Low back pain intensity among childbearing women and associated predictors. A cohort study

Backhausen, Mette; Bendix, Jane M.; Damm, Peter; Tabor, Ann; Hegaard, Hanne Kristine

doi:10.1016/j.wombi.2018.09.008

Cited by 17 publications

(31 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Other kinds of studies have focused on possible associations between the number of previous childbirths or pregnancies and back pain occurring during a particular later pregnancy. Some studies [ 1 , 26 ] have found a general positive association of this kind, while others [ 12 , 27 ] simply reported a larger prevalence of back pain among women with at least one previous pregnancy. Still other studies [ 2 , 28 ] found no such relationship.…”

Section: Discussionmentioning

confidence: 99%

“…One study [ 11 ] found a difference according to current age, with more frequent back pain in young women with at least one child, but with no similar contrast among middle-aged women. Other studies have shown differences in occurrence of LBP during various stages of pregnancy according to the number and characteristics of previous pregnancies [ 12 ], but the mechanisms responsible for this kind of pain may differ from those causing LBP in nonpregnant women.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Associations between the number of children, age at childbirths and prevalence of chronic low back pain: the Nord-Trøndelag Health Study

Heuch

Hagen

et al. 2020

BMC Public Health

View full text Add to dashboard Cite

Background Associations between childbirths and subsequent risk of low back pain (LBP) have not been clarified. Changes in sex hormone levels or lumbar posture during pregnancy may have an impact on LBP later in life. The purpose of this study was to explore associations between the number of childbirths, age at childbirths and prevalence of chronic LBP in a general population of women. Methods Data were obtained from the Norwegian community-based Nord-Trøndelag Health Study, HUNT2 (1995–1997). Women aged 20–69 years indicated whether they suffered from chronic LBP, defined as LBP persisting at least 3 months continuously during last year. Information about LBP was collected from 3936 women who had experienced no childbirths, 3143 women who had delivered one child only and 20,584 women who had delivered 2 or more children. Of these, 7339 women reported chronic LBP. The 595 women who were pregnant when information was collected were considered separately, regardless of previous births, with 80 women reporting chronic LBP. Associations with prevalence of chronic LBP were examined by generalised linear modelling with adjustment for potential confounders in a cross-sectional design. Results Women who had delivered one child only showed a higher prevalence of chronic LBP than women with no childbirths (prevalence ratio (PR) 1.11; 95% CI: 1.01–1.22). Among women with one or more childbirths, no overall change in prevalence could be demonstrated with an increasing number of children in analyses adjusted for age at first delivery. In women with at least two childbirths, an age less than 20 years at first childbirth was associated with an increased prevalence of chronic LBP (PR 1.36; 95% CI: 1.25–1.49; compared with age 25–29 years). No association was observed between age at last delivery and chronic LBP. The lowest prevalence of chronic LBP was found among women who were currently pregnant (PR 0.80; 95% CI: 0.63–1.00; compared with women with no childbirths). Conclusions Having experienced at least one childbirth seems to be associated with a higher prevalence of chronic LBP later in life. A young age at first childbirth is also associated with a long-lasting increased prevalence.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Associations between the number of children, age at childbirths and prevalence of chronic low back pain: the Nord-Trøndelag Health Study

Heuch

Hagen

et al. 2020

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…Pregnancy causes natural softening and stretching of the ligaments, which puts a strain on the joints of the pelvis and lower back, resulting in LBP. 35 The results of this study identified that nurses working for >10 years were 2.54 times more likely to develop LBP than nurses working for <5 years. The relevant research shows that long-term repeated bending postures of clinical nurses may increase uneven spinal pressure causes LBP.…”

Section: Discussionmentioning

confidence: 75%

Prevalence and influencing factors of low back pain among nurses in China: a systematic review and meta-analysis

