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.

中文翻译：

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怀孕期间跑步时肌肉骨骼疼痛的患病率和危险因素：对 3102 名女性的调查

背景

跑步时的肌肉骨骼疼痛是怀孕期间女性所关心的问题，并可能导致停止跑步。为了支持希望在怀孕期间跑步的女性，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。

客观的

目的是调查怀孕期间跑步时肌肉骨骼疼痛的患病率和危险因素。

方法

一项在线调查由过去 5 年内生育过孩子并在怀孕前和怀孕期间进行过跑步的女性完成。疼痛频率告知身体部位的患病率，并计算逻辑回归比值比 (OR) 和 95% 置信区间。

结果

来自 25 个国家、23 个民族的 3102 名女性完成了这项调查。女性分娩时年龄为 22 至 52 岁，在最小孩子出生前的 0.5 至 35 年间每周跑步 2 至 129 公里。与怀孕前相比，女性在怀孕期间跑步的距离和次数明显减少。大多数女性（86％）在怀孕期间跑步时经历过疼痛（59％的骨盆/骶髂关节，52％的下背部，51％的腹部，44％的乳房，40％的臀部）。骨盆/骶髂关节处的重度至最严重疼痛发生率最高（9%）。怀孕期间跑步时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，曾经生过孩子的女性出现乳房疼痛的可能性较小（OR = 0.76）。

结论

减轻疼痛的医疗保健实践应重点关注怀孕期间肌肉骨骼变化最大的区域，特别是骨盆、下背部和腹部。支持女性在整个怀孕期间跑更长时间的努力应重点关注骨盆和乳房的疼痛。