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Prevention of musculoskeletal conditions in the developing world

Woolf, Anthony D.; Brooks, Peter; Åkesson, Kristina LU and Mody, Girish M. (2008) In Baillière's Best Practice & Research: Clinical Rheumatology 22(4). p.759-772
Abstract
Musculoskeletal conditions are an increasingly common problem across the globe due to increased longevity and increased exposure to risk factors such as obesity and lack of physical activity. The increase is predicted to be greatest in developing countries, and there is thus an urgent need for the implementation of strategies and policies that will prevent and control these conditions. The ideal is modification of the risk factors in the whole community, and this will have wide-ranging health benefits as these risk factors are common to other major conditions. Changing people's behaviour is a challenge; targeting those at highest risk is potentially more effective, providing that there are both affordable ways of identifying those at risk... (More)
Musculoskeletal conditions are an increasingly common problem across the globe due to increased longevity and increased exposure to risk factors such as obesity and lack of physical activity. The increase is predicted to be greatest in developing countries, and there is thus an urgent need for the implementation of strategies and policies that will prevent and control these conditions. The ideal is modification of the risk factors in the whole community, and this will have wide-ranging health benefits as these risk factors are common to other major conditions. Changing people's behaviour is a challenge; targeting those at highest risk is potentially more effective, providing that there are both affordable ways of identifying those at risk and affordable interventions. Early intervention in those with a condition such as rheumatoid arthritis is probably the most cost-effective approach, but requires diagnostic capacity - in clinical skills and/or technology - as well as access to care. There is now much evidence for what can be achieved, but the challenge is how to implement these different strategies in developing countries where there are competing priorities for limited resources. The key strategy is to raise awareness among the public, health professionals, and policy makers of the importance of musculoskeletal health, of what can be achieved by prevention and treatment, and to ensure that policies reflect this. It is also necessary to educate the public to know when to seek care, and health-care workers to recognize the early signs of musculoskeletal conditions. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
primary prevention, health policy, developing countries, prevention, musculoskeletal, management
in
Baillière's Best Practice & Research: Clinical Rheumatology
volume
22
issue
4
pages
759 - 772
publisher
Baillière Tindall
external identifiers
  • wos:000259895300012
  • scopus:50849144867
ISSN
1532-1770
DOI
10.1016/j.berh.2008.07.003
language
English
LU publication?
yes
id
9b99dd1b-4469-437c-9080-23725d93fda1 (old id 1285872)
date added to LUP
2009-02-04 10:46:29
date last changed
2017-07-30 03:53:09
@article{9b99dd1b-4469-437c-9080-23725d93fda1,
  abstract     = {Musculoskeletal conditions are an increasingly common problem across the globe due to increased longevity and increased exposure to risk factors such as obesity and lack of physical activity. The increase is predicted to be greatest in developing countries, and there is thus an urgent need for the implementation of strategies and policies that will prevent and control these conditions. The ideal is modification of the risk factors in the whole community, and this will have wide-ranging health benefits as these risk factors are common to other major conditions. Changing people's behaviour is a challenge; targeting those at highest risk is potentially more effective, providing that there are both affordable ways of identifying those at risk and affordable interventions. Early intervention in those with a condition such as rheumatoid arthritis is probably the most cost-effective approach, but requires diagnostic capacity - in clinical skills and/or technology - as well as access to care. There is now much evidence for what can be achieved, but the challenge is how to implement these different strategies in developing countries where there are competing priorities for limited resources. The key strategy is to raise awareness among the public, health professionals, and policy makers of the importance of musculoskeletal health, of what can be achieved by prevention and treatment, and to ensure that policies reflect this. It is also necessary to educate the public to know when to seek care, and health-care workers to recognize the early signs of musculoskeletal conditions.},
  author       = {Woolf, Anthony D. and Brooks, Peter and Åkesson, Kristina and Mody, Girish M.},
  issn         = {1532-1770},
  keyword      = {primary prevention,health policy,developing countries,prevention,musculoskeletal,management},
  language     = {eng},
  number       = {4},
  pages        = {759--772},
  publisher    = {Baillière Tindall},
  series       = {Baillière's Best Practice & Research: Clinical Rheumatology},
  title        = {Prevention of musculoskeletal conditions in the developing world},
  url          = {http://dx.doi.org/10.1016/j.berh.2008.07.003},
  volume       = {22},
  year         = {2008},
}