The impact of physical activity measured by the International Physical Activity questionnaire on the prevalence of stress urinary incontinence in young women

Hagovská, Magdaléna; Svihra, Jan; Buková, Alena; Horbacz, Agata; Svihrova, Viera

doi:10.1016/j.ejogrb.2018.07.011

Cited by 25 publications

(27 citation statements)

References 17 publications

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“…This increase was within the values reported for university students in challenging situation (Marshall et al 2008). Furthermore our participants were sleeping well and still performing within the recommended range of physical activity (Craig et al 2003;Hagovska et al 2018). In other studies chronic mental stress in the form of caregiving has been shown to be associated with increased CD62P reactivity (Aschbacher et al 2008).…”

Section: Chronic Mental Stress Affects Platelet Cd63 Expressionsupporting

confidence: 85%

Stress Enhances Proinflammatory Platelet Activity: the Impact of Acute and Chronic Mental Stress

Koudouovoh-Tripp

Hüfner

Egeter

et al. 2020

J Neuroimmune Pharmacol

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The role of platelets in hemostasis and thrombosis has long been recognized, recently their contribution to immunological and inflammatory processes is emerging. Platelets could be the missing link between cardiovascular disease, chronic stress and depressive symptoms. Both physical and mental stressors cause platelet activation reflected by changes in platelet bioactivity and aggregation. Here we evaluate the proinflammatory platelet response to acute and chronic mental stress. In a prospective study design an acute mental stress test was administered to 55 healthy male participants once without and once in the presence of chronic mental stress. Blood was collected prior to and at three time points following an acute mental stress test (0, 30, 60 min). Platelet proinflammatory activation markers, were assessed using FACS analysis and aggregability was measured in response to ADP or epinephrine using PFA-100. A linear mixed model was used for analysis. Chronic mental stress lead to a significant increase in state anxiety (p < 0.001), depressive symptoms (p = 0.045) and perceived stress (p = 0.001). The factor "chronic mental stress" was significantly associated with increased numbers of CD63+ platelets (p = 0.009). The factor "acute mental stress" was associated with alterations in CD62P+ platelets (p < 0.001), CD63+ platelets (p = 0.011), PAC-1+ platelets (p < 0.001) as well as platelet leucocyte aggregates (p = 0.019). The recovery of CD62P function following the acute mental stress exposure was significantly impaired by chronic stress (p = 0.023). Aggregation was affected by chronic and acute mental stress. In conclusion, mental stress is linked to an increased and prolonged proinflammatory platelet bioactivity. This proinflammatory and immunomodulatory stimuli could help to explain the link between mental and somatic disorders.

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Section: Chronic Mental Stress Affects Platelet Cd63 Expressionsupporting

confidence: 85%

Stress Enhances Proinflammatory Platelet Activity: the Impact of Acute and Chronic Mental Stress

Koudouovoh-Tripp

Hüfner

Egeter

et al. 2020

J Neuroimmune Pharmacol

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“…The prevalence of UI in other comparable sports such as artistic gymnastics is between 56% and 67% and 43% among ballet dancers . Few research groups have compared the prevalence of UI in elite athletes with that of a control group . All studies, except one, found statistically significant higher prevalence of UI in elite athletes compared to non‐athletes, with athletes being 2‐3 times more likely to report UI than non‐athletes .…”

Section: Discussionmentioning

confidence: 99%

“…Few research groups have compared the prevalence of UI in elite athletes with that of a control group . All studies, except one, found statistically significant higher prevalence of UI in elite athletes compared to non‐athletes, with athletes being 2‐3 times more likely to report UI than non‐athletes . However, the studies did not control for important factors such as bladder volume, and the population included in the above‐mentioned studies differ in age, parity, BMI, and level of sports performance.…”

Section: Discussionmentioning

confidence: 99%

High level rhythmic gymnasts and urinary incontinence: Prevalence, risk factors, and influence on performance

