The association of back pain with physical inactivity and hypothyroidism in pregnant women.

IF 1.4 4区 医学 Q3 ORTHOPEDICS Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI:10.3233/BMR-240086
Chencui Shi, Qiangdong Zou, Hong Wei
{"title":"The association of back pain with physical inactivity and hypothyroidism in pregnant women.","authors":"Chencui Shi, Qiangdong Zou, Hong Wei","doi":"10.3233/BMR-240086","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>During pregnancy, structural and functional changes usually occur in the body, which has various consequences, including lower back pain (LBP) and hypothyroidism. One of the risk factors for these problems is physical inactivity.</p><p><strong>Objective: </strong>This study aimed to investigate the association of back pain and physical inactivity, weight gain, and hypothyroidism in pregnant women.</p><p><strong>Methods: </strong>In this cohort study, 420 pregnant women (26.333 ± 5.820 years old) were included. At first, participants answered this question: \"Do you have any plans for pregnancy in the next month?\" If the answer was yes, further evaluations were performed. The physical activity and pain intensity were measured by the International Physical Activity Questionnaire Short Form (IPAQ-S) and Visual Analogue Scale. Serum TSH was measured by automated chemiluminescence and commercial kits. Measurements were conducted before, the first, second, and third trimester of pregnancy.</p><p><strong>Results: </strong>Women reporting LBP were less engaged in physical activities and weight gained in the second and third trimesters of pregnancy was significantly higher than pregnant women without LBP (p< 0.05). TSH level and weight gained in pregnant women with low physical activity level was significantly higher than pregnant women with moderate and high physical activity (p< 0.05) (without significant difference in TSH and BMI). The physical inactivity (before: OR: 1.11 95% CI: 0.89 to 1.22; first trimester: OR: 1.09 95% CI: 1.02 to 1.59; second trimester: OR: 0.92 95% CI: 0.87 to 1.31; third trimester: OR: 1.12 95% CI: 1.02 to 1.39), TSH (OR: 0.85 95% CI: 0.57 to 1.29), and weight gain (second trimester: OR: 0.87 95% CI: 0.92 to 1.59; third trimester: OR: 1.44 95% CI: 1.02 to 1.98; p< 0.05) did predict increased pain intensity.</p><p><strong>Conclusion: </strong>Using health-oriented approaches to increase physical activity and normalize thyroid function and weight gain during pregnancy can have beneficial effects on LBP.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Back and Musculoskeletal Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3233/BMR-240086","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

Abstract

Background: During pregnancy, structural and functional changes usually occur in the body, which has various consequences, including lower back pain (LBP) and hypothyroidism. One of the risk factors for these problems is physical inactivity.

Objective: This study aimed to investigate the association of back pain and physical inactivity, weight gain, and hypothyroidism in pregnant women.

Methods: In this cohort study, 420 pregnant women (26.333 ± 5.820 years old) were included. At first, participants answered this question: "Do you have any plans for pregnancy in the next month?" If the answer was yes, further evaluations were performed. The physical activity and pain intensity were measured by the International Physical Activity Questionnaire Short Form (IPAQ-S) and Visual Analogue Scale. Serum TSH was measured by automated chemiluminescence and commercial kits. Measurements were conducted before, the first, second, and third trimester of pregnancy.

Results: Women reporting LBP were less engaged in physical activities and weight gained in the second and third trimesters of pregnancy was significantly higher than pregnant women without LBP (p< 0.05). TSH level and weight gained in pregnant women with low physical activity level was significantly higher than pregnant women with moderate and high physical activity (p< 0.05) (without significant difference in TSH and BMI). The physical inactivity (before: OR: 1.11 95% CI: 0.89 to 1.22; first trimester: OR: 1.09 95% CI: 1.02 to 1.59; second trimester: OR: 0.92 95% CI: 0.87 to 1.31; third trimester: OR: 1.12 95% CI: 1.02 to 1.39), TSH (OR: 0.85 95% CI: 0.57 to 1.29), and weight gain (second trimester: OR: 0.87 95% CI: 0.92 to 1.59; third trimester: OR: 1.44 95% CI: 1.02 to 1.98; p< 0.05) did predict increased pain intensity.

Conclusion: Using health-oriented approaches to increase physical activity and normalize thyroid function and weight gain during pregnancy can have beneficial effects on LBP.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
孕妇背痛与缺乏运动和甲状腺机能减退的关系。
背景:在怀孕期间,身体的结构和功能通常会发生变化,从而产生各种后果,包括下背痛(LBP)和甲状腺机能减退。这些问题的风险因素之一是缺乏运动:本研究旨在调查孕妇腰背痛与缺乏运动、体重增加和甲状腺机能减退的关系:在这项队列研究中,共纳入了 420 名孕妇(26.333 ± 5.820 岁)。首先,参与者回答了以下问题"您是否计划在下个月怀孕?如果回答 "有",则进行进一步评估。体力活动和疼痛强度通过国际体力活动问卷简表(IPAQ-S)和视觉模拟量表进行测量。血清促甲状腺激素采用自动化学发光法和商用试剂盒进行测量。测量在怀孕前、怀孕第一、第二和第三季度进行:结果:报告有枸杞多糖症的妇女参与体力活动较少,在妊娠第二和第三季度体重增加明显高于无枸杞多糖症的孕妇(P< 0.05)。体力活动水平低的孕妇的促甲状腺激素水平和体重增加明显高于体力活动中等和高的孕妇(P< 0.05)(促甲状腺激素和体重指数无明显差异)。体力活动不足(之前:OR: 1.11 95% CI: 0.89 to 1.22; first trimester:OR:1.09 95% CI:1.02 至 1.59;怀孕后三个月:OR:0.92 95% CI:1.02 至 1.59:OR:0.92 95% CI:0.87 至 1.31;第三孕期:OR:1.12 95% CI:1.02 至 1.39)、促甲状腺激素(OR:0.85 95% CI:0.57 至 1.29)和体重增加(第二个三个月:OR: 0.87 95% CI: 0.92 to 1.59; third trimester:OR: 1.44 95% CI: 1.02 to 1.98; p< 0.05)确实能预测疼痛强度的增加:结论:以健康为导向的方法可以增加孕期的体力活动,使甲状腺功能和体重增加趋于正常,从而对腰背痛产生有益的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
期刊最新文献
Effects of time-dependent acupuncture on back muscle endurance in women with chronic nonspecific low back pain: A randomized crossover trial. Effectiveness of monopolar diathermy by radiofrequency combined with exercise in patients with chronic low back pain: A randomized clinical trial. Percutaneous functional spinal unit cementoplasty versus percutaneous kyphoplasty for severe osteoporotic vertebral compression fracture complicated with endplate-disc complex injury: A retrospective case-control study. The back body temperatures of patients with idiopathic scoliosis measured through exercise Cognitive functional therapy for lower back pain: A meta-analytical assessment of pain and disability outcomes in randomized controlled trials.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1