The Association between Pregnancy-Related Discomforts and Pre-Pregnancy Body Mass Index in Japanese Women
- *Corresponding Author:
- Saori Morino
Department of Physical Therapy
Human Health Sciences, Kyoto University Graduate
School of Medicine Kawahara-cho 53
Shogoin, Sakyo-ku, Kyoto 606-8507, Japan
E-mail: [email protected]
Received date: November 14, 2014; Accepted date: January 06, 2015; Published date: January 09, 2015
Citation: Morino S, Ishihara M, Nishiguchi S, Fukutani N, Adachi D, et al. (2015) The Association between Pregnancy-Related Discomforts and Pre-Pregnancy Body Mass Index in Japanese Women . J Women’s Health Care 4:222. doi:10.4172/2167-0420.1000222
Copyright: © 2015 Morino, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use,distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: To determine the association between pregnancy-related discomforts and pre-pregnancy body mass index in a longitudinal study.
Methods: The study included 355 pregnant women (age, 31.1 ± 4.1 years). Participants were divided into three groups according to their pre-pregnancy body mass index: the low body mass index group, normal body mass index group, and high body mass index group. The occurrence of pregnancy-related discomforts during the second and third trimesters was investigated. Binomial logistic regression analysis was used to examine the association between pre-pregnancy body mass index and pregnancy-related discomforts experienced during the last two trimesters.
Results: The occurrence of most pregnancy-related discomforts increased in the third trimester, while that of constipation and shoulder stiffness or headache decreased. Based on logistic regression analysis, pre-pregnancy body mass index was significantly associated with various discomforts. The occurrence of hip joint or pubis pain (odds ratio/95% confidence interval = 2.38/1.14–4.95) during the second trimester, and sleeping difficulty (2.00/1.09–3.67), hand or finger stiffness (3.00/1.36–6.45), leg cramps (2.29/1.32–3.98), low back pain (2.20/1.29– 3.75), hip joint or pubis pain (2.14/1.23–3.73), and shoulder stiffness or headache (2.01/1.06–3.82) during the third trimester was significantly higher in the high body mass index group than in the normal body mass index group. The low body mass index group exhibited a significantly a higher occurrence of shoulder stiffness or headache (2.84/1.35–5.96) during the second trimester and constipation (2.28/1.08–4.82) during the third trimester than the normal body mass index group.
Conclusion: The occurrence of discomforts decreased or increased during pregnancy. Furthermore, both prepregnancy high and low body mass index represent important risk factors for many pregnancy-related discomforts, compared with a pre-pregnancy normal body mass index.