Influence of pelvic floor muscle fatigue on stress urinary incontinence: a systematic review

Thomaz, Rafaela Prusch; Colla, Cássia; Darski, Caroline; Paiva, Luciana Laureano

doi:10.1007/s00192-017-3538-6

Cited by 27 publications

(22 citation statements)

References 23 publications

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“…6,7 High impact activities, exercising at an elite level, high training volume and high repetition activities resulting in pelvic floor muscle fatigue are exercise specific risk factors for UI. [8][9][10][11][12][13] The prevalence of UI in athletes is associated with activity type and ranges between 5.56% in low-impact activities to 80% in trampoline gymnasts. 14 CrossFit is a popular competitive sport that incorporates resistance training with high impact activities, and training to fatigue.…”

Section: Introductionmentioning

confidence: 99%

<p>Urinary Incontinence and Women CrossFit Competitors</p>

Wikander

Kirshbaum

Gahreman

2020

IJWH

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Purpose Urinary incontinence is a common condition that potentially discourages women from participating in physical activity. This study aimed to determine the prevalence of urinary and athletic incontinence and establish which activities and contexts were most likely to provoke urine leakage in women CrossFit competitors. Patients and Methods This research was an international, cross-sectional, survey-based study. The online survey was completed by 452 women CrossFit competitors. The Incontinence Severity Index was used to determine the frequency and severity of urinary incontinence. Results Urinary incontinence was experienced by 41.8% of participants in the three months prior to the study and 17.7% experienced athletic incontinence. Women came to experience athletic incontinence through two different pathways. Some women were continent before commencing CrossFit (9.7%), remain continent during everyday activities but now experience urinary incontinence during exercise. Alternatively, 8% of women were incontinent before commencing CrossFit, are now continent during everyday activities but remain incontinent during exercise. High impact CrossFit activities were most likely to provoke urinary incontinence. Conclusion This study highlighted the importance of distinguishing between urinary incontinence that develops after commencing an exercise program in otherwise continent women and urinary incontinence that persists only during exercise in previously incontinent women.

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Section: Introductionmentioning

confidence: 99%

<p>Urinary Incontinence and Women CrossFit Competitors</p>

Wikander

Kirshbaum

Gahreman

2020

IJWH

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“…It occurs mainly in postmenopausal women, during pregnancy, childbirth, and low estrogen level, severely impairing their quality of life [3]. Despite the earlier emphasis on the role of fascia weakness or pelvic muscle sarcopenia/dysfunction in FSUI [4,5], now it is widely accepted that a bladder urethral sphincter dystrophy/dysfunction may be the primary cause. It is also well established that SUI prevalence is predominant in patients with type 2 diabetes (T2D) and especially with obesity (T2D/O) [6,7].…”

Section: Introductionmentioning

confidence: 99%

Stem Cells from a Female Rat Model of Type 2 Diabetes/Obesity and Stress Urinary Incontinence Are Damaged by In Vitro Exposure to its Dyslipidemic Serum, Predicting Inadequate Repair Capacity In Vivo

Kovanecz

Gelfand

Lin

et al. 2019

IJMS

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Female stress urinary incontinence (FSUI) is prevalent in women with type 2 diabetes/obesity (T2D/O), and treatment is not optimal. Autograph stem cell therapy surprisingly has poor efficacy. In the male rat model of T2D/O, it was demonstrated that epigenetic changes, triggered by long-term exposure to the dyslipidemic milieu, led to abnormal global transcriptional signatures (GTS) of genes and microRNAs (miR), and impaired the repair capacity of muscle-derived stem cells (MDSC). This was mimicked in vitro by treatment of MDSC with dyslipidemic serum or lipid factors. The current study aimed to predict whether these changes also occur in stem cells from female 12 weeks old T2D/O rats, a model of FSUI. MDSCs from T2D/O (ZF4-SC) and normal female rats (ZL4-SC) were treated in vitro with either dyslipidemic serum (ZFS) from late T2D/O 24 weeks old female Zucker fatty (ZF) rats, or normal serum (ZLS) from 24 weeks old female Zucker lean (ZL) rats, for 4 days and subjected to assays for fat deposition, apoptosis, scratch closing, myostatin, interleukin-6, and miR-GTS. The dyslipidemic ZFS affected both female stem cells more severely than in the male MDSC, with some gender-specific differences in miR-GTS. The changes in miR-GTS and myostatin/interleukin-6 balance may predict in vivo noxious effects of the T2D/O milieu that might impair autograft stem cell (SC) therapy for FSUI, but this requires future studies.

