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A single trial is enough to measure muscle strength in children and adolescents with the modified sphygmomanometer test

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Journal of Bodywork and Movement Therapies 2025年 43卷 237-245页

作者： Drumond, Carolyne M. Barbosa, Raiane M.F. Felício, Diogo C. Aguiar, Larissa T. Correa, Cyntia P.S. Defilipo, Érica C. Faria, Christina D.C.M. Chagas, Paula S.C. Graduate Program in Rehabilitation Sciences and Physical and Functional Performance Universidade Federal de Juiz de Fora Juiz de Fora Brazil School of Physical of Therapy - Universidade Federal de Juiz de Fora Juiz de Fora Brazil Faculty of Medical Sciences of Minas Gerais Belo Horizonte Brazil School of Physical of Therapy - Universidade Federal de Juiz de Fora Governador Valadares Brazil Department of Physical Therapy Graduate Program in Rehabilitation Sciences Universidade Federal de Minas Gerais Belo Horizonte Brazil

Introduction: Assessing lower limb (LL) muscle strength in children and adolescents is commonly performed using manual muscle testing. However, the feasibility of using a modified sphygmomanometer test (MST) for this population and the optimal testing method for clinical practice remain unclear. This study aimed to determine the best way to operationalize LL muscle strength measurements with MST in children and adolescents. Methods: This methodological study included children (6–12 years) and adolescents (13–18 years). Two MST methods—one with and one without bag adaptation—were randomly applied by a trained, blinded evaluator. Maximum isometric strength was assessed through three repetitions for seven LL muscle groups (hip flexion, extension, and abduction;ankle plantarflexion and dorsiflexion;knee flexion and extension) on both the dominant and non-dominant sides. Each contraction lasted 5 s with standardized verbal cues. One-way ANOVA and Kruskal-Wallis tests analyzed differences between the first attempt, the average of two attempts, the average of three attempts, and the maximum value of three trials. Results: A total of 64 individuals participated: 32 children (8.62 ± 1.77 years) and 32 adolescents (16.41 ± 2.19 years). No significant differences were found between MST operationalization methods (with or without bag adaptation) or between measurement approaches (ANOVA: 0.17≥F ≤ 1.07;0.36≥p ≤ 0.91;Kruskal-Wallis: 0.71≥X ≤ 3.35;0.34≥p ≤ 0.86). Conclusion: A single MST measurement is sufficient for assessing LL muscle strength in children and adolescents, making the test a practical and reliable alternative for clinical practice. © 2025

关键词： Lower extremity Physical therapy Reference standards Reproducibility of results

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vailá: VERSATILE ANARCHO INTEGRATED LIBERATION ÁNALYSIS IN MULTIMODAL TOOLBOX

arXiv

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arXiv 2024年

作者： Santiago, Paulo Roberto Pereira Chinaglia, Abel Gonçalves Flanagan, Kira Bedo, Bruno L.S. Mochida, Ligia Yumi Aceros, Juan Bononi, Aline Cesar, Guilherme Manna Biomechanics and Motor Control Laboratory School of Physical Education and Sport USP Brazil Graduate Program in Rehabilitation and Functional Performance Medical School USP Brazil Technology and Sports Performance Analysis Laboratory School of Physical Education USP Brazil Laboratory of Applied Biomechanics and Engineering Brooks College of Health UNF United States Department of Physical Therapy Brooks College of Health UNF United States College of Computing Engineering and Construction UNF United States Municipal Pharmacy Ribeirão Preto Brazil

Human movement analysis is crucial in health and sports biomechanics for understanding physical performance, guiding rehabilitation, and preventing injuries. However, existing tools are often proprietary, expensive, and function as "black boxes", limiting user control and customization. This paper introduces vailá—Versatile Anarcho Integrated Liberation Ánalysis in Multimodal Toolbox—an open-source, Python-based platform designed to enhance human movement analysis by integrating data from multiple biomechanical systems. vailá supports data from diverse sources, including retroreflective motion capture systems, inertial measurement units (IMUs), markerless video capture technology, electromyography (EMG), force plates, and GPS/GNSS systems, enabling comprehensive analysis of movement patterns. Developed entirely in Python 3.11.9, which offers improved efficiency and long-term support, and featuring a straightforward installation process, vailá is accessible to users without extensive programming experience. In this paper, we also present several workflow examples that demonstrate how vailá allows the rapid processing of large batches of data, independent of the type of collection method. This flexibility is especially valuable in research scenarios where unexpected data collection challenges arise, ensuring no valuable data point is lost. We demonstrate the application of vailá in analyzing sit-to-stand movements in pediatric disability, showcasing its capability to provide deeper insights even with unexpected movement patterns. By fostering a collaborative and open environment, vailá encourages users to innovate, customize, and freely explore their analysis needs, potentially contributing to the advancement of rehabilitation strategies and performance optimization. For more details in GitHub repository: https://***/vaila-multimodaltoolbox/vaila and the online documentation: https://*** Codes 92C10, 68U10, 65D18, 65K10 © 2024, CC BY-SA.

