Physical Activity and Stress Incontinence in Women

Chisholm, Leah; Delpe, Sophia; Priest, Tiffany; Reynolds, W. Stuart

doi:10.1007/s11884-019-00519-6

Cited by 26 publications

(20 citation statements)

References 40 publications

(93 reference statements)

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“…We purposely aimed to recruit a typical sample of beginner exercisers at fitness clubs, and our participants are therefore more diverse than those of previous studies with respect to age, BMI, and parous and nulliparous women [8,22]. Mean age was about 35 years and nearly 40% had a BMI ≥ 25 and as such were classified as overweight or obese.…”

Section: Discussionmentioning

confidence: 99%

“…It is important to highlight that PFMT is also a key component for prevention of UI [8]. Therefore, in light of this and that UI affects exercisers at higher rates than inactive women [8,22], PFMT should probably be incorporated into popular group exercise classes and training programs for women at fitness clubs. Also, with respect to the social stigma around UI, and because many women are hesitant to talk about their symptoms because of embarrassment [22], a more population-based strategy for inclusion of PFMT would undoubtedly be helpful.…”

Section: Discussionmentioning

confidence: 99%

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Urinary incontinence in a fitness club setting—is it a workout problem?

et al. 2020

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Introduction The aims of the present study were to report longitudinal data on the prevalence of urinary incontinence (UI) in a fitness club setting and to investigate whether gym members are educated about and exercise their pelvic floor muscles. Methods New members (125 women) from 25 fitness clubs in Oslo, Norway, filled in a 25-min online questionnaire (SurveyXact) at four time points (onset, 3, 6 and 12 months of fitness club membership). The questionnaire covered background/health information, membership dropout and exercise habits, including pelvic floor muscle training (PFMT). A modified Subjective Health Complaints Inventory (SHC Inventory) and the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) were used to gather repeated measures of UI. Results At onset, 3, 6 and 12 months of fitness club membership, 16.8%, 13.8%, 19.6% and 18.7% reported UI, respectively (p = 0.11). Of these, 57.1% to 76.2% reported leakage during exercise and perceived the UI to be slight. Less than 8% had received information about PFMT by the fitness club staff. Adherence to regular exercise and PFMT throughout the follow-up period (minimum two sessions/week) did not show any association with absent or present UI at 12 months (p = 0.48 and p = 0.63) and was reported by 30% and 22.2% of the participants, respectively. Conclusions About 17% reported UI at onset of fitness club membership, with no changes in proportions throughout the first year. Adherence to regular exercise and PFMT did not show any association with absent or present UI at 12 months. Few had been taught PFMT.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Urinary incontinence in a fitness club setting—is it a workout problem?

et al. 2020

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“…Physical activity has several benefits for the body, and women should not be discouraged from remaining active. Adding exercise as a part of lifestyle helps prevent non-communicable diseases such as diabetes mellitus, hypertension, hypercholesterolemia, and obesity [46]. An RCT done by Said et al (2017) randomly divided 32 obese women into high-impact aerobics groups and low-impact aerobics combined with a strength training program group [47].…”

Section: Benefits Of Physical Activitymentioning

confidence: 99%

Stress Urinary Incontinence Among Young Nulliparous Female Athletes

Joseph

Srivastava

Ochuba

et al. 2021

Cureus

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Urinary incontinence (UI) is described as unintentional voiding of urine that is usually seen in post-partum and post-menopausal women due to the weakening of pelvic floor muscles (PFM). Recent studies have shown an increase in the prevalence of stress urinary incontinence (SUI) among young nulliparous female athletes. The association between UI and high-impact physical activity is due to increased intra-abdominal pressure during high-impact sports exceeding intra-urethral pressure. Usually, the levator ani muscle (LAM) helps in urethral closure. However, weakening or injury of LAM can reduce the pelvic support and cause UI in young female athletes. This study aims to assess the prevalence of SUI among young nulliparous athletes and also explore the association between SUI and athletic sports in young females. We searched PubMed and Google Scholar as databases to find specific articles about the topic. After the inclusion and exclusion criteria were applied, 52 articles were selected for this review. It is found that there is an increased UI prevalence, mainly SUI, among young nulliparous female athletes, especially in volleyball players and long-distance runners. Nulliparous athletes involved in high-impact exercises were found to have an increased cross-sectional area of LAM and puborectalis muscle width. SUI is usually under-reported and underdiagnosed due to lack of knowledge and unawareness, which can negatively affect the personal and social life of young females. PFM training is considered the first line of therapy among nulliparous athletes. However, it is unclear whether the high-impact effects of sports cause UI through PFM fatigue or PFM damage. More research is needed to better understand this effect.

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“…According to Abrams et al, it is clear that high impact exercise leads to stress UI, with a dose-dependent deleterious effect, while low-impact sports might be protective [ 2 ]. In a review of 36 publications addressing the associations between physical activity and SUI, Chisholm et al found evidence for increased rates of SUI among women who are physically active [ 3 ]. In a study quantifying SUI in 104 young female athletes, 52% of the participants self-reported SUI according to the ICQ_UI_SF score [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

A Vaginal Inlay for Reduction of Stress Urinary Incontinence: Outcome of a Randomized Clinical Trial and Four User Acceptance Studies

Jonasson

Bryder

Sthengel

2021

Advances in Urology

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A multicenter, randomized, controlled clinical trial and four postmarket user acceptance investigations were carried out to document the safety, performance, and user acceptance of Efemia Bladder Support, a novel vaginal inlay for the temporary reduction of stress urinary incontinence (SUI). The clinical investigation enrolled 97 women diagnosed with SUI, randomized 3 : 1 to either treatment or standard care (control). The primary endpoint was reduction of urine leakage, measured as change in pad weight baseline week compared with treatment week. Secondary endpoints were treatment success, calculated as the percentage of subjects with >70% reduction in pad weight, reduction in incontinence episodes, and quality of life (QoL). 75 women (77%) completed the clinical investigation. No serious adverse events occurred. The treatment group reached a 55% ( p < 0.001 ) mean reduction of total leakage compared to the control arm. A subanalysis, involving only leakage during provocation testing (coughing and jumping), showed a 67% ( p < 0.001 ) mean reduction of leakage. No significant effect on QoL could be observed. 51% of the women answered “yes” to the question if they would use the device to reduce SUI. The user acceptance of the device was further investigated in four postmarket studies, using an improved device design with a slimmer centerpiece and a thinner handle, while keeping the effect achieving parts of the device unchanged. An average of 74% of the 102 participants in the postmarket studies reported that they were likely to continue using Efemia. The highest user satisfaction was seen in the two studies evaluating the use of Efemia during exercise, where 83% and 88% of the women were likely to continue using Efemia. It can be concluded that Efemia is a safe, well-tolerated, and effective alternative for reducing SUI, both in everyday life and during physical exercise.

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Physical Activity and Stress Incontinence in Women

Cited by 26 publications

References 40 publications

Urinary incontinence in a fitness club setting—is it a workout problem?

Urinary incontinence in a fitness club setting—is it a workout problem?

Stress Urinary Incontinence Among Young Nulliparous Female Athletes

A Vaginal Inlay for Reduction of Stress Urinary Incontinence: Outcome of a Randomized Clinical Trial and Four User Acceptance Studies

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