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“…[1–4] Due to the insufficient support of pelvic floor fascia of postpartum SUI puerperae, the urine easily flows through the urethra when the intraabdominal pressure increases (when coughing, laughing, exercising, sneezing, and so on), resulting in the leakage of urine. [5,6] Although postpartum SUI is not a life-threatening disease, it greatly decreases quality of life and daily activities of puerperae. [7] More importantly, postpartum SUI causes dramatic psychologic disorders to puerperae such as low self-esteem, anxiety, and depression.…”

Section: Introductionmentioning

confidence: 99%

“…[7] More importantly, postpartum SUI causes dramatic psychologic disorders to puerperae such as low self-esteem, anxiety, and depression. [6,8] There are a number of treatment options for postpartum SUI including surgical and conservative ones, whereas these treatments are painful, costly or labor-consuming, and sometimes they may bring in other complications as well. [9,10] Therefore, illuminating the risk factors of postpartum SUI and exploring the potential approaches to prevent the occurrence of postpartum SUI are greatly important to minimize its negative impacts on puerperae.…”

Section: Introductionmentioning

confidence: 99%

The effect of a comprehensive care and rehabilitation program on enhancing pelvic floor muscle functions and preventing postpartum stress urinary incontinence

Xin¹,

Shan²,

Peng

et al. 2019

Medicine

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This study was to investigate the incidence and the risk factors of postpartum stress urinary incontinence (SUI), and the effect of comprehensive care and rehabilitation program (CCRP) on preventing postpartum SUI.In stage I, 479 puerperae were recruited within 1 week postpartum, then the postpartum SUI incidence at 8th week and its risk factors were investigated. In stage II, 240 vaginal delivery puerperae were enrolled within 1 week postpartum and randomly assigned to CCRP group or control group as 1:1 ratio. The postpartum SUI incidence and pelvic floor muscle function indexes were evaluated at 8th week.In stage I, the postpartum SUI incidence was 25.7%, and SUI puerperae presented with higher body mass index (BMI), vaginal delivery rate, newborn weight, and larger newborn head diameter compared with non-SUI puerperae. Besides, the vaginal delivery, the elevated age and BMI were independent risk factors for postpartum SUI. In stage II, the postpartum SUI incidence in CCRP group was decreased compared with control group, and the vaginal resting pressure, vaginal squeezing pressure, and vaginal contraction duration were increased in CCRP group compared to control group at 8th week postpartum.The incidence of postpartum SUI is 25.7%, and the vaginal delivery, increased age, and BMI are independent risk factors for postpartum SUI. More importantly, CCRP strengthens pelvic floor muscle functions and decreases postpartum SUI incidence in puerperae.

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Influence of pelvic floor muscle fatigue on stress urinary incontinence: a systematic review

Abstract: This study confirmed that PFM fatigue can influence the development and/or worsening of SUI.

Cited by 27 publications

References 23 publications

<p>Urinary Incontinence and Women CrossFit Competitors</p>

<p>Urinary Incontinence and Women CrossFit Competitors</p>

Stem Cells from a Female Rat Model of Type 2 Diabetes/Obesity and Stress Urinary Incontinence Are Damaged by In Vitro Exposure to its Dyslipidemic Serum, Predicting Inadequate Repair Capacity In Vivo

The effect of a comprehensive care and rehabilitation program on enhancing pelvic floor muscle functions and preventing postpartum stress urinary incontinence

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