关键词： Electromyography

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Factors associated with capability and performance in children with neurodevelopmental disorders: an exploratory cross-sectional study

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The British Journal of Development Disabilities 2025年第3期71卷

作者： Mariana Ribeiro Juliana Santos Náguia Medeiros Kênnea Ayupe Hércules Leite Ana Cristina Camargos 1 Graduate Program in Rehabilitation and Functional Performance Physical Therapy Department Universidade Federal dos Vales do Jequitinhonha e Mucuri Diamantina Minas Gerais Brazil 2 Graduate Program in Rehabilitation Sciences School of Physical Education Physical Therapy and Occupational Therapy Universidade Federal de Minas Gerais Belo Horizonte Minas Gerais Brazil 3 Physiotherapy Collegiate Universidade de Brasília Brasília Distrito Federal Brazil

BackgroundChildren with neurodevelopmental disorders (NDD) have a lower level of independence and major need of assistance to perform daily living skills is one the main concerns of caregivers and therapists of children, adolescents and adults with these *** identify factors associated with capability and performance in self-care, mobility and social activities in children with *** cross-sectional study was performed with 96 children with NDD, most were male (69.8%), with a mean age of 8.53 (± 1.83) years. The Pediatric Evaluation of Disability Inventory was used to evaluate capability and performance outcomes. The explanatory variables were intellectual function, motor skills, economic level, and maternal education. Stepwise multiple linear regression models were *** motor skills were the main factor that explained self-care, mobility and social function capability outcomes and, self-care and mobility performance outcomes (p< 0.05). The intellectual function explained only the social function performance outcome (p< 0.05). Moreover, highest economic extracts increased the explanation of *** findings are relevant to understanding the factors associated with performance and capability and performance in self-care, mobility and social activities to help clinicians to make an informed decision based on the best practice evidence for these children. An expanded assessment of functioning and of the environmental factors is necessary to help the planning interventions to improve capability and performance of the children with NDD.

关键词： capability performance neurodevelopmental disorders

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RELATIONSHIP BETWEEN RESIDUAL DIURESIS AND SARCOPENIA IN PATIENTS ON HEMODIALYSIS

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Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation 2024年

作者： Vanessa Gomes Brandão Rodrigues Whesley Tanor Silva Ana Caiane Rocha da Silva Patrícia Cardoso Campos Luciana Martins de Mello Santos Ana Cristina Rodrigues Lacerda Frederico Lopes Alves Emílio Henrique Barroso Maciel Maria Cecília Sales Mendes Prates Henrique Silveira Costa Vanessa Pereira de Lima Vanessa Amaral Mendonça Pedro Henrique Scheidt Figueiredo Programa de Pós-Graduação em Reabilitação e Desempenho Funcional (Post-graduate program in Rehabilitation and Functional Performance) Universidade Federal dos Vales do Jequitinhonha e Mucuri Rodovia MGT 367 - Km 583 nº 5000 Alto da Jacuba Diamantina Minas Gerais Brazil Faculdade de Medicina (Faculty of Medicine) Universidade Federal dos Vales do Jequitinhonha e Mucuri Rodovia MGT 367 - Km 583 nº 5000 Alto da Jacuba Diamantina Minas Gerais Brazil Unidade de Hemodiálise do Hospital Santa Casa de Caridade de Diamantina (Hemodialysis Unit of the Diamantina Santa Casa de Caridade Hospital) Rua da Caridade Diamantina 106 Diamantina Minas Gerais Brazil. Faculdade de Fisioterapia (Faculty of Physiotherapy) Universidade Federal dos Vales do Jequitinhonha e Mucuri Rodovia MGT 367 - Km 583 nº 5000 Alto da Jacuba Diamantina Minas Gerais Brazil. Electronic address: whesleytanor@***. Programa de Pós-Graduação em Reabilitação e Desempenho Funcional (Post-graduate program in Rehabilitation and Functional Performance) Universidade Federal dos Vales do Jequitinhonha e Mucuri Rodovia MGT 367 - Km 583 nº 5000 Alto da Jacuba Diamantina Minas Gerais Brazil. Faculdade de Fisioterapia (Faculty of Physiotherapy) Universidade Federal dos Vales do Jequitinhonha e Mucuri Rodovia MGT 367 - Km 583 nº 5000 Alto da Jacuba Diamantina Minas Gerais Brazil. Faculdade de Medicina (Faculty of Medicine) Universidade Federal dos Vales do Jequitinhonha e Mucuri Rodovia MGT 367 - Km 583 nº 5000 Alto da Jacuba Diamantina Minas Gerais Brazil

