怀孕是肌肉骨疼痛的主要危险因素吗? 一个横截面研究
Mai Mhajne1, Asaf Weisman1, Tomer Yona2
1Spinal Research Laboratory, Department of Physical Therapy, Stanley Steyer School of Health Professions, Gray Faculty of Medical and Health Sciences, Tel Aviv University, Israel.
Musculoskeletal science & practice
|December 29, 2025
概括
怀孕本身并没有增加肌肉骨疼痛. 身体健康状况,而不是怀孕本身,是疼痛的主要预测因素,表明怀孕相关疼痛的多因素原因.
科学领域:
- 肌肉骨健康 肌肉骨健康
- 生殖健康 生殖健康
- 流行病学 流行病学
背景情况:
- 怀孕期间肌肉骨疼痛通常被认为是普遍存在的,但证据仅限于缺乏对照组的研究.
- 现有的研究主要依赖于横截面数据,需要通过比较分析进行进一步的研究.
研究的目的:
- 为了比较孕妇肌肉骨疼痛的患病率与非孕妇的参考组.
- 确定影响肌肉骨疼痛的因素,区分妊娠状态和整体身体健康.
主要方法:
- 一项涉及以色列1651名妇女 (589名孕妇,1062名非孕妇) 的观察性横截面研究.
- 在线调查使用希伯来语扩展的北欧肌肉骨问卷和SF-12,通过千平方和后勤回归分析数据.
- 对诸如年龄,BMI,教育,就业,生活方式和病史等混变量进行控制的分析.
主要成果:
- 最初,孕妇报告上部和下部背部疼痛较高,而非孕妇报告更多的部/大腿疼痛.
- 多变量回归显示,在控制混因子后,这些差异无意义.
- 较低的身体成分评分 (PCS-12) 与腰部疼痛有很强的关联,而怀孕状态不是一个独立的预测因素. 吸烟是一个显著的风险因素.
结论:
- 这项研究质疑怀孕与肌肉骨疼痛患病率增加之间的直接因果关系.
- 身体健康状况是疼痛的更重要的决定因素,而不是仅仅是怀孕状态.
- 怀孕期间的肌肉骨疼痛是多因素的,受孕期以外的各种健康和生活方式因素的影响.
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