Effect of an exercise programme for reducing abdominal fat on overactive bladder symptoms in young overweight women

Hagovská, Magdaléna; Svihra, Jan; Buková, Alena; Dračková, Dana; Horbacz, Agata; Nagyová, Iveta

doi:10.1007/s00192-019-04157-8

Cited by 14 publications

(26 citation statements)

References 22 publications

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“…A recent study of Hagovska et al showed that a 3-month physical exercising program in overweight young women with OAB symptoms could significantly reduce nocturia in the treatment group compared to the control group [23]. Prior studies have shown a similar effect, even though the anatomical parameters of POP did not change [24].…”

Section: Discussionmentioning

confidence: 94%

The impact of sacrospinous ligament fixation on pre-existing nocturia and co-existing pelvic floor dysfunction symptoms

et al. 2020

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Introduction and hypothesis To evaluate whether nocturia and coexisting pelvic floor symptoms in women with pelvic organ prolapse (POP) can be improved by ligamentous fixation of apical vaginal prolapse to the sacrospinous ligament. Methods We evaluated the PROPEL study data from 281 women with pelvic organ prolapse stage > 2. Bothersome nocturia and coexisting pelvic floor symptoms were assessed with the Pelvic Floor Disorder Inventory (PFDI) questionnaire preoperatively and at 6, 12 and 24 months after successful vaginal prolapse repair. Women with successful reconstruction (POP-Q stage < 1 at all compartments throughout the 2-year follow-up), defined as anatomical "responders," were compared to the anatomical "nonresponders." Results Among the patients completing all PFDI questions (N = 277), anatomical responders and non-responders were the groups of interest for our analysis. We found the occurrence rates of "moderate" or "quite a bit" of nocturia was significantly reduced after surgery in all subgroups (48.7% at baseline vs. 19.5% after 24 months). The occurrence of nocturia was halved for responders compared to non-responders (45.4% and 48.3% at baseline vs. 14% and 29.5% after 24 months). Anatomical nonresponders still had a relevant improvement of POP-Q stages, especially in the apical compartment. Prevalence rates of coexisting over-and underactive bladder, fecal incontinence, defecation disorders and pain symptoms were also significantly reduced postoperatively. Conclusion Nocturia can be associated with symptomatic POP, with improvements seen following vaginal ligamentous prolapse repair. We caution providers, however, when advising patients of the possible resolution of nocturia following POP reconstruction, that all other traditional etiologies of nocturia must first be ruled out.

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Section: Discussionmentioning

confidence: 94%

The impact of sacrospinous ligament fixation on pre-existing nocturia and co-existing pelvic floor dysfunction symptoms

et al. 2020

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“…Previous studies have reported that the combination of pelvic floor muscle exercise and urge suppression and voiding schedules effectively reduced the frequency of micturition and the severity of OAB and also improved the QoL ( McDonald et al, 2020 ). Other researchers have found that reducing abdominal fat and practicing diaphragmatic breathing could improve the severity of overactive bladders in young women ( Hagovska et al, 2020 ). The underlying principle of these observations relates to the reduction of detrusor pressure, an increase in urethral pressure, and the inhibition of the urination reflex.…”

Section: Discussionmentioning

confidence: 99%

“…In terms of visceral function, the diaphragm, pelvic floor muscles, and abdominal muscles synergistically operate to maintain intra-abdominal pressure and accommodate to the changes in the abdominal cavity, for example, with increasing gas load in the colon, the diaphragm relaxes whereas the anterior abdominal wall increased the tone to enlarge intra-abdominal volume in healthy volunteers ( Villoria et al, 2011 ). Besides, diaphragmatic breathing training in combination with strength training has also been demonstrated to improve overactive bladder, which may be associated with the activation of deeper muscle and the reduction of detrusor pressure ( Hagovska et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

The Role of the Diaphragm in Postural Stability and Visceral Function in Parkinson’s Disease

Jiang

Zhang

et al. 2021

Front. Aging Neurosci.

