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Orta Yaşlı Kadınlarda Spinal Ağrının Jinekolojik ve Obstetrik Belirleyicileri

Yıl 2023, Cilt: 10 Sayı: 3, 563 - 575, 31.12.2023

Şule Şimşek Nesrin Yağcı

Öz

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.

Anahtar Kelimeler

kesitsel çalışmalar menopoz orta yaş ağrı

Kaynakça

  • Azevedo, L. F., Costa-Pereira, A., Mendonça, L., Dias, C. C., & Castro-Lopes, J. M. (2012). Epidemiology of chronic pain: a population-based nationwide study on its prevalence, characteristics and associated disability in Portugal. The Journal of Pain, 13(8), 773–783. https://doi.org/10.1016/j.jpain.2012.05.012
  • Bartley, E. J., & Fillingim, R. B. (2013). Sex differences in pain: a brief review of clinical and experimental findings. British Journal of Anaesthesia, 111(1), 52–58. https://doi.org/10.1093/bja/aet127
  • Brady, S. R. E., Hussain, S. M., Brown, W. J., Heritier, S., Wang, Y., & Teede, H., et al. (2017). Predictors of Back Pain in Middle-Aged Women: Data From the Australian Longitudinal Study of Women's Health. Arthritis Care & Research, 69(5), 709–716. https://doi.org/10.1002/acr.22982
  • Brady, S. R. E., Hussain, S. M., Brown, W. J., Heritier, S., Wang, Y., & Teede, H., et al. (2018). Course and Contributors to Back Pain in Middle-aged Women Over 9 Years: Data From the Australian Longitudinal Study on Women's Health. Spine, 43(23), 1648–1656. https://doi.org/10.1097/BRS.0000000000002702
  • Dedicação, A.C. (2017). Prevalence of musculoskeletal pain in climacteric women of a basic health unit in São Paulo/SP. Revista Dor São Paulo, 18, 212‑6.
  • Depintor, J. D., Bracher, E. S., Cabral, D. M., & Eluf-Neto, J. (2016). Prevalence of chronic spinal pain and identification of associated factors in a sample of the population of São Paulo, Brazil: cross-sectional study. Sao Paulo Medical Journal = Revista Paulista de Medicina, 134(5), 375–384. https://doi.org/10.1590/1516-3180.2016.0091310516
  • Fishbain, D. A., Cutler, R. B., Cole, B., Lewis, J., Smets, E., & Rosomoff, H. L., et al. (2004). Are patients with chronic low back pain or chronic neck pain fatigued?. Pain Medicine (Malden, Mass.), 5(2), 187–195. https://doi.org/10.1111/j.1526-4637.2004.04026.x
  • Gong, H., Sun, L., Yang, R., Pang, J., Chen, B., & Qi, R., et al. (2019). Changes of upright body posture in the sagittal plane of men and women occurring with aging-a cross sectional study. BMC Geriatrics, 19(1), 71. https://doi.org/10.1186/s12877-019-1096-0
  • Hoy, D. G., Protani, M., De, R., & Buchbinder, R. (2010). The epidemiology of neck pain. Best practice & research. Clinical Rheumatology, 24(6), 783–792. https://doi.org/10.1016/j.berh.2011.01.019
  • Huisstede, B. M., Wijnhoven, H. A., Bierma-Zeinstra, S. M., Koes, B. W., Verhaar, J. A., & Picavet, S. (2008). Prevalence and characteristics of complaints of the arm, neck, and/or shoulder (CANS) in the open population. The Clinical Journal of Pain, 24(3), 253–259. https://doi.org/10.1097/AJP.0b013e318160a8b4
  • Ibrahimi-Kaçuri, D., Murtezani, A., Rrecaj, S., Martinaj, M., & Haxhiu, B. (2015). Low back pain and obesity. Medical Archieves 69(2):114-6. https://doi.org/10.5455/medarh.2015.69.114-116
  • Jabeen, A., Khan, M.S., Asif, M. (2018). Prevalence and related factors of fatıgue among middle agedand elderly female. International Journal of Scientific & Engineering Research, 9(9), 278-300.
  • Jiménez-Sánchez, S., Fernández-de-Las-Peñas, C., Carrasco-Garrido, P., Hernández-Barrera, V., Alonso-Blanco, C., Palacios-Ceña, D., et al. (2012). Prevalence of chronic head, neck and low back pain and associated factors in women residing in the Autonomous Region of Madrid (Spain). Gaceta Sanitaria, 26(6), 534–540. https://doi.org/10.1016/j.gaceta.2011.10.012