OBJECTIVE:To assess the association of residual diuresis with sarcopenia in patients with Chronic Kidney Disease (CKD) on hemodialysis. METHODS:Through a cross-sectional study, patients on hemodialysis were subjected to a Dual Energy Radiologic Absorption (DEXA) exam to record muscle mass. Based on the volume of urine collected in 24 hours, patients were classified as anuric (diuresis ≤ 100 mL/day) or non-anuric (diuresis > 100 mL/day). functional performance was evaluated by Short Physical performance Battery (SPPB) and muscle strength by handgrip strength and 5-repetition sit-to-stand test. The association between the absence of residual urine and the presence of sarcopenia, low SPPB, and low muscle strength was analyzed using a binary logistic regression model. RESULTS:Ninety-two patients, with a mean age of 54.4 years (95% CI 51.3 - 57.4) and with a mean diuresis volume of 476.3 mL/day (95% CI 320.4 - 632.2) were evaluated (48 anuric and 44 non-anuric). Anuric patients had a 2.77 (95% CI 1.14 - 6.73) times greater probability of sarcopenia and had a 3.55 (1.14 - 11.0) times greater probability of low SPPB, regardless of gender, age, and time on dialysis. Gender was the other associated variable for the presence of sarcopenia, with males having a 3.30 (95% CI 1.34 - 8.13) times higher risk. There were no associations with muscle strength. CONCLUSION:The absence of residual diuresis in patients on hemodialysis is associated with a higher risk of sarcopenia and low functional performance.

关键词： chronic kidney disease hemodialysis kidney disease muscle function residual diuresis

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Short-term Resistance Training Increases APPL1 Content in the Liver and the Insulin Sensitivity of Mice Fed a Long-term High-fat Diet

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Experimental and Clinical Endocrinology & Diabetes 2019年第1期128卷 30-37页

作者： Luciele Guerra Minuzzi Gabriel Keine Kuga Leonardo Breda Rafael Calais Gaspar Vitor Rosetto Muñoz Rodrigo Martins Pereira José Diego Botezelli Adelino S. R. da Silva Dennys Esper Cintra Leandro Pereira de Moura Eduardo Rochete Ropelle José Rodrigo Pauli Laboratory of Molecular Biology of Exercise (LaBMEx) University of Campinas (UNICAMP) Limeira São Paulo Brazil Post-graduate Program in Movement Sciences São Paulo State University (UNESP) Rio Claro São Paulo Brazil Post-graduate Program in Rehabilitation and Functional Performance Ribeirão Preto Medical School USP Ribeirão Preto São Paulo Brazil Laboratory of Nutritional Genomics (LabGeN) University of Campinas (UNICAMP) Limeira São Paulo Brazil Laboratory of Cell Signaling Obesity and Comorbidities Research Center (OCRC) University of Campinas Campinas – SP Brazil CEPECE - Center of Research in Sport Sciences. School of Applied Sciences University of Campinas (UNICAMP) Limeira São Paulo Brazil

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Sensory and motor thresholds of transcutaneous electrical stimulation are influenced by gender and age

