Evidence map›Paper›PMID 37614096›Full record

ArticleActa obstetricia et gynecologica Scandinavica2023

Generalized joint hypermobility and the risk of pregnancy-related pelvic girdle pain: Is body mass index of importance?-A prospective cohort study.

Kerstin Ahlqvist, Elisabeth Krefting Bjelland, Ronnie Pingel, Angela Schlager, Magnus Peterson, Christina B Olsson, Lena Nilsson-Wikmar, Per Kristiansson

Open access · diamondAbstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. Understanding and addressing female pelvic pain - a multifaceted challenge.Acta obstetricia et gynecologica Scandinavica · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Kerstin AhlqvistDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-2638-5634
Elisabeth Krefting BjellandDepartment of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway.ORCID 0000-0003-3206-524X
Ronnie PingelDepartment of Statistics, Uppsala University, Uppsala, Sweden.
Angela SchlagerDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Magnus PetersonDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Christina B OlssonAcademic Primary Healthcare Center, Stockholm County Council, Huddinge, Sweden.ORCID 0000-0003-1300-7765
Lena Nilsson-WikmarDepartment of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden.
Per KristianssonDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-7346-1674
Uppsala University · SEKarolinska Institutet · SEOsloMet – Oslo Metropolitan University · NOStockholm County Council · SE

Funding

Uppsala County Council. The funding source was not involved in the study design, data collection, analysis and interpretation of data, writing the report or in the decision to submit the article.
6 · The paper itself

Abstract

introductionPelvic girdle pain (PGP) affects approximately 50% of pregnant women. The mechanisms are multifactorial but not fully understood. Women with generalized joint hypermobility (GJH) may be vulnerable to load in the pelvic joints during pregnancy. Our aim was to investigate if women with GJH had an increased risk of PGP and higher pain intensity during and after pregnancy, compared with women with normal joint mobility. We also studied if body mass index (BMI) in early pregnancy influenced that risk. MATERIAL AND

methodsA prospective cohort study of 356 women, whose data were collected by self-reports and clinical examinations in early and in late pregnancy and 9 months after childbirth. GJH was present with ≥5/9 points on the Beighton score. PGP was defined by a pain drawing and ≥1 positive test. Pain intensity was measured with a visual analogue scale (0-100 mm). We adjusted for age and origin in logistic regression and ordinal logistic regression analysis.

resultsIn early pregnancy, 47.1% of the women with GJH had PGP vs 32.6% of women with normal joint mobility (adjusted odds ratio [aOR] 1.76; 95% confidence interval [CI] 0.86-3.62) and had higher odds of reporting higher pain intensity (aOR 2.04; 95% CI 1.02-4.07). The odds of PGP were highest for women with GJH and BMI ≥25 kg/m

conclusionsWomen with GJH did not have an increased risk of PGP during or after pregnancy but reported higher pain intensity in early pregnancy compared with women with normal joint mobility. Since women with combined GJH and BMI ≥25 kg/m

Indexed as

Joint InstabilityPelvic Girdle PainPregnancy ComplicationsBody Mass IndexFemaleHumansPainParturitionPregnancyProspective Studiesbody mass indexgeneralized joint hypermobilitypelvic girdle painpregnancyUppsala pelvic pain study

Identifiers

PMID37614096
PMCPMC10540924
OpenAlexW4386117356

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.