Abstract Context: Non-combat musculoskeletal conditions are endemic among service members and disproportionately affect females. Pregnancy and childbirth contribute to lower physical fitness assessment scores and higher body mass index, both risk factors for musculoskeletal conditions, for up to one-year post-pregnancy. However, there is a paucity of information regarding the impact of pregnancy on musculoskeletal conditions. Objective: To explore the association between the post-pregnancy period and incident musculoskeletal conditions (MSK). Design: Retrospective, longitudinal cohort study. Setting: Medical and administrative data from the Medical Assessment and Readiness System. Other Participants: Female military service members with and without a pregnancy. Main Outcome Measure(s): Months since pregnancy end, health history, and demographic and military service data were abstracted for each subject. Subsequent MSKs were identified with relevant ICD-10 codes. A multivariable logistic regression model assessed the association between the time since pregnancy end and MSK incidence. Results: A total of 298,607 female service members were identified, of which 19,980 had a pregnancy. A larger percentage of post-pregnancy service members (65.8%) had a MSK diagnosis as compared to the non-pregnant cohort (60.3%). Adjusting for covariates, the model suggests a temporal influence on post-pregnancy MSK incidence, such that service members 3- to 4-months and 5- to 6-months post-pregnancy were more likely to be diagnosed with a MSK as compared to the non-pregnant cohort. However, service members &amp;lt;2 months post-pregnancy were less likely to be diagnosed with an MSK, and the odds of an MSK beyond 6-months decreased out to 24-months post-pregnancy. Conclusions: Pregnancy may increase a service member’s odds of sustaining an MSK 3- to 6- months post-pregnancy. Understanding the relationships between pregnancy and MSK risks may lead to changes in postpartum return-to-duty/activity policies, better enabling service members to care for themselves and their families.

Megan H. Roach

D. Alan Nelson

Christina M. Koreerat

Lisa M. Foglia

Timothy C. Mauntel

Journal of Athletic Training

运动训练杂志的使命是通过在预防、评估、管理和康复损伤方面的教育和研究，加强对体育活动者的医疗保健质量感兴趣的专业人士之间的交流。运动训练杂志提供您可以使用的研究在日常实践中。它让您了解最终定义专业护理标准的科学进步——如果您对患者的福祉负责，您就不能没有这一点。

The mission of the Journal of Athletic Training is to enhance communication among professionals interested in the quality of healthcare for athletes through education and research in the prevention, assessment, management, and rehabilitation of injuries. The journal provides research that you can apply in daily practice, keeping you informed about the scientific advancements that ultimately define the standards of professional care. If you are responsible for the well-being of your patients, you cannot do without this information.

《Journal of Athletic Training》的使命是通过在预防、评估、管理和康复损伤方面的教育和研究，增强对体育活动者医疗保健质量感兴趣的专业人士之间的交流。该杂志提供可在日常实践中使用的研究成果，让您了解定义专业护理标准的科学进展。如果您对患者的福祉负责，这些信息是必不可少的。

Category	Quartile
医学	2
医学, 运动科学	3

Association between Pregnancy and Musculoskeletal Conditions in Active-Duty Military Service Members

ivySCI AI Smartly Parses PDF, Answers Researchers' Questions, and Helps You Understand Papers in Seconds

Journal Info

Category	Quartile
SPORT SCIENCES	1