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PM&R 2015年第1期7卷 42-47页

作者： de Jesus Guirro, Rinaldo Roberto de Oliveira Guirro, Elaine Caldeira Alves de Sousa, Natanael Teixeira [a]Department of Biomechanics Medicine and Rehabilitation Ribeir&atilde o Preto Medical School Universidade de S&atilde o Paulo (USP) Ribeir&atilde o Preto SP Brazil and Post-Graduation Program in Rehabilitation and Functional Performance Ribeir&atilde o Preto Medical School Universidade de S&atilde o Paulo (USP) Ribeir&atilde o Preto SP Brazil[&lowast ] [b]Department of Biomechanics Medicine and Rehabilitation Ribeir&atilde o Preto Medical School Universidade de S&atilde o Paulo (USP) Ribeir&atilde o Preto SP Brazil and Post-Graduation Program in Rehabilitation and Functional Performance Ribeir&atilde o Preto Medical School Universidade de S&atilde o Paulo (USP) Ribeir&atilde o Preto SP Brazil[&dagger ] [c]Department of Biomechanics Medicine and Rehabilitation and post-graduate program in Rehabilitation and Functional Performance Ribeir&atilde o Preto Medical School Universidade de S&atilde o Paulo (USP) Ribeir&atilde o Preto SP Brazil[&Dagger ]

BackgroundTranscutaneous electrical stimulation (ES) is a therapeutic procedure used in rehabilitation. However, the effectiveness of it depends on sensory responses to pain and motor control in neuromuscular recruitment, considering the differences related to gender and age of the subjects treated, as well as the intensity and frequency of ES. ObjectiveTo determine the threshold of sensory perception (TSP) and the threshold of motor response (TMR) in young and elderly individuals of both genders. DesignRandomized controlled clinical trial. SettingGeneral community. ParticipantsEighty volunteers with no history of systemic diseases were selected to participate in the study: 40 men and 40 women were subdivided by convenience sampling and age group into young male and female (age 21.6 ± 2.4 years) groups as well as into elderly female and male groups (age 72.6 ± 6.1 years). InterventionsThe participants received electrical stimulation (ES) at 5 and 50 Hz, with pulse durations of 20, 100, 400, 1000, and 3000 μs applied on the flexor muscle bellies of the wrist and fingers. Main Outcome MeasuresTSP was identified as the first sensation of increased current intensity and TMR as the minimum musclecontraction detected. The results weresubmitted to analysis of variance, followed by the Tukey's test, with a significance level of 5%. ResultsTSP was lower than TMR for all pulse durations, regardless of gender and age. In women, TSP was lower than that in young and elderly men at both frequencies. However, TSP was higher in elderly subjects than in younger subjects at 50 Hz for both genders. Age also affected the TMR, presenting higher thresholds in elderly subjects of both genders at 50 Hz; however the same occurred only in male subjects at 5 Hz. ConclusionAge and gender interfere directly with ES. These variables should be considered during rehabilitation because they indicate that electrical stimulation in elderly women should be carefully performed, as

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Comparison between peak oxygen consumption and its associated speed determined through an incremental test and a 400-m effort: Implication for swimming training prescription

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Science and Sports 2017年第1期32卷 e37-e41页

作者： Campos, E.Z. Kalva-Filho, C.A. Loures, J.P. Manchado-Gobatto, F.B. Zagatto, A.M. Papoti, M. Department of physical education São Paulo State university Jardim Universitário CEP rua 305 Roberto Simonsen Presidente Prudente 19060-900 SP Brazil Graduate program in rehabilitation and functional performance university of São Paulo Ribeirão Preto SP Brazil Department of sport sciences state university of Campinas Limeira SP Brazil Graduate program in motor science São Paulo state university Rio Claro SP Brazil Department of physical education São Paulo state university Bauru SP Brazil School of physical education and sport university of São Paulo Ribeirão Preto SP Brazil

Objective Both 400 m peak oxygen consumption (VO2Peak) calculated using the backward extrapolation technique, and mean 400 m speed are used in swimming for training prescription. However, no comparison has b... 详细信息

