Oral contraceptive use among female elite athletes and age‐matched controls and its relation to low back pain

Background. Exogenous and endogenous female sex steroids may influence the risk of low back pain. The fact that back pain is a very common symptom during pregnancy supports this theory. Back pain is also more common among female than male athletes. Oral contraceptives have been suggested to increase...

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Main Authors: Jan Brynhildsen, Helena Lennartsson, Maria Klemetz, Pia Dahlquist, Barbro Hedin, Mats Hammar
Format: Article
Language:English
Published: Wiley 1997-09-01
Series:Acta Obstetricia et Gynecologica Scandinavica
Subjects:
Online Access:https://doi.org/10.3109/00016349709024368
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author Jan Brynhildsen
Helena Lennartsson
Maria Klemetz
Pia Dahlquist
Barbro Hedin
Mats Hammar
author_facet Jan Brynhildsen
Helena Lennartsson
Maria Klemetz
Pia Dahlquist
Barbro Hedin
Mats Hammar
author_sort Jan Brynhildsen
collection DOAJ
description Background. Exogenous and endogenous female sex steroids may influence the risk of low back pain. The fact that back pain is a very common symptom during pregnancy supports this theory. Back pain is also more common among female than male athletes. Oral contraceptives have been suggested to increase the risk of low back pain. Objective. To evaluate whether the prevalence of low back pain is higher among oral contraceptive users than non‐users and if it differs between women taking part in different sports. Methods. A questionnaire was sent to female elite athletes in volleyball (n=205), basketball (n=150), and soccer (n=361) as well as to age‐matched controls (n=113). The questionnaire comprised questions about age, constitution, occupation, parity and use of contraceptive method as well as previous and current back pain and possible consequences of the back problems. Results. The response rate was 85%. Between 42% and 52% of the women in the different groups used oral contraceptives. The groups were similar in most background variables, except that the volleyball and basketball players were taller. The prevalence of current low back pain was between 21% and 34% in the different athlete groups with an average of 30%, whereas only 18% of the controls suffered from low back pain (p<0.01). The prevalence of low back pain within each group, athletes as well as controls, was similar in women who used, and did not use oral contraceptives. Conclusions. This study does not support the theory that low back pain is affected by the use of oral contraceptives. Instead, constitutional factors and mechanical stress during intense physical activity is probably more important.
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spelling doaj-art-dcca7205b86443c985eccfd1c8bb48f32025-08-20T03:31:10ZengWileyActa Obstetricia et Gynecologica Scandinavica0001-63491600-04121997-09-0176987387810.3109/00016349709024368Oral contraceptive use among female elite athletes and age‐matched controls and its relation to low back painJan Brynhildsen0Helena Lennartsson1Maria Klemetz2Pia Dahlquist3Barbro Hedin4Mats Hammar5Department of Obstetrics & Gynaecology, Faculty of Health Sciences, University Hospital, Linköping, SwedenDepartment of Obstetrics & Gynaecology, Faculty of Health Sciences, University Hospital, Linköping, SwedenDepartment of Obstetrics & Gynaecology, Faculty of Health Sciences, University Hospital, Linköping, SwedenDepartment of Obstetrics & Gynaecology, Faculty of Health Sciences, University Hospital, Linköping, SwedenDepartment of Obstetrics & Gynaecology, Faculty of Health Sciences, University Hospital, Linköping, SwedenDepartment of Obstetrics & Gynaecology, Faculty of Health Sciences, University Hospital, Linköping, SwedenBackground. Exogenous and endogenous female sex steroids may influence the risk of low back pain. The fact that back pain is a very common symptom during pregnancy supports this theory. Back pain is also more common among female than male athletes. Oral contraceptives have been suggested to increase the risk of low back pain. Objective. To evaluate whether the prevalence of low back pain is higher among oral contraceptive users than non‐users and if it differs between women taking part in different sports. Methods. A questionnaire was sent to female elite athletes in volleyball (n=205), basketball (n=150), and soccer (n=361) as well as to age‐matched controls (n=113). The questionnaire comprised questions about age, constitution, occupation, parity and use of contraceptive method as well as previous and current back pain and possible consequences of the back problems. Results. The response rate was 85%. Between 42% and 52% of the women in the different groups used oral contraceptives. The groups were similar in most background variables, except that the volleyball and basketball players were taller. The prevalence of current low back pain was between 21% and 34% in the different athlete groups with an average of 30%, whereas only 18% of the controls suffered from low back pain (p<0.01). The prevalence of low back pain within each group, athletes as well as controls, was similar in women who used, and did not use oral contraceptives. Conclusions. This study does not support the theory that low back pain is affected by the use of oral contraceptives. Instead, constitutional factors and mechanical stress during intense physical activity is probably more important.https://doi.org/10.3109/00016349709024368female athleteslow back painoral contraceptives
spellingShingle Jan Brynhildsen
Helena Lennartsson
Maria Klemetz
Pia Dahlquist
Barbro Hedin
Mats Hammar
Oral contraceptive use among female elite athletes and age‐matched controls and its relation to low back pain
Acta Obstetricia et Gynecologica Scandinavica
female athletes
low back pain
oral contraceptives
title Oral contraceptive use among female elite athletes and age‐matched controls and its relation to low back pain
title_full Oral contraceptive use among female elite athletes and age‐matched controls and its relation to low back pain
title_fullStr Oral contraceptive use among female elite athletes and age‐matched controls and its relation to low back pain
title_full_unstemmed Oral contraceptive use among female elite athletes and age‐matched controls and its relation to low back pain
title_short Oral contraceptive use among female elite athletes and age‐matched controls and its relation to low back pain
title_sort oral contraceptive use among female elite athletes and age matched controls and its relation to low back pain
topic female athletes
low back pain
oral contraceptives
url https://doi.org/10.3109/00016349709024368
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