孕期跑步时肌肉骨骼疼痛的发生率和风险因素:对 3102 名妇女的调查。

IF 9.3 1区 医学 Q1 SPORT SCIENCES
Sports Medicine Pub Date : 2024-07-01 Epub Date: 2024-02-06 DOI:10.1007/s40279-024-01994-6
Hannah E Wyatt, Kelly Sheerin, Patria A Hume, Kim Hébert-Losier
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引用次数: 0

摘要

背景:跑步时的肌肉骨骼疼痛是孕期妇女关注的问题,可能导致停止跑步。为了支持希望在孕期跑步的妇女,了解与肌肉骨骼疼痛相关的部位、严重程度和个人风险因素至关重要:目的:调查孕期跑步时肌肉骨骼疼痛的发生率和风险因素:在过去 5 年中生过孩子并在怀孕前和怀孕期间进行过跑步的妇女完成了一项在线调查。计算了各身体部位的疼痛频率和患病率,以及逻辑回归几率比(OR)和 95% 的置信区间:共有来自 25 个国家 23 个民族的 3102 名妇女完成了调查。妇女分娩时的年龄在 22-52 岁之间,在最小孩子出生前的 0.5-35 年间每周跑步 2-129 公里。与怀孕前相比,妇女在怀孕期间跑步的距离和次数明显减少。大多数妇女(86%)在怀孕期间跑步时会感到疼痛(骨盆/骶髂关节疼痛占 59%,下背部疼痛占 52%,腹部疼痛占 51%,乳房疼痛占 44%,髋部疼痛占 40%)。骨盆/骶髂关节疼痛的发生率最高,达到最严重的程度(9%)。怀孕期间跑步疼痛风险最大的女性曾受过伤(OR = 3.44)或年龄较大(OR = 1.04)。与第一次怀孕期间跑步的女性相比,曾经生育过孩子的女性出现乳房疼痛的可能性较小(OR = 0.76):结论:减少疼痛的医疗保健措施应侧重于孕期肌肉骨骼变化最大的部位,特别是骨盆、腰部和腹部。支持妇女在整个孕期延长跑步时间的工作应重点关注骨盆和乳房的疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Prevalence and Risk Factors for Musculoskeletal Pain when Running During Pregnancy: A Survey of 3102 Women.

Prevalence and Risk Factors for Musculoskeletal Pain when Running During Pregnancy: A Survey of 3102 Women.

Background: Musculoskeletal pain while running is a concern to women during pregnancy and can lead to running cessation. To support women who wish to run during pregnancy, it is essential to understand the sites, severities and personal risk factors associated with musculoskeletal pain.

Objective: The aim was to investigate prevalence and risk factors for musculoskeletal pain when running during pregnancy.

Methods: An online survey was completed by women who had a child in the past 5 years and ran prior to and during pregnancy. Pain frequency informed prevalence rates by body site, and logistic regression odds ratios (ORs) and 95% confidence intervals were calculated.

Results: A total of 3102 women of 23 ethnicities from 25 countries completed the survey. Women were 22-52 years old when they gave birth and ran 2-129 km/week during the 0.5-35 years before the birth of their youngest child. Women ran significantly less distance and less often during pregnancy than before pregnancy. Most women (86%) experienced pain while running during pregnancy (59% pelvis/sacroiliac joint, 52% lower back, 51% abdomen, 44% breast, 40% hip). The highest prevalence of severe-to-worst pain was at the pelvis/sacroiliac joint (9%). Women at greatest risk of pain while running during pregnancy had a previous injury (OR = 3.44) or were older (OR = 1.04). Women with a previous child were less likely to experience breast pain (OR = 0.76) than those running during their first pregnancy.

Conclusion: Healthcare practices to reduce pain should focus on regions of greatest musculoskeletal change during pregnancy, specifically the pelvis, lower back and abdomen. Efforts to support women to run for longer throughout pregnancy should focus on pain at the pelvis and breasts.

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来源期刊
Sports Medicine
Sports Medicine 医学-运动科学
CiteScore
18.40
自引率
5.10%
发文量
165
审稿时长
6-12 weeks
期刊介绍: Sports Medicine focuses on providing definitive and comprehensive review articles that interpret and evaluate current literature, aiming to offer insights into research findings in the sports medicine and exercise field. The journal covers major topics such as sports medicine and sports science, medical syndromes associated with sport and exercise, clinical medicine's role in injury prevention and treatment, exercise for rehabilitation and health, and the application of physiological and biomechanical principles to specific sports. Types of Articles: Review Articles: Definitive and comprehensive reviews that interpret and evaluate current literature to provide rationale for and application of research findings. Leading/Current Opinion Articles: Overviews of contentious or emerging issues in the field. Original Research Articles: High-quality research articles. Enhanced Features: Additional features like slide sets, videos, and animations aimed at increasing the visibility, readership, and educational value of the journal's content. Plain Language Summaries: Summaries accompanying articles to assist readers in understanding important medical advances. Peer Review Process: All manuscripts undergo peer review by international experts to ensure quality and rigor. The journal also welcomes Letters to the Editor, which will be considered for publication.
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