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Thorell-Ekstrand, Ingrid
Alternative names
Publications (3 of 3) Show all publications
Thorell, E. & Kristiansson, P. (2012). Pregnancy related back pain, is it related to aerobic fitness?: A longitudinal cohort study. BMC Pregnancy and Childbirth, 12, Article ID 30.
Open this publication in new window or tab >>Pregnancy related back pain, is it related to aerobic fitness?: A longitudinal cohort study
2012 (English)In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 12, article id 30Article in journal (Refereed) Published
Abstract [en]

Background: Low back pain with onset during pregnancy is common and approximately one out of three women have disabling pain. The pathogenesis of the pain condition is uncertain and there is no information on the role of physical fitness. Whether poorer physical conditioning is a cause or effect of back pain is also disputed and information from prospective studies needed.

Methods: A cohort of pregnant women, recruited from maternal health care centers in central Sweden, were examined regarding estimated peak oxygen uptake by cycle ergometer test in early pregnancy, reported physical activity prior to pregnancy, basic characteristics, back pain during pregnancy and back pain postpartum.

Results: Back pain during the current pregnancy was reported by nearly 80% of the women. At the postpartum appointment this prevalence was 40%. No association was displayed between estimated peak oxygen uptake and incidence of back pain during and after pregnancy, adjusted for physical activity, back pain before present pregnancy, previous deliveries, age and weight. A significant inverse association was found between estimated peak oxygen uptake and back pain intensity during pregnancy and a direct association post partum, in a fully adjusted multiple linear regression analysis.

Conclusions: Estimated peak oxygen uptake and reported physical activity in early pregnancy displayed no influence on the onset of subsequent back pain during or after pregnancy, where the time sequence support the hypothesis that poorer physical deconditioning is not a cause but a consequence of the back pain condition. The mechanism for the attenuating effect of increased oxygen uptake on back pain intensity is uncertain.

Place, publisher, year, edition, pages
London, United Kingdom: BioMed Central, 2012
National Category
Medical and Health Sciences Obstetrics, Gynecology and Reproductive Medicine
Research subject
Medicine
Identifiers
urn:nbn:se:oru:diva-23360 (URN)10.1186/1471-2393-12-30 (DOI)000304309400001 ()22510295 (PubMedID)2-s2.0-84859735692 (Scopus ID)
Note

Funding Agency:

medical faculty, Uppsala University 

Available from: 2012-06-11 Created: 2012-06-11 Last updated: 2017-12-07Bibliographically approved
Thorell, E., Svardsudd, K., Andersson, K. & Kristiansson, P. (2010). Moderate impact of full-term pregnancy on estimated peak oxygen uptake, physical activity and perceived health. Acta Obstetricia et Gynecologica Scandinavica, 89(9), 1140-1148
Open this publication in new window or tab >>Moderate impact of full-term pregnancy on estimated peak oxygen uptake, physical activity and perceived health
2010 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 89, no 9, p. 1140-1148Article in journal (Refereed) Published
Abstract [en]

Objective. To study the impact of pregnancy on estimated peak oxygen uptake ((V) over dotO(2) (peak, est.)), physical activity and perceived health. Design. Prospective cohort study. Setting. Maternal health centers. Population. A cohort of pregnant women. Methods. Cycle ergometer test and questionnaires in early pregnancy and 5 months postpartum. Main outcome measures. (V) over dotO(2) (peak, est.), physical activity and perceived health. Results. Regular physical activity was reported by a successively lower proportion of women as pregnancy advanced but the proportion was regained postpartum. Despite this the difference between average absolute (V) over dotO(2) (peak, est.) in early pregnancy and postpartum of 2.44 and 2.42 l/minute, respectively, was not significant. The adjusted absolute (V) over dotO(2) (peak, est.) in early pregnancy successively increased with age to a maximum at 35 years, after which it decreased and among women of the same age the time between 8 and 12 weeks lowered the (V) over dotO(2) (peak, est.) by 0.130 l/minute. With the Short Form 36 (SF-36) questionnaire in early pregnancy the women scored their mean mental health to 72.0 and mean physical health to 79.7. At the postpartum appointment these scores were higher (p < 0.0001). Absolute and relative (V) over dotO(2) (peak, est.) in early pregnancy were positively correlated to the variation of SF-36' s mean physical health in early pregnancy (p < 0.0001) and postpartum (p < 0.0001). Conclusions. Pregnancy had a moderate influence on physical fitness and perceived health half a year postpartum despite less regular physical activity during pregnancy. (V) over dotO(2) (peak, est.) in early pregnancy was positively correlated to perceived physical health.

Place, publisher, year, edition, pages
Oslo, Norway: Taylor & Francis, 2010
Keywords
Pregnancy, cycle ergometer test, oxygen uptake, physical fitness, physical activity, perceived health
National Category
Medical and Health Sciences
Research subject
Medicine
Identifiers
urn:nbn:se:oru:diva-12865 (URN)10.3109/00016349.2010.487894 (DOI)000282897700005 ()
Available from: 2011-01-10 Created: 2011-01-03 Last updated: 2018-04-23Bibliographically approved
Ehnfors, M., Angermo, L. M., Berring, L., Ehrenberg, A., Lindhardt, T., Rotegard, A. K. & Thorell-Ekstrand, I. (2006). Mapping VIPS concepts for nursing interventions to the ISO reference terminology model for nursing actions: A collaborative Scandinavian analysis. In: Consumer-Centered Computer-Suppported Care for Healthy People: . Paper presented at 9th International Congress on Nursing Informatics, Seoul, South Korea, June 9-21, 2006. (pp. 401-5). Amsterdam, Netherlands: IOS Press, 122
Open this publication in new window or tab >>Mapping VIPS concepts for nursing interventions to the ISO reference terminology model for nursing actions: A collaborative Scandinavian analysis
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2006 (English)In: Consumer-Centered Computer-Suppported Care for Healthy People, Amsterdam, Netherlands: IOS Press, 2006, Vol. 122, p. 401-5Conference paper, Published paper (Refereed)
Abstract [en]

The aims of this study were to analyze the coherence between the concepts for nursing interventions in the Swedish VIPS model for nursing recording and the ISO Reference Terminology Model for Nursing Actions and to identify areas in the two models for further development. Seven Scandinavian experts analyzed the VIPS model's concepts for nursing interventions using prototypical examples of nursing actions, involving 233 units of analyses, and collaborated in mapping the two models. All nursing interventions in the VIPS model comprise actions and targets, but a few lack explicit expressions of means. In most cases, the recipient of care is implicit. Expressions for the aim of an action are absent from the ISO model. By this mapping we identified areas for future development of the VIPS model and the experience from nursing terminology work in Scandinavia can contribute to the international standardization efforts.

Place, publisher, year, edition, pages
Amsterdam, Netherlands: IOS Press, 2006
Series
Studies in Health Technology and Informatics, ISSN 0926-9630 ; 122
Keywords
ISO reference nursing terminology model, nursing, nursing terminology, VIPS model
National Category
Medical and Health Sciences Nursing
Identifiers
urn:nbn:se:oru:diva-41369 (URN)000246181100081 ()17102288 (PubMedID)2-s2.0-39049174884 (Scopus ID)978-1-58603-622-5 (ISBN)
Conference
9th International Congress on Nursing Informatics, Seoul, South Korea, June 9-21, 2006.
Available from: 2015-01-14 Created: 2015-01-14 Last updated: 2020-01-28Bibliographically approved
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