  • Kado, D. M., Huang, M. H., Karlamangla, A. S., Cawthon, P., Katzman, W., & Hillier, T. A., et al. (2013). Factors associated with kyphosis progression in older women: 15 years' experience in the study of osteoporotic fractures. Journal of Bone and Mineral Research: The Official Journal of the American Society for Bone and Mineral Research, 28(1), 179–187. https://doi.org/10.1002/jbmr.1728
  • Lee E. N. (2019). Effects of parity and breastfeeding duration on bone density in postmenopausal women. Asian Nursing Research, 13(2), 161–167. https://doi.org/10.1016/j.anr.2019.04.002
  • Malik, R., Pokeria, C., & Singh, S. (2022). Correlation of Menopausal Symptoms with Serum Estradiol: A Study in Urban Indian Postmenopausal Women. Journal of Obstetrics and Gynaecology of India, 72(4), 322–329. https://doi.org/10.1007/s13224-021-01518-6
  • Manchikanti, L., Singh, V., Datta, S., Cohen, S. P., Hirsch, J. A., & American Society of Interventional Pain Physicians (2009). Comprehensive review of epidemiology, scope, and impact of spinal pain. Pain Physician, 12(4), E35–E70.
  • Meucci, R. D., Fassa, A. G., Paniz, V. M., Silva, M. C., & Wegman, D. H. (2013). Increase of chronic low back pain prevalence in a medium-sized city of southern Brazil. BMC Musculoskeletal Disorders, 14, 155. https://doi.org/10.1186/1471-2474-14-155
  • Peng, B., Bogduk, N., DePalma, M. J., & Ma, K. (2019). Chronic spinal pain: pathophysiology, diagnosis, and treatment. Pain Research & Management, 2019, 1729059. https://doi.org/10.1155/2019/1729059
  • Safiri, S., Kolahi, A. A., Hoy, D., Buchbinder, R., Mansournia, M. A., & Bettampadi, D., et al. (2020). Global, regional, and national burden of neck pain in the general population, 1990-2017: systematic analysis of the Global Burden of Disease Study 2017. BMJ (Clinical research ed.), 368, m791. https://doi.org/10.1136/bmj.m791
  • Salvetti, Mde G., Pimenta, C.A., Braga, P.E., & McGillion, M. Prevalence of fatigue and associated factors in chronic low back pain patients. Revista Latino-Americana de Enfermagem ,21 (Spec), 12-9. https://doi.org/10.1590/S0104-11692013000700003
  • Son, K. M., Cho, N. H., Lim, S. H., & Kim, H. A. (2013). Prevalence and risk factor of neck pain in elderly Korean community residents. Journal of Korean Medical Science, 28(5), 680–686. https://doi.org/10.3346/jkms.2013.28.5.680
  • Spencer, L., McKenna, L., Fary, R., Jacques, A., & Briffa, K. (2019). Upper back pain in postmenopausal women and associated physical characteristics. PLoS One. 14(7), e0220452. https://doi.org/10.1371/journal.pone.0220452
  • Wáng, Y. X., Wáng, J. Q., & Káplár, Z. (2016). Increased low back pain prevalence in females than in males after menopause age: evidences based on synthetic literature review. Quantitative Imaging in Medicine and Surgery, 6(2), 199–206. https://doi.org/10.21037/qims.2016.04.06
  • Yurtsever, S. (2003). Hemodiyaliz hastalarında yorgunluğun değerlendirilmesi. Hemşirelikte Araştırma ve Geliştirme Dergisi, 5(2), 3-12. (Turkish)
  • Zajacova, A., Grol-Prokopczyk, H., & Fillingim, R. (2022). Beyond Black vs White: racial/ethnic disparities in chronic pain including Hispanic, Asian, Native American, and multiracial US adults. Pain, 163(9), 1688–1699. https://doi.org/10.1097/j.pain.0000000000002574

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

Yıl 2023, Cilt: 10 Sayı: 3, 563 - 575, 31.12.2023

Şule Şimşek Nesrin Yağcı

Öz

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.

