Navegando por Autor "Araujo, Cristiano Miranda de"
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Artigo Prevalence of chewing difficulty in older people in long-term care: A systematic review and meta-analysis(Wiley, 2022) Cavalcanti, Renata Veiga Andersen; Abreu, Maria Helena Dantas; Silva, Anayza Priscila Lourenço da; Regalo, Simone Cecilio Hallak; Siéssere, Selma; Gonçalves, Flávio Magno; Araujo, Cristiano Miranda de; Taveira, Karinna Veríssimo Meira; https://orcid.org/0000-0002-3953-4881Background: Many factors can influence chewing, including age. The ageing process causes morphophysiological changes in the body, including in the performance of the stomatognathic system, which directly affect chewing and swallowing. Objective: To determine the prevalence of chewing difficulty in older people in long-term care. Methods: We searched six electronic databases and the grey literature. Qualitative and quantitative analyses, including risk of bias, were performed on studies that met the inclusion criteria. The meta-analysis of proportions with a random effects model was performed, and heterogeneity was explored by meta-regression. Risk of bias was determined using the Joanna Briggs Institute's Critical Appraisal Checklist. The certainty of evidence was verified using the GRADE tool. Results: Twelve articles were included in the meta-analysis. The pooled prevalence estimate was 35% (95% confidence interval, 0.19-0.54). As heterogeneity still persisted even after sensitivity analysis, the predictors of mean sample age and sample size were meta-regressed to assess whether these covariates explained the variance between effect sizes. The covariable sample size of the study included in the analysis explained 84.3% of the heterogeneity existing in the analysis (R2 = 84.3%; P = .0008). The risk of bias was low in three studies, eight studies had a moderate risk of bias and one study had a high risk of bias. As for the prevalence of chewing difficulty, the GRADE criteria were considered very low. Conclusion: About one in three older people in long-term care have difficulty in chewing.Artigo Prevalence of temporomandibular disorders in musicians: a systematic review and meta-analysis(Wiley, 2021) Cavalcanti, Renata Veiga Andersen; Campos, Larissa Gabriely Nogueira; Pedrosa, Bianca Higino; Stechman-Neto, José; Gadotti, Inae Caroline; Araujo, Cristiano Miranda de; Taveira, Karinna Veríssimo Meira; https://orcid.org/0000-0002-3953-4881Objective: To determine the prevalence of temporomandibular disorders (TMD) in musicians. Materials and methods: Electronic database searches and a manual search were performed. Qualitative and quantitative analysis including risk of bias was performed for studies that met the inclusion criteria. A meta-analysis of proportions with a random effects model was performed, and heterogeneity was explored according to the moderating variable through subgroup analysis and metaregression. The certainty of the evidence was assessed using the GRADE tool. Results: A total of 13 articles were included for the meta-analysis. Pooled prevalence estimate was 52.8% (CI 95%; 33.4%-71.7%) for wind instruments, 53.9% (CI 95%; 42.4%-65.2%) for string instruments and 53.9% (CI 95%; 23.5%-82.7%) for string and wind instruments. The average time of use of the musical instrument explained 82.38%, the heterogeneity between the sizes of the effects observed in the analysis (R2 = 82.38%; P < .0001). For prevalence of TMD, the GRADE criteria were considered very low. Conclusion: The overall combined prevalence of TMD in musicians was approximately 53.9%, and musicians who use their instruments daily and for a long period of time may have a higher prevalence of TMD. Clinical significance: Due to the high prevalence of TMD in musicians, health professionals must be careful not to underestimate signs and symptoms and correctly diagnose these cases.