Objective Both 400 m peak oxygen consumption (VO_2Peak) calculated using the backward extrapolation technique, and mean 400 m speed are used in swimming for training prescription. However, no comparison has been made between these variables observed after a 400 m effort and a free swimming incremental test, when both are performed unimpeded (without snorkel;enhancing its feasibility). Thus, we aimed to determine whether VO_2Peak and its speed elicited after an incremental test may be interchangeable with these variables observed after a maximal 400 m effort. Methods Nine swimmers underwent a maximal 400 m effort, and an incremental test consisting of six 200m-stages. After the 400 m effort, and each stage of the incremental test, oxygen consumption was assessed through the backward extrapolation technique. The Student's t-test and Pearson correlation were adopted to analyze the results. Agreement analysis was also performed. Results No significant difference (P = 0.21) was observed between the VO_2Peak after the 400 m effort (3.86 ± 0.85 L/min) and the incremental test (4.09 ± 0.93 L/min). A strong correlation was observed between then (r = 0.85;P < 0.05). The mean error was 0.23 L/min and the limit of agreement ±0.98 L/min. The speed associated with VO_2Peak (1.39 ± 0.12 m/s) was higher (≈ 3.6%;P = 0.001) than the mean speed of the 400 m effort (1.34 ± 0.13 m/s), and they were highly associated (r = 0.96, P < 0.01). Conclusion VO_2Peak and its relative speed might be used interchangeable with caution. The equation found in our study needs to be confirmed and improved on a larger population but it suggests the possibility for coaches to apply a correction to the mean speed of a 400 m swimming effort for training prescription. © 2016 Elsevier Masson SAS

关键词： Backward extrapolation Incremental test Peak oxygen consumption Swimming

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Stroke genetics informs drug discovery and risk prediction across ancestries (vol 611, pg 115, 2022)

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NATURE 2022年第7938期612卷 E7-E7页

作者： Mishra, Aniket Malik, Rainer Hachiya, Tsuyoshi Jurgenson, Tuuli Namba, Shinichi Posner, Daniel C. Kamanu, Frederick K. Koido, Masaru Le Grand, Quentin Shi, Mingyang He, Yunye Georgakis, Marios K. Caro, Ilana Krebs, Kristi Liaw, Yi-Ching Vaura, Felix C. Lin, Kuang Winsvold, Bendik Slagsvold Srinivasasainagendra, Vinodh Parodi, Livia Bae, Hee-Joon Chauhan, Ganesh Chong, Michael R. Tomppo, Liisa Akinyemi, Rufus Roshchupkin, Gennady V. Habib, Naomi Jee, Yon Ho Thomassen, Jesper Qvist Abedi, Vida Carcel-Marquez, Jara Nygaard, Marianne Leonard, Hampton L. Yang, Chaojie Yonova-Doing, Ekaterina Knol, Maria J. Lewis, Adam J. Judy, Renae L. Ago, Tetsuro Amouyel, Philippe Armstrong, Nicole D. Bakker, Mark K. Bartz, Traci M. Bennett, David A. Bis, Joshua C. Bordes, Constance Borte, Sigrid Cain, Anael Ridker, Paul M. Cho, Kelly Chen, Zhengming Cruchaga, Carlos Cole, John W. de Jager, Phil L. de Cid, Rafael Endres, Matthias Ferreira, Leslie E. Geerlings, Mirjam I. Gasca, Natalie C. Gudnason, Vilmundur Hata, Jun He, Jing Heath, Alicia K. Ho, Yuk-Lam Havulinna, Aki S. Hopewell, Jemma C. Hyacinth, I. Hyacinth Inouye, Michael Jacob, Mina A. Jeon, Christina E. Jern, Christina Kamouchi, Masahiro Keene, Keith L. Kitazono, Takanari Kittner, Steven J. Konuma, Takahiro Kumar, Amit Lacaze, Paul Launer, Lenore J. Lee, Keon-Joo Lepik, Kaido Li, Jiang Li, Liming Manichaikul, Ani Markus, Hugh S. Marston, Nicholas A. Meitinger, Thomas Mitchell, Braxton D. Montellano, Felipe A. Morisaki, Takayuki Mosley, Thomas H. Nalls, Mike A. Nordestgaard, Borge G. O'Donnell, Martin J. Okada, Yukinori Onland-Moret, N. Charlotte Ovbiagele, Bruce Peters, Annette Psaty, Bruce M. Rich, Stephen S. Rosand, Jonathan Sabatine, Marc S. Sacco, Ralph L. Saleheen, Danish Sandset, Else Charlotte Salomaa, Veikko Sargurupremraj, Muralidharan Sasaki, Makoto Satizabal, Claudia L. Schmidt, Carsten O. Shimizu, Atsushi Smith, Nicholas L. Sloane, Kelly L. Sutoh, Yoichi Sun, Yan V. Tanno, Kozo Tiedt, Steffen Tatlisumak, Turgut Torres-Aguila, Nuria P. Tiwari, Hemant K. Tregouet, Bordeaux Population Health Research Center University of Bordeaux Inserm UMR 1219 Bordeaux France Department of Public Health Bordeaux University Hospital Bordeaux France Department of Neurology Memory Clinic Bordeaux University Hospital Bordeaux France Department of Neurology Institute for Neurodegenerative Diseases CHU de Bordeaux Bordeaux France Institute for Stroke and Dementia Research (ISD) University Hospital LMU Munich Munich Germany Center for Genomic Medicine Massachusetts General Hospital Boston MA USA Program in Medical and Population Genetics Broad Institute of Harvard and the Massachusetts Institute of Technology Cambridge MA USA Munich Cluster for Systems Neurology Munich Germany German Center for Neurodegenerative Diseases (DZNE) Munich Germany Iwate Tohoku Medical Megabank Organization Iwate Medical University Iwate Japan Estonian Genome Centre Institute of Genomics University of Tartu Tartu Estonia Institute of Mathematics and Statistics University of Tartu Tartu Estonia Department of Computational Biology University of Lausanne Lausanne Switzerland Swiss Institute of Bioinformatics Lausanne Switzerland University Center for Primary Care and Public Health Lausanne Switzerland Department of Statistical Genetics Osaka University Graduate School of Medicine Suita Japan Department of Genome Informatics Graduate School of Medicine The University of Tokyo Tokyo Japan Laboratory for Systems Genetics RIKEN Center for Integrative Medical Sciences Yokohama Japan Laboratory of Statistical Immunology Immunology Frontier Research Center (WPI-IFReC) Osaka University Suita Japan Integrated Frontier Research for Medical Science Division Institute for Open and Transdisciplinary Research Initiatives Osaka University Suita Japan Center for Infectious Disease Education and Research (CiDER) Osaka University Suita Japan Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC) VA Boston Healthcare System Boston MA USA TIMI S

