Cargando…

Frequency of Medical Claims for Diastasis Recti Abdominis Among U.S. Active Duty Service Women, 2016 to 2019

BACKGROUND: Diastasis recti abdominis (DRA) is a condition in pregnant and postpartum women. Proposed risk factors include age, sex, multiparity, cesarean delivery, diabetes, gestational weight gain, and high birth weight. This study aims to estimate the prevalence of DRA using medical claims data a...

Descripción completa

Detalles Bibliográficos
Autores principales: Korona-Bailey, Jessica, Banaag, Amanda, Jones, Penelope, Nguyen, Dana R., Koehlmoos, Tracey Pérez
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10561740/
https://www.ncbi.nlm.nih.gov/pubmed/37818180
http://dx.doi.org/10.1089/whr.2023.0012
_version_ 1785117985888796672
author Korona-Bailey, Jessica
Banaag, Amanda
Jones, Penelope
Nguyen, Dana R.
Koehlmoos, Tracey Pérez
author_facet Korona-Bailey, Jessica
Banaag, Amanda
Jones, Penelope
Nguyen, Dana R.
Koehlmoos, Tracey Pérez
author_sort Korona-Bailey, Jessica
collection PubMed
description BACKGROUND: Diastasis recti abdominis (DRA) is a condition in pregnant and postpartum women. Proposed risk factors include age, sex, multiparity, cesarean delivery, diabetes, gestational weight gain, and high birth weight. This study aims to estimate the prevalence of DRA using medical claims data among U.S. active duty service women (ADSW) and determine associated risk factors. MATERIALS AND METHODS: We conducted a cross-sectional study of ADSW aged 18 years and older in the U.S. Army, Air Force, Navy, and Marine Corps during fiscal years (FYs) 2016 to 2019. Utilizing claims data, we identified ADSW with a diagnosis of DRA during the study period. Risk factors, including age, race, socioeconomic status, branch of service, military occupation, delivery type, and parity, were evaluated through descriptive statistics, chi-square tests, and logistic regression analysis. RESULTS: A total of 340,748 ADSW were identified during FYs 2016 to 2019, of whom 2,768 (0.81%) had a medical claim for DRA. Of those with deliveries during the study period, 1.41% were multiparous and 84.53% had a cesarean delivery. Increased risk of DRA was found in ages 30 to 39 years, Black women, ranks representing a higher socioeconomic status, and women with overweight and obese body mass indices. CONCLUSIONS: Although the prevalence of DRA, defined as a medical claim for DRA, in the study population is low, subpopulations may be disproportionately affected by the condition. Further research could potentially detail the impact of DRA on the functional impairment and operational readiness of ADSW in the U.S. military and any possible means of prevention.
format Online
Article
Text
id pubmed-10561740
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Mary Ann Liebert, Inc., publishers
record_format MEDLINE/PubMed
spelling pubmed-105617402023-10-10 Frequency of Medical Claims for Diastasis Recti Abdominis Among U.S. Active Duty Service Women, 2016 to 2019 Korona-Bailey, Jessica Banaag, Amanda Jones, Penelope Nguyen, Dana R. Koehlmoos, Tracey Pérez Womens Health Rep (New Rochelle) Original Article BACKGROUND: Diastasis recti abdominis (DRA) is a condition in pregnant and postpartum women. Proposed risk factors include age, sex, multiparity, cesarean delivery, diabetes, gestational weight gain, and high birth weight. This study aims to estimate the prevalence of DRA using medical claims data among U.S. active duty service women (ADSW) and determine associated risk factors. MATERIALS AND METHODS: We conducted a cross-sectional study of ADSW aged 18 years and older in the U.S. Army, Air Force, Navy, and Marine Corps during fiscal years (FYs) 2016 to 2019. Utilizing claims data, we identified ADSW with a diagnosis of DRA during the study period. Risk factors, including age, race, socioeconomic status, branch of service, military occupation, delivery type, and parity, were evaluated through descriptive statistics, chi-square tests, and logistic regression analysis. RESULTS: A total of 340,748 ADSW were identified during FYs 2016 to 2019, of whom 2,768 (0.81%) had a medical claim for DRA. Of those with deliveries during the study period, 1.41% were multiparous and 84.53% had a cesarean delivery. Increased risk of DRA was found in ages 30 to 39 years, Black women, ranks representing a higher socioeconomic status, and women with overweight and obese body mass indices. CONCLUSIONS: Although the prevalence of DRA, defined as a medical claim for DRA, in the study population is low, subpopulations may be disproportionately affected by the condition. Further research could potentially detail the impact of DRA on the functional impairment and operational readiness of ADSW in the U.S. military and any possible means of prevention. Mary Ann Liebert, Inc., publishers 2023-10-09 /pmc/articles/PMC10561740/ /pubmed/37818180 http://dx.doi.org/10.1089/whr.2023.0012 Text en © Jessica Korona-Bailey et al., 2023; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Korona-Bailey, Jessica
Banaag, Amanda
Jones, Penelope
Nguyen, Dana R.
Koehlmoos, Tracey Pérez
Frequency of Medical Claims for Diastasis Recti Abdominis Among U.S. Active Duty Service Women, 2016 to 2019
title Frequency of Medical Claims for Diastasis Recti Abdominis Among U.S. Active Duty Service Women, 2016 to 2019
title_full Frequency of Medical Claims for Diastasis Recti Abdominis Among U.S. Active Duty Service Women, 2016 to 2019
title_fullStr Frequency of Medical Claims for Diastasis Recti Abdominis Among U.S. Active Duty Service Women, 2016 to 2019
title_full_unstemmed Frequency of Medical Claims for Diastasis Recti Abdominis Among U.S. Active Duty Service Women, 2016 to 2019
title_short Frequency of Medical Claims for Diastasis Recti Abdominis Among U.S. Active Duty Service Women, 2016 to 2019
title_sort frequency of medical claims for diastasis recti abdominis among u.s. active duty service women, 2016 to 2019
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10561740/
https://www.ncbi.nlm.nih.gov/pubmed/37818180
http://dx.doi.org/10.1089/whr.2023.0012
work_keys_str_mv AT koronabaileyjessica frequencyofmedicalclaimsfordiastasisrectiabdominisamongusactivedutyservicewomen2016to2019
AT banaagamanda frequencyofmedicalclaimsfordiastasisrectiabdominisamongusactivedutyservicewomen2016to2019
AT jonespenelope frequencyofmedicalclaimsfordiastasisrectiabdominisamongusactivedutyservicewomen2016to2019
AT nguyendanar frequencyofmedicalclaimsfordiastasisrectiabdominisamongusactivedutyservicewomen2016to2019
AT koehlmoostraceyperez frequencyofmedicalclaimsfordiastasisrectiabdominisamongusactivedutyservicewomen2016to2019