Prevalence of urinary incontinence in women powerlifters: a pilot study

Wikander, Lolita; Cross, Donelle; Gahreman, Daniel

doi:10.1007/s00192-019-03870-8

Cited by 15 publications

(27 citation statements)

References 32 publications

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“…The prevalence of UI in our cohort, while being more than that of resistance training based sports such as powerlifting, 15 falls within the range for UI in the general population. 1 This rate is in the middle of the range for sporting activities and similar to that of elite athletes in general.…”

Section: Discussionsupporting

confidence: 53%

“…The pilot study included an open-ended question where some participants chose to include feedback and suggestions for further research. 15 Based on feedback from the previous pilot study, consultation with industry experts and journal reviewers, the 34 question survey for this study (Supplementary material) was developed specifically for CrossFit participants. The survey questions focused on the context in which UI occurred (everyday activities, training or competition) and the exercises most likely to cause leakage rather than the traditional classifications of UI such as stress, urgency and mixed incontinence.…”

Section: Methodsmentioning

confidence: 99%

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<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: Discussionsupporting

confidence: 53%

Section: Methodsmentioning

confidence: 99%

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

Wikander

Kirshbaum

Gahreman

2020

IJWH

Self Cite

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“…Several authors have reported that women with SUI change their movement and exercise pattern and often drop out of regular exercise [ 12 , 13 ]. To date, there is scant knowledge on female athletes participating in strength training [ 14 ], and there is little knowledge on women participating in strength training for fitness and health benefits [ 8 ]. According to the two opposite hypotheses on exercise and the pelvic floor [ 8 ], general strength training may strengthen the PFM via a co-contraction of the PFM and thereby potentially improve or prevent UI, or weaken the PFM, causing UI owing to repeated increases in intra-abdominal pressure and inadequate counteraction to keep the urethra in a positive pressure zone.…”

Section: Introductionmentioning

confidence: 99%

Does regular strength training cause urinary incontinence in overweight inactive women? A randomized controlled trial

et al. 2021

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Introduction and hypothesis Urinary incontinence (UI) is common in women who exercise. We aimed to investigate new onset UI in formerly inactive, overweight or obese women (BMI > 25) participating in three different strength training modalities compared with a non-exercising control group. Methods This was a secondary analysis of an assessor blinded randomized controlled trial investigating the effect of 12 weeks of three strength training concepts for women on muscle strength and body composition. None of the programs included pelvic floor muscle training. International Consensus on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI-SF) was used to investigate primary outcome; new onset UI, and secondary outcome; ICIQ-UI-SF sum score. Suissa and Shuster’s exact unconditional test was used to analyze difference in new onset UI. Difference in ICIQ-UI-SF sum score is presented as mean with 95% CI. Results At baseline 40 out of 128 (31.2%) participants reported UI. Three out of 27, 2 out of 17, 2 out of 23, and 0 out of 21 women in the three training and control groups respectively had new onset UI. There were no statistically significant differences in new onset UI across the groups or when collapsing new onset UI in the intervention groups compared with the controls (7 out of 67 vs 0 out of 21), p = 0.124. After the intervention the control group reported worse ICIQ-UI-SF sum score than any of the training groups; mean difference − 6.6 (95% CI: −11.9, −1.27), p = 0.012, but there was no difference in change from baseline to 12 weeks between the groups p = 0.145). Conclusions There was no statistically significant change in UI after strength training.

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“…Due to high efficacy, pelvic floor muscle (PFM) training is the primary form of therapy for UI in PCaP after radical prostatectomy [36]. Although general exercise may have a positive effect on the strength of PFM [61], the high prevalence of UI in female powerlifters [62] suggests that RE in isolation might not be sufficient to prevent UI. Although female athletes profit more from PFM training than non-athletic women [63], the question, whether RE and PFM training have a synergistic effect, especially in relation to PCaP, remains to be answered.…”

Section: Decreasing Incontinencementioning

confidence: 99%

Resistance Exercise in Prostate Cancer Patients: a Short Review

Zdravkovic

Hasenoehrl

Crevenna

2021

Curr Phys Med Rehabil Rep

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Purpose of Review The aim of this paper is to provide an overview of recent findings concerning the utilization of resistance exercise (RE) in prostate cancer (PCa), in particular as pertaining to the management of cancer therapy side effects. Recent Findings As of late, studies investigating the effects of RE in PCa patients have found positive effects on muscle strength, body composition, physical functioning, quality of life, and fatigue. The combination of RE and impact training appears to decrease the loss of bone mineral density. RE seems to be well accepted and tolerated, even by patients with bone metastatic disease, although a modification of the RE prescription is often necessary. Summary In PCa patients, RE has been well-researched and the data are clear that it is beneficial in multiple ways. Future directions should look at the long-term effects of RE, including mortality and relapse, as well as implementation of exercise programs.

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Prevalence of urinary incontinence in women powerlifters: a pilot study

Cited by 15 publications

References 32 publications

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

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

Does regular strength training cause urinary incontinence in overweight inactive women? A randomized controlled trial

Resistance Exercise in Prostate Cancer Patients: a Short Review

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