Gynecologic and Obstetric Determinants of Spinal Pain in Middle-aged women

Abstract

Objectives: The link between fatigue, spinal pain, and obstetric and gynecologic history is unclear. The aim of this study was to determine spinal pain prevalence and sociodemographic, obstetric and gynecological determinants of spinal pain in middle-aged women. Materials and Methods: Seven hundred and five middle-aged women (mean age: 47.55 ± 8.0) participated in this cross-sectional study. The demographic data, lifestyle habits, and gynecologic and obstetric history of the participants were recorded. The fatigue and energy levels of the participants were assessed with Visual Analogue Scale for Fatigue Scale (VAS-F). Results: Spinal pain prevalence was 71.8%. Sociodemographic factors and lifestyle habits were not associated with neck pain. Advanced age and higher body mass ındex (BMI) were associated with a higher rate of upper back pain (p<0.01), lower back pain (p<0.001) and multiple spinal pain (p<0.01). Being a civil servant (p<0.01) or worker (p<0.05) has a protective effect on upper back pain. Being in post-menopausal status was associated a higher rate of upper back (p<0.1), lower back (p<0.001) and multiple spinal pain (p<0.01). An increased number of pregnancies (p<0.001), and multiparity (p<0.001) were associated with a higher rate of upper back pain. Increased fatigue level was associated with a higher rate of all types of spinal pain (p<0.001). Conclusion: Advanced age and higher BMI, post-menopausal status, multiparity and fatigue level might be the determinants of spinal pain. These risk factors should also be considered when evaluating spinal pain in middle-aged women.

Keywords

• cross-sectional studies
• menopause
• middle aged
• pain

Orta Yaşlı Kadınlarda Spinal Ağrının Jinekolojik ve Obstetrik Belirleyicileri

Abstract

Amaç: Yorgunluk, spinal ağrı ve obstetrik ve jinekolojik öykü arasındaki bağlantı net değildir. Bu çalışmanın amacı, orta yaşlı kadınlarda spinal ağrı prevalansını ve spinal ağrının sosyodemografik, obstetrik ve jinekolojik belirleyicilerini belirlemektir. Gereç ve Yöntem: Bu kesitsel çalışmaya 705 orta yaşlı kadın (ortalama yaş: 47.55 ± 8.0 yıl) katılmıştır. Katılımcıların demografik verileri, yaşam tarzı alışkanlıkları, jinekolojik ve obstetrik öyküleri kaydedilmiştir. Katılımcıların yorgunluk ve enerji düzeyleri, Yorgunluk için Görsel Analog Skala (GAS-Y) ile değerlendirilmiştir. Bulgular: Spinal ağrı prevalansı %71,8 idi. Demografik faktörler ve yaşam tarzı alışkanlıkları boyun ağrısı ile ilişkili değildi. İleri yaş ve yüksek Beden Kütle İndeksi (BKİ), üst sırt ağrısı (p<0.01), alt sırt ağrısı (p<0.001) ve çoklu omurilik ağrısı (p<0.01) sıklığı ile ilişkili bulunmuştur. Memur (p<0.01) veya işçi (p<0.05) olmak üst sırt ağrısı için koruyucu etkiye sahiptir. Menopoz döneminde olmak artan oranda üst sırt (p<0.1), alt sırt (p<0.001) ve çoklu bel ağrısı (p<0.01) ile ilişkiliydi. Artmış Gebelik sayısı (p<0.001), canlı doğum sayısı (p<0.001) ve yorgunluk düzeyi (p<0.001) artan oranda bel ağrısı ile ilişkiliydi. Yorgunluk düzeyinin artması tüm spinal ağrı tiplerinin artışı ile ilişkiliydi (p<0.001). Sonuç: İleri yaş, yüksek BKİ, menopozal durum, artmış gebelik sayısı ve yorgunluk düzeyi spinal ağrının belirleyicileri olabilir. Orta yaş kadınlarda spinal ağrı değerlendirilirken bu risk faktörleri de göz önünde bulundurulmalıdır.

Keywords

• kesitsel çalışmalar
• menopoz
• orta yaş
• ağrı

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