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Cold-water-immersion of ankles alters muscle response, dynamic postural control and air time performance in basketball athletes

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Physical Therapy in Sport 2016年 18卷 e9-e10页

作者： Fernanda B. Pesenti Christiane S.G. Macedo Carolina Saenz Alonso Rafael Chagas Vicente Mauricio Donini Cesário Rinaldo Roberto de Jesus Guirro Post-Graduation Program in Sciences of Rehabilitation UEL/Unopar Sport Physiotherapy Laboratory UEL (FAFESP/UEL) Brazil Department of Physiotherapy at UEL Post-Graduation Program in Sciences of Rehabilitation UEL/Unopar (LAFESP/UEL) Brazil Ribeirão Preto Medicine College (FMRP) from São Paulo State University (USP) Physiotherapeutic Resources Laboratory (LARF) Brazil FMRP-USP (LARF) Brazil Department of Biomechanics Medicine e Rehabilitation of the Locomotor System FMRP/USP PPG Rehabilitation and Functional Performance (LARF) Brazil

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Characterising acute and chronic care needs: insights from the Global Burden of Disease Study 2019

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Nature communications 2025年第1期16卷 4235-4235页

作者： Cecilia Anza-Ramirez J. Jaime Miranda Benedetta Armocida Jorge César Correia Harriette Gillian Christine Van Spall David Beran Amirali Aali Kalkidan Hassen Abate Semagn Mekonnen Abate Cristiana Abbafati Mohsen Abbasi-Kangevari Zeinab Abbasi-Kangevari Zahra Aryan Sina Azadnajafabad Mohammadreza Azangou-Khyavy Seyyed-Hadi Ghamari Mohammad Keykhaei Javad Khanali Sara Momtazmanesh Fateme Montazeri Shayan Rahmani Mohammad-Mahdi Rashidi Nazila Rezaei Negar Rezaei Sahar Saeedi Moghaddam Hossein Hassanian-Moghaddam Ali-Asghar Kolahi Ali Nikoobar Hedayat Abbastabar Ahmed M. Abdel-Azeem Michael Abdelmasseh Juan Sanabria Sherief Abd-Elsalam Ahmed Abdelwahab Gholamreza Abdoli Mohammad Abdollahi Meriem Abdoun Deldar Morad Abdulah Abu Yousuf Md Abdullah Ame Mehadi Abdurehman Getachew Abebe Aidin Abedi Chirag P. Doshi Vida Abedi Hassan Abidi Richard Gyan Aboagye Hassan Abolhassani Nima Rezaei Lucas Guimarães Abreu Michael R. M. Abrigo Yonas Derso Abtew Hiwa Abubaker Ali Eman Abu-Gharbieh Hiba Jawdat Barqawi Rabih Halwani Maha Mohamed Saber-Ayad Iman M. Talaat Ahmed Abu-Zaid Manfred Mario Kokou Accrombessi Juan Manuel Acuna Denberu Eshetie Adane Tigist Demssew Adane Isaac Yeboah Addo Giovanni Addolorato Oluwafemi Atanda Adeagbo Victor Adekanmbi Miracle Ayomikun Adesina Isaac Iyinoluwa Olufadewa Olatunji O. Adetokunboh Daniel Adedayo Adeyinka Qorinah Estiningtyas Sakilah Adnani Aanuoluwapo Adeyimika Afolabi Olayinka Stephen Ilesanmi Muhammad Sohail Afzal Saira Afzal Gina Agarwal Prerna Agarwal Pradyumna Agasthi Anurag Agrawal Marcela Agudelo-Botero Adolfo Martinez-Valle Bright Opoku Ahinkorah Aqeel Ahmad Sajjad Ahmad Sohail Ahmad Tauseef Ahmad Ali Ahmadi Siamak Sabour Keivan Ahmadi Sanjay Basu Sepideh Ahmadi Ali Ahmed Shaun Wen Huey Lee Ayman Ahmed Haroon Ahmed Jivan Qasim Ahmed Gahin Abdulraheem Tayib Yahya Yahya Luai A. Ahmed Iffat Elbarazi Syed Mahboob Shah Janardhana P. Aithala Marjan Ajami Budi Aji Hossein Akbarialiabad