Anahtar Kelimeler

cross-sectional studies menopause middle aged pain

Kaynakça

  • Azevedo, L. F., Costa-Pereira, A., Mendonça, L., Dias, C. C., & Castro-Lopes, J. M. (2012). Epidemiology of chronic pain: a population-based nationwide study on its prevalence, characteristics and associated disability in Portugal. The Journal of Pain, 13(8), 773–783. https://doi.org/10.1016/j.jpain.2012.05.012
  • Bartley, E. J., & Fillingim, R. B. (2013). Sex differences in pain: a brief review of clinical and experimental findings. British Journal of Anaesthesia, 111(1), 52–58. https://doi.org/10.1093/bja/aet127
  • Brady, S. R. E., Hussain, S. M., Brown, W. J., Heritier, S., Wang, Y., & Teede, H., et al. (2017). Predictors of Back Pain in Middle-Aged Women: Data From the Australian Longitudinal Study of Women's Health. Arthritis Care & Research, 69(5), 709–716. https://doi.org/10.1002/acr.22982
  • Brady, S. R. E., Hussain, S. M., Brown, W. J., Heritier, S., Wang, Y., & Teede, H., et al. (2018). Course and Contributors to Back Pain in Middle-aged Women Over 9 Years: Data From the Australian Longitudinal Study on Women's Health. Spine, 43(23), 1648–1656. https://doi.org/10.1097/BRS.0000000000002702
  • Dedicação, A.C. (2017). Prevalence of musculoskeletal pain in climacteric women of a basic health unit in São Paulo/SP. Revista Dor São Paulo, 18, 212‑6.
  • Depintor, J. D., Bracher, E. S., Cabral, D. M., & Eluf-Neto, J. (2016). Prevalence of chronic spinal pain and identification of associated factors in a sample of the population of São Paulo, Brazil: cross-sectional study. Sao Paulo Medical Journal = Revista Paulista de Medicina, 134(5), 375–384. https://doi.org/10.1590/1516-3180.2016.0091310516
  • Fishbain, D. A., Cutler, R. B., Cole, B., Lewis, J., Smets, E., & Rosomoff, H. L., et al. (2004). Are patients with chronic low back pain or chronic neck pain fatigued?. Pain Medicine (Malden, Mass.), 5(2), 187–195. https://doi.org/10.1111/j.1526-4637.2004.04026.x
  • Gong, H., Sun, L., Yang, R., Pang, J., Chen, B., & Qi, R., et al. (2019). Changes of upright body posture in the sagittal plane of men and women occurring with aging-a cross sectional study. BMC Geriatrics, 19(1), 71. https://doi.org/10.1186/s12877-019-1096-0
  • Hoy, D. G., Protani, M., De, R., & Buchbinder, R. (2010). The epidemiology of neck pain. Best practice & research. Clinical Rheumatology, 24(6), 783–792. https://doi.org/10.1016/j.berh.2011.01.019
  • Huisstede, B. M., Wijnhoven, H. A., Bierma-Zeinstra, S. M., Koes, B. W., Verhaar, J. A., & Picavet, S. (2008). Prevalence and characteristics of complaints of the arm, neck, and/or shoulder (CANS) in the open population. The Clinical Journal of Pain, 24(3), 253–259. https://doi.org/10.1097/AJP.0b013e318160a8b4
  • Ibrahimi-Kaçuri, D., Murtezani, A., Rrecaj, S., Martinaj, M., & Haxhiu, B. (2015). Low back pain and obesity. Medical Archieves 69(2):114-6. https://doi.org/10.5455/medarh.2015.69.114-116
  • Jabeen, A., Khan, M.S., Asif, M. (2018). Prevalence and related factors of fatıgue among middle agedand elderly female. International Journal of Scientific & Engineering Research, 9(9), 278-300.
  • Jiménez-Sánchez, S., Fernández-de-Las-Peñas, C., Carrasco-Garrido, P., Hernández-Barrera, V., Alonso-Blanco, C., Palacios-Ceña, D., et al. (2012). Prevalence of chronic head, neck and low back pain and associated factors in women residing in the Autonomous Region of Madrid (Spain). Gaceta Sanitaria, 26(6), 534–540. https://doi.org/10.1016/j.gaceta.2011.10.012
