Lumbopelvic dysfunction and depression in pregnant women: a cross-sectional study

Background Depression and lumbopelvic dysfunction, including low back pain and pelvic floor disorders, are bothcommon conditions that affect women during pregnancy; however, there is a gap in understanding the associationbetween the two. Thus, the aim of this study was to identify lumbopelvic risk f...

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Detalles Bibliográficos
Autores: Mejía Mercado, Veronica Isabel, Martínez Vizcaíno, Vicente, Suárez García, María Esther, Gallego Gómez, Cristina, Quezada Bascuñan, Claudia Andrea, Rodríguez Gutierrez, Eva, Ramirez Luque, Celia, Ferri Morales, Asunción, Torres Costoso, Ana Isabel
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:dnet:ruidera_____::602fb45121c0a71510b35eda5d10bd8d
Acceso en línea:https://doi.org/10.1186/s12884-025-08287-4
https://hdl.handle.net/10578/48357
Access Level:acceso abierto
Palabra clave:Constipation
Depression
Fecal incontinence
Lumbopelvic pain
Pregnancy
Sexual dysfunction
Urinary incontinence
Descripción
Sumario:Background Depression and lumbopelvic dysfunction, including low back pain and pelvic floor disorders, are bothcommon conditions that affect women during pregnancy; however, there is a gap in understanding the associationbetween the two. Thus, the aim of this study was to identify lumbopelvic risk factors for depression in pregnantwomen.Methods In this cross-sectional study, lumbopelvic dysfunction (low back pain, urinary incontinence, fecalincontinence, constipation, and/or sexual dysfunction) was examined in 375 pregnant Nicaraguan women. Thewomen were categorized into two groups, pregnant women with and without symptoms of depression, based on acut-off of = 13 on the Edinburg Depression Scale, to define higher symptoms of depression, and ANOVA models wereapplied to assess the role of sociodemographic data and lumbopelvic dysfunction on depression risk. Additionally,logistic regression analyses were conducted to identify lumbopelvic factors independently associated with a positivestatus of depression.Results Pregnant women with depression symptoms presented significantly worse lumbopelvic function than didtheir peers without symptoms of depression. Depression status was more strongly associated with low back pain (OR2.17; IC 1.22, 3.86), constipation (OR 2.83; IC 1.52, 5.26) and sexual dysfunction (OR 1.99; IC 1.17, 3.40) but not in thosewith urinary incontinence (OR 1.50; IC 0.85, 2.65) or fecal incontinence (OR 1.70; IC 0.74, 3.91).Conclusion The association between depression during pregnancy and lumbopelvic dysfunction was significant,mainly in the presence of low back pain, constipation, and sexual dysfunction. These findings may be clinically usefulfor depression risk screening and for guiding future interventions in pregnant women, although their impact shouldbe confirmed by longitudinal studies to understand the long-term consequences for both mothers and babies.Keywords Pregnancy, Urinary incontinence, Fecal incontinence, Constipation, Sexual dysfunction, Lumbopelvic pain,Depression