Yibeltal Akelew Meisam Akhlaghdoust Elham Jamshidi Addis Aklilu Azene Tesfaye Melat Woldemariam Maxwell Ak CRONICAS Center of Excellence in Chronic Diseases Universidad Peruana Cayetano Heredia Lima Peru School of Medicine Universidad Peruana Cayetano Heredia Lima Peru Sydney School of Public Health Faculty of Medicine and Health University of Sydney Sydney NSW Australia Faculty of Epidemiology and Population Health London School of Hygiene & Tropical Medicine London UK Division of Tropical and Humanitarian Medicine University of Geneva Geneva Switzerland Department of Cardiovascular Endocrine-metabolic Diseases and Aging Istituto Superiore di Sanità Rome Italy Division of Endocrinology Diabetology Nutrition and Therapeutic Patient Education Department of Medicine Geneva University Hospitals Geneva Switzerland Department of Medicine and Department of Health Research Evidence and Impact McMaster University Hamilton ON Canada Research Institute of St. Joe’s Hamilton ON Canada Population Health Research Institute Hamilton Canada Geneva University Hospitals Geneva Switzerland Faculty of Medicine Mashhad University of Medical Sciences Mashhad Iran Department of Nutrition and Dietetics Jimma University Jimma Ethiopia Anesthesiology Department Dilla University Addis Ababa Ethiopia Department of Juridical and Economic Studies La Sapienza University Rome Italy Non-Communicable Diseases Research Center Tehran University of Medical Sciences Tehran Iran Social Determinants of Health Research Center Shahid Beheshti University of Medical Sciences Tehran Iran Brigham and Women’s Hospital Harvard University Boston MA USA Students’ Scientific Research Center (SSRC) Tehran University of Medical Sciences Tehran Iran School of Medicine Tehran University of Medical Sciences Tehran Iran School of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran Endocrinology and Metabolism Research Institute Tehran University of Medical Sciences Tehran Iran Chapter of Addiction Medicine University of Sydney Sydney NSW Australia Advanced Diagnostic and Intervent

Chronic care manages long-term, progressive conditions, while acute care addresses short-term conditions. Chronic conditions increasingly strain health systems, which are often unprepared for these demands. This study examines the burden of conditions requiring acute versus chronic care, including sequelae. Conditions and sequelae from the Global Burden of Diseases Study 2019 were classified into acute or chronic care categories. Data were analysed by age, sex, and socio-demographic index, presenting total numbers and contributions to burden metrics such as Disability-Adjusted Life Years (DALYs), Years Lived with Disability (YLD), and Years of Life Lost (YLL). Approximately 68% of DALYs were attributed to chronic care, while 27% were due to acute care. Chronic care needs increased with age, representing 86% of YLDs and 71% of YLLs, and accounting for 93% of YLDs from sequelae. These findings highlight that chronic care needs far exceed acute care needs globally, necessitating health systems to adapt accordingly. © 2025. The Author(s).

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