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Physical activity during pregnancy: Associations between levels and types of physical activity and low back pain–related disability in Portuguese pregnant women

dc.contributor.authorTeixeira, Isabel
dc.contributor.authorSantos, Paula Clara
dc.contributor.authorFestas, Clarinda
dc.contributor.authorBernardo, Diana
dc.contributor.authorSantos, Paula Clara
dc.date.accessioned2026-07-06T14:01:17Z
dc.date.available2026-07-06T14:01:17Z
dc.date.issued2026-02-15
dc.description.abstractLow back pain (LBP) is one of the most prevalent musculoskeletal conditions during pregnancy and frequently impairs daily living activities and quality of life. The association between different levels and types of physical activity (PA) and LBP-related functional disability remains insufficiently explored. This study aimed to examine the association between PA levels and types and functional disability among pregnant women with LBP. A cross-sectional analytical study was conducted involving 192 Portuguese pregnant women. Data were collected through an online questionnaire comprising the Pregnancy Physical Activity Questionnaire and the Oswestry Disability Index (ODI). Most participants engaged predominantly in light-intensity or sedentary activity (69.1%), with minimal participation in vigorous activity (0.8%). Functional disability was generally mild (mean ODI = 11.5 ± 7.35); however, 42.2% of participants reported moderate disability and 11.0% severe disability. Advancing gestational age showed weak associations with increased domestic activity (r = 0.146, p = 0.044), decreased occupational activity (r = −0.295, p = 0.001), and higher functional disability scores (r = 0.142, p = 0.049). Parity was associated with differences in total PA levels (p = 0.005) and domestic activity (p = 0.001). Higher ODI scores were weakly associated with light-intensity and sedentary activity (r = 0.144, p = 0.047), whereas severe disability demonstrated a moderate association with sedentary behavior (r = 0.529, p = 0.014). Overall, lower levels of PA, particularly sedentary behavior, were weakly associated with higher LBP-related disability; however, the observed associations were generally weak and should be interpreted with caution considering the cross-sectional design.eng
dc.description.sponsorshipResearch Centre on Physical Activity Health and Leisure—CIAFEL (PTDC/DES/116586/2010) and by Laboratory of Interdisciplinary Research—ITR grant number LA/P/0064/2020.
dc.identifier.citationTeixeira, I., Santos, P. C., Festas, C., & Bernardo, D. (2026). Physical activity during pregnancy: Associations between levels and types of physical activity and low back pain–related disability in Portuguese pregnant women. International Journal of Environmental Research and Public Health, 23(2), 245. https://doi.org/10.3390/ijerph23020245
dc.identifier.doi10.3390/ijerph23020245
dc.identifier.eissn1660-4601
dc.identifier.urihttp://hdl.handle.net/10400.22/32554
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relationUI/BD/151206/2021 and UID/06157/2025
dc.relation.hasversionhttps://www.mdpi.com/1660-4601/23/2/245
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectPregnant women
dc.subjectPhysical activity
dc.subjectSedentary lifestyle
dc.subjectLow back pain
dc.subjectOswestry disability index
dc.titlePhysical activity during pregnancy: Associations between levels and types of physical activity and low back pain–related disability in Portuguese pregnant womeneng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue2
oaire.citation.titleInternational Journal of Environmental Research and Public Health
oaire.citation.volume23
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameSantos
person.givenNamePaula Clara
person.identifier.ciencia-id5C16-2441-F091
person.identifier.orcid0000-0003-3548-700X
relation.isAuthorOfPublication78bef72f-1c59-47e1-a79d-3e4f8e0d438d
relation.isAuthorOfPublication.latestForDiscovery78bef72f-1c59-47e1-a79d-3e4f8e0d438d

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