Bø K, Backe-Hansen K L
Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
Scand J Med Sci Sports. 2007 Oct;17(5):480-7. doi: 10.1111/j.1600-0838.2006.00599.x. Epub 2006 Dec 20.
The aim of the present investigation was to study prevalence of low back pain, pelvic girdle pain (PGP) and pelvic floor disorders during pregnancy and after childbirth in elite athletes. A postal questionnaire was sent to all elite athletes who had given birth registered with The Norwegian Olympic Committee and Confederation of Sports (n=40). Eighty age-matched women served as the control group. The response rates were 77.5% and 57.5% in the elite athletes and control groups, respectively. There were no significant differences in the prevalence of low back and PGP, urinary or fecal incontinence among elite athletes and controls at any time point. The prevalence of low back pain without radiation to the leg in elite athletes was 25.8%, 18.5%, 9.7% and 29% the year before pregnancy, during pregnancy, 6 weeks postpartum and at the time of completing the questionnaire, respectively. The prevalence of PGP was 0, 29.6%, 12.9% and 19.4%. Prevalence of stress urinary incontinence was 12.9%, 18.5%, 29% and 35.5%. None of the elite athletes had fecal incontinence at any time point. There were no differences in mode of delivery or birthweight between elite athletes and controls. The elite athletes had a significantly lower body mass index at 6 weeks postpartum and at present compared with the control group.
本研究的目的是调查精英运动员在孕期及产后下背痛、骨盆带疼痛（PGP）和盆底功能障碍的患病率。我们向所有在挪威奥委会和体育联合会注册的已生育精英运动员（n = 40）邮寄了调查问卷。选取80名年龄匹配的女性作为对照组。精英运动员组和对照组的回复率分别为77.5%和57.5%。在任何时间点，精英运动员组和对照组在下背痛、PGP、尿失禁或粪失禁的患病率方面均无显著差异。精英运动员中无腿部放射痛的下背痛患病率在孕前、孕期、产后6周及完成问卷时分别为25.8%、18.5%、9.7%和29%。PGP的患病率分别为0、29.6%、12.9%和19.4%。压力性尿失禁的患病率分别为12.9%、18.5%、29%和35.5%。在任何时间点，精英运动员均无粪失禁情况。精英运动员组和对照组在分娩方式或出生体重方面无差异。与对照组相比，精英运动员在产后6周及目前的体重指数显著更低。
