2,"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/posts\/8221\/revisions"}],"predecessor-version":[{"id":8231,"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/posts\/8221\/revisions\/8231"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/media\/8222"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/media?parent=8221"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/categories?post=8221"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/tags?post=8221"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}