Abstract：
UNASSIGNED: During pregnancy, structural and functional changes usually occur in the body, which has various consequences, including lower back pain (LBP) and hypothyroidism. One of the risk factors for these problems is physical inactivity.
UNASSIGNED: This study aimed to investigate the association of back pain and physical inactivity, weight gain, and hypothyroidism in pregnant women.
UNASSIGNED: In this cohort study, 420 pregnant women (26.333 ± 5.820 years old) were included. At first, participants answered this question: \"Do you have any plans for pregnancy in the next month?\" If the answer was yes, further evaluations were performed. The physical activity and pain intensity were measured by the International Physical Activity Questionnaire Short Form (IPAQ-S) and Visual Analogue Scale. Serum TSH was measured by automated chemiluminescence and commercial kits. Measurements were conducted before, the first, second, and third trimester of pregnancy.
UNASSIGNED: Women reporting LBP were less engaged in physical activities and weight gained in the second and third trimesters of pregnancy was significantly higher than pregnant women without LBP (p< 0.05). TSH level and weight gained in pregnant women with low physical activity level was significantly higher than pregnant women with moderate and high physical activity (p< 0.05) (without significant difference in TSH and BMI). The physical inactivity (before: OR: 1.11 95% CI: 0.89 to 1.22; first trimester: OR: 1.09 95% CI: 1.02 to 1.59; second trimester: OR: 0.92 95% CI: 0.87 to 1.31; third trimester: OR: 1.12 95% CI: 1.02 to 1.39), TSH (OR: 0.85 95% CI: 0.57 to 1.29), and weight gain (second trimester: OR: 0.87 95% CI: 0.92 to 1.59; third trimester: OR: 1.44 95% CI: 1.02 to 1.98; p< 0.05) did predict increased pain intensity.
UNASSIGNED: Using health-oriented approaches to increase physical activity and normalize thyroid function and weight gain during pregnancy can have beneficial effects on LBP.
UNASSIGNED: This study aimed to investigate the association of back pain and physical inactivity, weight gain, and hypothyroidism in pregnant women.
UNASSIGNED: In this cohort study, 420 pregnant women (26.333 ± 5.820 years old) were included. At first, participants answered this question: \"Do you have any plans for pregnancy in the next month?\" If the answer was yes, further evaluations were performed. The physical activity and pain intensity were measured by the International Physical Activity Questionnaire Short Form (IPAQ-S) and Visual Analogue Scale. Serum TSH was measured by automated chemiluminescence and commercial kits. Measurements were conducted before, the first, second, and third trimester of pregnancy.
UNASSIGNED: Women reporting LBP were less engaged in physical activities and weight gained in the second and third trimesters of pregnancy was significantly higher than pregnant women without LBP (p< 0.05). TSH level and weight gained in pregnant women with low physical activity level was significantly higher than pregnant women with moderate and high physical activity (p< 0.05) (without significant difference in TSH and BMI). The physical inactivity (before: OR: 1.11 95% CI: 0.89 to 1.22; first trimester: OR: 1.09 95% CI: 1.02 to 1.59; second trimester: OR: 0.92 95% CI: 0.87 to 1.31; third trimester: OR: 1.12 95% CI: 1.02 to 1.39), TSH (OR: 0.85 95% CI: 0.57 to 1.29), and weight gain (second trimester: OR: 0.87 95% CI: 0.92 to 1.59; third trimester: OR: 1.44 95% CI: 1.02 to 1.98; p< 0.05) did predict increased pain intensity.
UNASSIGNED: Using health-oriented approaches to increase physical activity and normalize thyroid function and weight gain during pregnancy can have beneficial effects on LBP.
摘要：
■怀孕期间，结构和功能的变化通常发生在体内，会产生各种后果，包括下背痛（LBP）和甲状腺功能减退。这些问题的风险因素之一是缺乏身体活动。
■本研究旨在调查背痛与缺乏体力活动的关系，体重增加,孕妇的甲状腺功能减退。
■在这项队列研究中，包括420名孕妇（26.333±5.820岁）。起初,参与者回答了这个问题：“下个月你有怀孕的计划吗？”如果答案是肯定的，进行了进一步评估。通过国际身体活动问卷简表（IPAQ-S）和视觉模拟量表测量身体活动和疼痛强度。通过自动化学发光和商业试剂盒测量血清TSH。之前进行了测量，第一,第二,和怀孕的第三个三个月。
■报告有LBP的妇女参加体力活动较少，妊娠第二和妊娠晚期的体重增加明显高于没有LBP的孕妇（p<0.05）。TSH程度和体重增长的孕妇低体力活动程度显著高于中、高体力活动的孕妇(p<0.05)(TSH和BMI无显著差别)。体力活动不足（前：OR：1.1195％CI：0.89至1.22；妊娠早期：OR：1.0995％CI：1.02至1.59；妊娠中期：OR：0.9295％CI：0.87至1.31；妊娠中期：OR：1.1295％CI：1.02至1.39），TSH（OR：0.8595%CI：0.57至1.29），和体重增加（妊娠中期：OR：0.8795％CI：0.92至1.59;妊娠中期：OR：1.4495％CI：1.02至1.98;p<0.05）确实预测了疼痛强度的增加。
■在怀孕期间使用以健康为导向的方法来增加身体活动并使甲状腺功能和体重增加正常化，可以对LBP产生有益的影响。
■本研究旨在调查背痛与缺乏体力活动的关系，体重增加,孕妇的甲状腺功能减退。
■在这项队列研究中，包括420名孕妇（26.333±5.820岁）。起初,参与者回答了这个问题：“下个月你有怀孕的计划吗？”如果答案是肯定的，进行了进一步评估。通过国际身体活动问卷简表（IPAQ-S）和视觉模拟量表测量身体活动和疼痛强度。通过自动化学发光和商业试剂盒测量血清TSH。之前进行了测量，第一,第二,和怀孕的第三个三个月。
■报告有LBP的妇女参加体力活动较少，妊娠第二和妊娠晚期的体重增加明显高于没有LBP的孕妇（p<0.05）。TSH程度和体重增长的孕妇低体力活动程度显著高于中、高体力活动的孕妇(p<0.05)(TSH和BMI无显著差别)。体力活动不足（前：OR：1.1195％CI：0.89至1.22；妊娠早期：OR：1.0995％CI：1.02至1.59；妊娠中期：OR：0.9295％CI：0.87至1.31；妊娠中期：OR：1.1295％CI：1.02至1.39），TSH（OR：0.8595%CI：0.57至1.29），和体重增加（妊娠中期：OR：0.8795％CI：0.92至1.59;妊娠中期：OR：1.4495％CI：1.02至1.98;p<0.05）确实预测了疼痛强度的增加。
■在怀孕期间使用以健康为导向的方法来增加身体活动并使甲状腺功能和体重增加正常化，可以对LBP产生有益的影响。