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Background: In normal subjects, the diaphragm plays a key functional role in postural stability, articulation, respiration, defecation, and urination.Objectives: The aim of this study was to investigate the role of the diaphragm in postural stability and visceral function in patients with Parkinson’s disease (PD) and to compare the diaphragm function by gender, Hoehn and Yahr (H&Y) staging, and motor subtypes.Methods: In total, 79 patients were enrolled in this cross-sectional study. The severity of the disease was assessed by the Movement Disorder Society-Unified Parkinson’s Disease Rating Scale III and by H&Y staging. Postural stability was quantitatively recorded, and respiratory function was evaluated by spirometry. Several scales were used to evaluate visceral function in patients with PD. In addition, diaphragm ultrasound was used to measure the excursion, contraction velocity, and thickness of the diaphragm during quiet breathing, deep breathing, and the sniff test. Significant features were selected by the least absolute shrinkage and selection operator (LASSO) regression and fitted in the multivariate linear regression and Pearson’s correlation analysis.Results: Diaphragm thickness and excursion during quiet breathing were significantly different between men and women and between H&Y stage 1–2 and stage 2.5–3, whereas the diaphragm function was not influenced by motor subtypes. It was shown that the diaphragmatic function was significantly correlated with postural stability, voice function, respiratory function, constipation, and urological function to varying degrees in patients with PD.Conclusion: The diaphragmatic function is associated with dysfunction in PD although it remains unclear as to whether the observed changes in the diaphragm are primary or secondary.

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“…Based on the qualitative evidence, the urinary incontinence showed negative effect on intimate relationship. Besides, a previous study indicated that the exercise program relieved the OAB syndrome of obese young women [33]. A previous random trial showed that exercise improved the sexual function of women with antidepressants treatment [34].…”

Section: Discussionmentioning

confidence: 99%

The Correlation between Severity of Overactive Bladder Symptoms with Female Sexual Dysfunction and Sexual Satisfaction of Partners

et al. 2020

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Purpose: Sexual dysfunction in women with overactive bladder (OAB) syndrome has been an important topic, while the sexual satisfaction of partners has not been fully investigated. Our aim was to explore the association between the severity of OAB with female sexual dysfunction and sexual satisfaction of partners. Methods: A total of 323 patients with OAB recruited in our hospital were included in our study from September 2017 to March 2019. Data were collected by Overactive Bladder Symptom Score (OABSS) questionnaire, self-designed questionnaire for basic characteristics; Female Sexual Function Index (FSFI); and sexual satisfaction survey for sex partners of patients. χ2 test or 1-way ANOVA was used to compare the variables among groups. Logistic regression analysis was performed to analyze the severity of OAB with female sexual dysfunction and sexual satisfaction of partners. The correlations between different OABSS domains with female sexual dysfunction and sexual satisfaction of partners were assessed. Results: All the patients were classified into mild (n = 107), moderate (n = 98), severe (n = 118) OAB group based on OABSS. Most of the basic information were similar among groups, except for BMI, highest education, occupation, fertility, and history of pelvic floor surgery. After multiple factors correction, the severity of OAB, exercise frequency, and the history of pelvic floor surgery were statistically associated with the female sexual dysfunction and sexual satisfaction of partners. Urgency score was significantly correlated with female sexual dysfunction, and the urge incontinence was most significantly associated with the sexual satisfaction of partners. Conclusion: Severe OAB was closely associated with female sexual dysfunction and sexual satisfaction of partners. The urgency and urge incontinence should be focused for OAB management.

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Effect of an exercise programme for reducing abdominal fat on overactive bladder symptoms in young overweight women

Cited by 14 publications

References 22 publications

The impact of sacrospinous ligament fixation on pre-existing nocturia and co-existing pelvic floor dysfunction symptoms

The impact of sacrospinous ligament fixation on pre-existing nocturia and co-existing pelvic floor dysfunction symptoms

The Role of the Diaphragm in Postural Stability and Visceral Function in Parkinson’s Disease

The Correlation between Severity of Overactive Bladder Symptoms with Female Sexual Dysfunction and Sexual Satisfaction of Partners

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