Are perinatal factors associated with musculoskeletal pain across the lifespan? a systematic review with meta-analysis

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dc.creatorFernando Carvalho de Macedo Siqueira
dc.creatorPaulo Henrique Ferreira
dc.creatorAmabile Borges Dario
dc.creatorAlison Harmer
dc.creatorVinicius Cunha Oliveira
dc.creatorHércules Ribeiro Leite
dc.date.accessioned2022-05-12T14:10:24Z
dc.date.accessioned2025-09-08T23:57:49Z
dc.date.available2022-05-12T14:10:24Z
dc.date.issued2019
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.identifier.doihttps://doi.org/10.1016/j.msksp.2018.10.001
dc.identifier.issn2468-7812
dc.identifier.urihttps://hdl.handle.net/1843/41604
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofMusculoskeletal Science and Practice
dc.rightsAcesso Restrito
dc.subjectAdolescente
dc.subjectAdulto
dc.subjectCriança
dc.subjectDor musculoesquelética
dc.subjectAssistência perinatal
dc.subject.otherAdolescent
dc.subject.otherAdult
dc.subject.otherChild
dc.subject.otherMusculoskeletal disease
dc.subject.otherPerinatal care
dc.titleAre perinatal factors associated with musculoskeletal pain across the lifespan? a systematic review with meta-analysis
dc.typeArtigo de periódico
local.citation.epage177
local.citation.spage170
local.citation.volume39
local.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.
local.identifier.orcidhttps://orcid.org/ 0000-0002-8658-3774
local.identifier.orcidhttp://orcid.org/0000-0001-8977-8131
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://www.mskscienceandpractice.com/article/S2468-7812(18)30181-4/fulltext

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