Wang

Sun

2020

Frontiers of Nursing

View full text Add to dashboard Cite

BackgroundLow back pain (LBP) is one of the most common occupational injuries that nurses experience in their daily work, which ultimately causes disability or difficulty in performing heavy physical activity. There is scarce information that presents a direct figure about the prevalence of LBP in Chinese nurses.ObjectiveTo systematically review and analyze the prevalence and influencing factors of LBP among nurses in China.MethodsRelated literature extracted from PubMed, Web of Science, Scopus, China National Knowledge Infrastructure databases were selected and reviewed based on the PRISMA guideline. Random effects models were used for data analysis, where heterogeneity was tested through I2. Egger's test was used to analyze the literature publication bias.ResultsThe combined data indicated that the prevalence of LBP among nurses in China was 78% [95% confidence interval (CI) = 0.72–0.83]. The prevalence of LBP among nurses in China has declined in the past decade. Nurses presented a high risk of LBP in terms of female (OR = 2.38, 95% CI = 1.23–3.44, P < 0.0001), married (OR = 2.79, 95% CI = 1.57–3.86, P < 0.0001), 24 ≤ BMI < 28 (OR = 2.03, 95% CI = 1.18–3.08, P < 0.0001), and working for more than ten >10 years (OR = 2.54, 95% CI = 2.03–3.32, P < 0.0001).ConclusionsThere is a high prevalence of LBP among nurses in China. Interventions that include healthy dietary habits and physical activity mainly focusing on female married nurses who are working for at least 10 years should be implemented. Furthermore, nurses ought to apply ergonomic principles for personal protection at the workplace.

show abstract

“…Lumbopelvic pain (LPP), or musculoskeletal pain at the lower back and/or pelvic girdle, affects 50-90% of pregnant women [1][2][3]. Hence, pregnancy-related LPP is often considered a normal and inevitable part of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Body perception disturbances in women with pregnancy-related lumbopelvic pain and their role in the persistence of pain postpartum

Goossens

Geraerts

Vandenplas

et al. 2021

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background Lumbopelvic pain (LPP) is common during pregnancy and can have long-lasting negative consequences in terms of disability and reduced quality of life. Therefore, it is crucial to identify women at risk of having pregnancy-related LPP after childbirth. This study aimed to investigate the association between body perception, pain intensity, and disability in women with pregnancy-related LPP during late pregnancy and postpartum, and to study whether a disturbed body perception during late pregnancy predicted having postpartum LPP. Methods A prospective cohort study in 130 primiparous women (median age = 30 years) was performed. Pain intensity, disability, and lumbopelvic body perception during the last month of pregnancy and 6 weeks postpartum were assessed with the Numerical Pain Rating Scale (NPRS), Oswestry Disability Index, and Fremantle Back Awareness Questionnaire, respectively. Having pregnancy-related LPP was defined as an NPRS score ≥ 1/10. At both timepoints, women were categorized into three groups; pain-free, LPP with low disability, and LPP with high disability (based on Oswestry Disability Index scores). At each timepoint, body perception was compared between groups, and correlations between body perception, pain intensity, and disability were evaluated in women with LPP by using non-parametric tests. Logistic regression analysis was used to determine whether body perception during the last month of pregnancy predicted the presence of LPP 6 weeks postpartum. Results Women with LPP at the end of pregnancy, and 6 weeks postpartum reported a more disturbed body perception compared to pain-free women (p ≤ 0.005). Greater body perception disturbance correlated with higher pain intensity (σ = 0.266, p = 0.008) and disability (σ = 0.472, p < 0.001) during late pregnancy, and with pain intensity 6 weeks postpartum (σ = 0.403, p = 0.015). A disturbed body perception during late pregnancy nearly significantly predicted having postpartum LPP (Odds Ratio = 1.231, p = 0.052). Conclusions Body perception disturbance was greater in women experiencing LPP during late pregnancy and postpartum compared to pain-free women, and correlated with pain intensity and disability. Though non-significant (p = 0.052), the results of the regression analysis suggest that greater body perception disturbance during late pregnancy might predict having LPP postpartum. However, future studies should follow up on this.

show abstract

Low back pain intensity among childbearing women and associated predictors. A cohort study

Cited by 17 publications

References 32 publications

Associations between the number of children, age at childbirths and prevalence of chronic low back pain: the Nord-Trøndelag Health Study

Associations between the number of children, age at childbirths and prevalence of chronic low back pain: the Nord-Trøndelag Health Study

Prevalence and influencing factors of low back pain among nurses in China: a systematic review and meta-analysis

Body perception disturbances in women with pregnancy-related lumbopelvic pain and their role in the persistence of pain postpartum

Contact Info

Product

Resources

About