Associations of physical activity and weight gain during pregnancy with pregnancy-related pelvic girdle pain intensity - A retrospective cohort study.

Autor: Byberg R; Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway; Department for Caring and Ethics, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway., Marie Mjølsnes I; Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway; Department for Caring and Ethics, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway., Dalen I; Department of Research, Section of Biostatistics, Stavanger University Hospital, Stavanger , Norway; Department of Quality and Health Technology, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway., Inger Økland; Department for Caring and Ethics, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway., Marie Gausel A; Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway; Department for Caring and Ethics, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway; Et Liv i Bevegelse (ELiB), The Norwegian Chiropractic Research Foundations, Oslo, Norway. Electronic address: anne.marie.gausel@sus.no.
Jazyk: angličtina
Zdroj: Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives [Sex Reprod Healthc] 2024 Sep; Vol. 41, pp. 101008. Date of Electronic Publication: 2024 Jul 22.
DOI: 10.1016/j.srhc.2024.101008
Abstrakt: Objective: The aims of this study were first, to explore pain trajectories of pelvic girdle pain, and second, to explore if weight gain during pregnancy and/or physical activity before and during pregnancy were associated with the severity of pelvic girdle pain.
Methods: The study included data from a retrospective cohort study in 2009, with data collection performed via questionnaires. Group-based trajectory modelling was performed on the reported intensity of pelvic girdle pain in each pregnancy month, and associations between the latent classes and physical activity and/or weight gain were assessed.
Results: A total of 569 women were included in the analyses. Five distinct trajectory classes for the course of pelvic girdle pain were identified. A higher body mass index (BMI) increase during pregnancy was negatively associated with the probability of being pain free, with -3.2 percentage points per unit increase in BMI (95 % CI -5.3 to -1.1; p = 0.003), and positively associated with the probability of experiencing early onset moderate to severe pain, +1.1 percentage points per unit increase in BMI (95 % CI 0.2 to 2.1; p = 0.022). Weight gain below recommendations was negatively associated with early onset moderate to severe pain; -10.6 percentage points per unit increase in BMI (95 % CI -18.8to-2.4;p = 0.011). Physical activity in pregnancy was not significantly associated with pain trajectory classes when adjusting for pre-pregnancy variables.
Conclusions: Our findings suggest that pelvic girdle pain intensity during pregnancy can take multiple courses and is associated with weight gain during pregnancy.
(Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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