student profile: Mr Carlos Ivan Mesa Castrillon


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Thesis work

Thesis title: Physical activity and musculoskeletal pain in rural population

Supervisors: Paulo FERREIRA , Paula BECKENKAMP , Manuela FERREIRA

Thesis abstract:

�p�According to the World Health Organization (WHO), adults meeting physical activity recommendations, e.g. 150 minutes of moderate intensity aerobic physical activity or75 minutes of vigorous-intensity aerobic activity, or an equivalent combination, are less prone to develop cardiovascular diseases, type 2 diabetes, breast- and colon cancer, and die prematurely compared to those who are less active. Musculoskeletal pain has a negative impact in daily life at home, work, and school, affecting people of all ages. According to the Australian Institute of Health and Welfare musculoskeletal pain is a highly prevalent condition affecting 30% of Australians. Low back pain (LBP) and knee osteoarthritis (OA) are the highest contributors to disability worldwide, when diseases are ranked according to Years of Life living with a disability (YLD), above mental, respiratory, and cardiovascular diseases. Even though there is a large body of literature on physical activity and musculoskeletal pain, it has focused primarily in those in urban environments. Meanwhile, people who lives in rural areas face significant obstacles with accessing health services and resources which subsequently affects their quality of life and increases their risks of mortality. Therefore, an investigation of the physical activity levels, sedentary behaviour and musculoskeletal pain are necessary in this underserved population.The objectives of this thesis are to investigate: (I) the physical activity levels and sedentary behaviours in rural Australian adults; (II) the feasibility and effects of implementing an e-health supported intervention for people living in rural NSW-Australia with chronic non-specific low back pain and/or knee osteoarthritis in comparison with usual care on physical function; and (III) the discordance in musculoskeletal pain in twins residing in different geographic areas.The first aim will be approached through a systematic review, the second aim will be developed using the EMPower study, a pilot clinical trial; and the third aim will be addressed with data from the Twin Research Australia database by means of a cross-sectional study.�/p�

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