  • Kado, D. M., Huang, M. H., Karlamangla, A. S., Cawthon, P., Katzman, W., & Hillier, T. A., et al. (2013). Factors associated with kyphosis progression in older women: 15 years' experience in the study of osteoporotic fractures. Journal of Bone and Mineral Research: The Official Journal of the American Society for Bone and Mineral Research, 28(1), 179–187. https://doi.org/10.1002/jbmr.1728
  • Lee E. N. (2019). Effects of parity and breastfeeding duration on bone density in postmenopausal women. Asian Nursing Research, 13(2), 161–167. https://doi.org/10.1016/j.anr.2019.04.002
  • Malik, R., Pokeria, C., & Singh, S. (2022). Correlation of Menopausal Symptoms with Serum Estradiol: A Study in Urban Indian Postmenopausal Women. Journal of Obstetrics and Gynaecology of India, 72(4), 322–329. https://doi.org/10.1007/s13224-021-01518-6
  • Manchikanti, L., Singh, V., Datta, S., Cohen, S. P., Hirsch, J. A., & American Society of Interventional Pain Physicians (2009). Comprehensive review of epidemiology, scope, and impact of spinal pain. Pain Physician, 12(4), E35–E70.
  • Meucci, R. D., Fassa, A. G., Paniz, V. M., Silva, M. C., & Wegman, D. H. (2013). Increase of chronic low back pain prevalence in a medium-sized city of southern Brazil. BMC Musculoskeletal Disorders, 14, 155. https://doi.org/10.1186/1471-2474-14-155
  • Peng, B., Bogduk, N., DePalma, M. J., & Ma, K. (2019). Chronic spinal pain: pathophysiology, diagnosis, and treatment. Pain Research & Management, 2019, 1729059. https://doi.org/10.1155/2019/1729059
  • Safiri, S., Kolahi, A. A., Hoy, D., Buchbinder, R., Mansournia, M. A., & Bettampadi, D., et al. (2020). Global, regional, and national burden of neck pain in the general population, 1990-2017: systematic analysis of the Global Burden of Disease Study 2017. BMJ (Clinical research ed.), 368, m791. https://doi.org/10.1136/bmj.m791
  • Salvetti, Mde G., Pimenta, C.A., Braga, P.E., & McGillion, M. Prevalence of fatigue and associated factors in chronic low back pain patients. Revista Latino-Americana de Enfermagem ,21 (Spec), 12-9. https://doi.org/10.1590/S0104-11692013000700003
  • Son, K. M., Cho, N. H., Lim, S. H., & Kim, H. A. (2013). Prevalence and risk factor of neck pain in elderly Korean community residents. Journal of Korean Medical Science, 28(5), 680–686. https://doi.org/10.3346/jkms.2013.28.5.680
  • Spencer, L., McKenna, L., Fary, R., Jacques, A., & Briffa, K. (2019). Upper back pain in postmenopausal women and associated physical characteristics. PLoS One. 14(7), e0220452. https://doi.org/10.1371/journal.pone.0220452
  • Wáng, Y. X., Wáng, J. Q., & Káplár, Z. (2016). Increased low back pain prevalence in females than in males after menopause age: evidences based on synthetic literature review. Quantitative Imaging in Medicine and Surgery, 6(2), 199–206. https://doi.org/10.21037/qims.2016.04.06
  • Yurtsever, S. (2003). Hemodiyaliz hastalarında yorgunluğun değerlendirilmesi. Hemşirelikte Araştırma ve Geliştirme Dergisi, 5(2), 3-12. (Turkish)
  • Zajacova, A., Grol-Prokopczyk, H., & Fillingim, R. (2022). Beyond Black vs White: racial/ethnic disparities in chronic pain including Hispanic, Asian, Native American, and multiracial US adults. Pain, 163(9), 1688–1699. https://doi.org/10.1097/j.pain.0000000000002574
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Fizyoterapi
Bölüm Makaleler
Yazarlar

Şule Şimşek 0000-0001-8065-6461

Nesrin Yağcı 0000-0002-5669-4932

Erken Görünüm Tarihi 21 Ekim 2023
Yayımlanma Tarihi 31 Aralık 2023
Gönderilme Tarihi 11 Şubat 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 10 Sayı: 3

Kaynak Göster

APA Şimşek, Ş., & Yağcı, N. (2023). Gynecologic and Obstetric Determinants of Spinal Pain in Middle-aged women. Hacettepe University Faculty of Health Sciences Journal, 10(3), 563-575. https://doi.org/10.21020/husbfd.1250169
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