Gram

Bø

2019

Scandinavian Med Sci Sports

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Urinary incontinence (UI) is common among exercising women, but no studies have been found in rhythmic gymnasts. The aims of the present study were to investigate the prevalence and risk factors for UI in rhythmic gymnasts and the impact of UI on performance. This was a cross-sectional study including all rhythmic gymnasts competing at the highest national and international level in Norway. One hundred and thirty-three gymnasts from 22 sports clubs were invited to participate. Background data and possible risk factors were collected via electronic questionnaires. UI was assessed by Urinary Incontinence short form (ICIQ-UI SF). The "Triad-specific selfreport questionnaire" was applied to assess the female athlete triad. Joint mobility was assessed by Beighton score. Logistic regression analysis was used to assess possible risk factors. One hundred and seven nulliparous rhythmic gymnasts (80.5% response rate) from 21 sports clubs, with mean age of 14.5 (SD 1.6) years, participated in the study. Thirty-four (31.8%) reported UI with 21 (61.8%), 3 (8.8%), 6 (17.6%), and 4 (11.8%) reporting stress, urgency, mixed urinary incontinence, and leakage for no obvious reason, respectively. BMI, hypermobility, menarche, disordered eating, and hours of training were not found to be risk factors for stress urinary incontinence.Twenty-four gymnasts with UI (70.6%) reported incontinence to influence sports performance; 10 (29.4%) reported to be afraid of visible leakage and 5 (14.7%) that the leakage would happen again. Seventy-four (69.1%) had never heard about the pelvic floor. In conclusion, UI is common in rhythmic gymnasts and may influence sports performance. K E Y W O R D Sfemale athletes, pelvic floor, performance, rhythmic gymnastics, urinary incontinence How to cite this article: Gram MCD, Bø K. High level rhythmic gymnasts and urinary incontinence: Prevalence, risk factors, and influence on performance. Scand J Med Sci Sports. 2020;30:159-165. https ://doi.

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“…The prevalence is generally greater in high-impact athletes, such as trampolinists, gymnasts, volleyball players, and long-distance runners [15]. All studies [36,[59][60][61][62][63][64][65], except Bø and Borgen [66] and Dockter et al [67] comparing UI prevalence between athletes and controls report significantly higher prevalence in athletes. For example, Fernandes et al reported that 63% of 12-19 year old amateur soccer players demonstrated objective evidence of UI compared to 25% of similarly aged girls not participating in sports [62].…”

Section: More Ui In Exercisersmentioning

confidence: 99%

Is Physical Activity Good or Bad for the Female Pelvic Floor? A Narrative Review

2019

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More women participate in sports than ever before and the proportion of women athletes at the Olympic Games is nearly 50%. The pelvic floor in women may be the only area of the body where the positive effect of physical activity has been questioned. The aim of this narrative review is to present two widely held opposing hypotheses on the effect of general exercise on the pelvic floor and to discuss the evidence for each. Hypothesis 1: by strengthening the pelvic floor muscles (PFM) and decreasing the levator hiatus, exercise decreases the risk of urinary incontinence, anal incontinence and pelvic organ prolapse, but negatively affects the ease and safety of childbirth. Hypothesis 2: by overloading and stretching the PFM, exercise not only increases the risk of these disorders, but also makes labor and childbirth easier, as the PFM do not obstruct the exit of the fetus. Key findings of this review endorse aspects of both hypotheses. Exercising women generally have similar or stronger PFM strength and larger levator ani muscles than non-exercising women, but this does not seem to have a greater risk of obstructed labor or childbirth. Additionally, women that specifically train their PFM while pregnant are not more likely to have outcomes associated with obstructed labor. Mild-to-moderate physical activity, such as walking, decreases the risk of urinary incontinence but female athletes are about three times more likely to have urinary incontinence compared to controls. There is some evidence that strenuous exercise may cause and worsen pelvic organ prolapse, but data are inconsistent. Both intra-abdominal pressure associated with exercise and PFM strength vary between activities and between women; thus the threshold for optimal or negative effects on the pelvic floor almost certainly differs from person to person. Our review highlights many knowledge gaps that need to be understood to understand the full effects of strenuous and non-strenuous activities on pelvic floor health.

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The impact of physical activity measured by the International Physical Activity questionnaire on the prevalence of stress urinary incontinence in young women

Cited by 25 publications

References 17 publications

Stress Enhances Proinflammatory Platelet Activity: the Impact of Acute and Chronic Mental Stress

Stress Enhances Proinflammatory Platelet Activity: the Impact of Acute and Chronic Mental Stress

High level rhythmic gymnasts and urinary incontinence: Prevalence, risk factors, and influence on performance

Is Physical Activity Good or Bad for the Female Pelvic Floor? A Narrative Review

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