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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/41604
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dc.creatorFernando Carvalho de Macedo Siqueirapt_BR
dc.creatorPaulo Henrique Ferreirapt_BR
dc.creatorAmabile Borges Dariopt_BR
dc.creatorAlison Harmerpt_BR
dc.creatorVinicius Cunha Oliveirapt_BR
dc.creatorHércules Ribeiro Leitept_BR
dc.date.accessioned2022-05-12T14:10:24Z-
dc.date.available2022-05-12T14:10:24Z-
dc.date.issued2019-
dc.citation.volume39pt_BR
dc.citation.spage170pt_BR
dc.citation.epage177pt_BR
dc.identifier.doihttps://doi.org/10.1016/j.msksp.2018.10.001pt_BR
dc.identifier.issn2468-7812pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/41604-
dc.description.resumoBackground: 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.pt_BR
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superiorpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofMusculoskeletal Science and Practicept_BR
dc.rightsAcesso Restritopt_BR
dc.subjectAdolescentpt_BR
dc.subjectAdultpt_BR
dc.subjectChildpt_BR
dc.subjectMusculoskeletal diseasept_BR
dc.subjectPerinatal carept_BR
dc.subject.otherAdolescentept_BR
dc.subject.otherAdultopt_BR
dc.subject.otherCriançapt_BR
dc.subject.otherDor musculoesqueléticapt_BR
dc.subject.otherAssistência perinatalpt_BR
dc.titleAre perinatal factors associated with musculoskeletal pain across the lifespan? a systematic review with meta-analysispt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.mskscienceandpractice.com/article/S2468-7812(18)30181-4/fulltextpt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-8658-3774pt_BR
dc.identifier.orcidhttp://orcid.org/0000-0001-8977-8131pt_BR
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