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http://hdl.handle.net/1843/41604| Tipo: | Artigo de Periódico |
| Título: | Are perinatal factors associated with musculoskeletal pain across the lifespan? a systematic review with meta-analysis |
| Autor(es): | Fernando Carvalho de Macedo Siqueira Paulo Henrique Ferreira Amabile Borges Dario Alison Harmer Vinicius Cunha Oliveira Hércules Ribeiro Leite |
| Resumo: | Background: Musculoskeletal conditions are common health issues with great impact on individuals. Although many factors have been associated with the development of musculoskeletal pain, such as perinatal factors, its aetiology is still poorly understood. Objective: To systematically investigate whether perinatal factors can increase the risk of having musculoskeletal pain across the lifespan. Methods: MEDLINE, CINAHL, Scopus, Web of Science and EMBASE databases were searched from their inception to December 2017. Descriptors used in our search strategy were related to "perinatal factors" and "musculoskeletal pain". There were no language, age, sex or date restrictions. Meta-analysis was used to pool the estimates of association between perinatal factors and musculoskeletal pain. Results: A total of 10,221 citations were identified through the database searching, which after abstract and full-text review, yielded 28 unique articles. Fourteen studies were included in the meta-analyses, which found significant cross-sectional associations between total body fat mass and widespread pain (SMD 0.49, 95% CI 0.37-0.61, p < 0.001). Individuals with low-back pain and knee pain had a higher body fat percentage than asymptomatic controls (SMD 0.34, 95% CI 0.17-0.52, p < 0.001 and SMD 0.18, 95% CI 0.05-0.32, p = 0.009, respectively). Fat mass index was significantly, albeit weakly, associated with foot pain (SMD 0.05, 95% CI 0.03-0.06, p < 0.001). Longitudinal studies (n = 8) were unsuitable for meta-analysis, but were largely indicative of elevated body fat increasing the risk of incident and worsening joint pain. There was conflicting evidence for an association between body fat percentage and incident low-back pain (3 studies, follow-up 4-20 years). Increasing knee pain (1 study) and incident foot pain (2 studies) were positively associated with body fat percentage and fat mass index. The percentage of items in the EAI graded as 'yes' for each study ranged from 23 to 85%, indicating variable methodological quality of the included studies. Conclusions: This systematic review and meta-analysis identified positive cross-sectional associations between increased body fat and widespread and single-site joint pain in the low-back, knee and foot. Longitudinal studies suggest elevated body fat may infer increased risk of incident and worsening joint pain, although further high-quality studies are required. |
| Assunto: | Adolescente Adulto Criança Dor musculoesquelética Assistência perinatal |
| Idioma: | eng |
| País: | Brasil |
| Editor: | Universidade Federal de Minas Gerais |
| Sigla da Instituição: | UFMG |
| Departamento: | EEF - DEPARTAMENTO DE FISIOTERAPIA |
| Tipo de Acesso: | Acesso Restrito |
| Identificador DOI: | https://doi.org/10.1016/j.msksp.2018.10.001 |
| URI: | http://hdl.handle.net/1843/41604 |
| Data do documento: | 2019 |
| metadata.dc.url.externa: | https://www.mskscienceandpractice.com/article/S2468-7812(18)30181-4/fulltext |
| metadata.dc.relation.ispartof: | Musculoskeletal Science and Practice |
| Aparece nas coleções: | Artigo de Periódico |
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