Do Measures of Muscular Fitness Modify the Effect of Intra-abdominal Pressure on Pelvic Floor Support in Postpartum Women?
Journal
Female pelvic medicine & reconstructive surgery
ISSN: 2154-4212
Titre abrégé: Female Pelvic Med Reconstr Surg
Pays: United States
ID NLM: 101528690
Informations de publication
Date de publication:
01 02 2021
01 02 2021
Historique:
pubmed:
14
7
2020
medline:
15
12
2021
entrez:
14
7
2020
Statut:
ppublish
Résumé
This study aimed to determine whether measures of muscular fitness modify the effect of intra-abdominal pressure (IAP) during lifting on pelvic floor support. Participants, primiparous women 1 year after vaginal delivery, underwent the Pelvic Organ Prolapse Quantification examination, measurement of IAP via a vaginal sensor while lifting a weighted car seat, pelvic floor muscle force assessment using an instrumented speculum, grip strength using a hand dynamometer, and trunk flexor endurance by holding an isometric contraction while maintaining a 60-degree angle to the table. We dichotomized pelvic floor support as worse (greatest descent of the anterior, posterior, or apical vagina during maximal strain at or below the hymen) versus better (all points above the hymen). Of 825 participants eligible after delivery, 593 (71.9%) completed a 1-year study visit. Mean (SD) age was 29.6 (5.0) years. One year postpartum, 55 (9.3%) demonstrated worse support. There were no differences in IAP during lifting or in other measures of pelvic floor loading between women with better and worse support. In multivariable analyses, neither grip strength nor pelvic floor muscle force modified the effect of IAP on support. In women with trunk flexor endurance duration ≥13 minutes, the odds of worse support increased significantly as IAP increased. No fitness measure modified the effect of other measures of pelvic floor loading on support. Primiparous women with higher IAP during lifting and greater muscular fitness did not have reduced odds of worse pelvic floor support compared with those with lower IAP at the same muscular fitness.
Identifiants
pubmed: 32657824
pii: 01436319-202102000-00016
doi: 10.1097/SPV.0000000000000901
pmc: PMC7793631
mid: NIHMS1589937
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
e267-e276Subventions
Organisme : NICHD NIH HHS
ID : P01 HD080629
Pays : United States
Informations de copyright
Copyright © 2020 American Urogynecologic Society. All rights reserved.
Références
Am Fam Physician. 2017 Aug 1;96(3):179-185
pubmed: 28762694
Am J Obstet Gynecol. 2003 Aug;189(2):372-7; discussion 377-9
pubmed: 14520198
Am J Obstet Gynecol. 2015 Aug;213(2):188.e1-188.e11
pubmed: 25957022
J Strength Cond Res. 2013 Nov;27(11):3204-15
pubmed: 23439349
Physiotherapy. 2013 Sep;99(3):194-200
pubmed: 23219627
Int Urogynecol J. 2012 Dec;23(12):1741-7
pubmed: 22618208
Am J Obstet Gynecol. 2020 Apr;222(4):356.e1-356.e14
pubmed: 31639370
Dis Colon Rectum. 2008 Jul;51(7):1068-72; discussion 1072-3
pubmed: 18443878
Arch Phys Med Rehabil. 1999 Aug;80(8):941-4
pubmed: 10453772
Gastroenterology. 1982 Sep;83(3):529-34
pubmed: 7095360
Womens Health (Lond). 2013 May;9(3):265-77; quiz 276-7
pubmed: 23638782
Allergy Asthma Immunol Res. 2016 Mar;8(2):146-55
pubmed: 26739408
Open J Obstet Gynecol. 2014 Apr 1;4(6):266-278
pubmed: 25379356
Female Pelvic Med Reconstr Surg. 2011 Mar;17(2):80-90
pubmed: 22453694
Med Sci Sports Exerc. 2018 Aug;50(8):1558-1569
pubmed: 29554014
Muscle Nerve. 2012 Oct;46(4):555-8
pubmed: 22987697
J Manipulative Physiol Ther. 2015 Jun;38(5):352-7
pubmed: 26189917
BMJ Open. 2014 Jun 12;4(6):e005374
pubmed: 24928596
Med Sci Sports Exerc. 2006 Jun;38(6):1121-31
pubmed: 16775555
Neurourol Urodyn. 2007;26(6):858-63
pubmed: 17357114
Female Pelvic Med Reconstr Surg. 2018 Jul/Aug;24(4):287-291
pubmed: 28727649
Eur J Appl Physiol. 2002 Jun;87(2):127-33
pubmed: 12070622
Clin Biomech (Bristol, Avon). 2014 Dec;29(10):1146-50
pubmed: 25307868
Biomed Microdevices. 2012 Apr;14(2):347-55
pubmed: 22147020
Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(3):121-4
pubmed: 8913828
Am J Obstet Gynecol. 1996 Jul;175(1):10-7
pubmed: 8694033
Am J Obstet Gynecol. 1996 Dec;175(6):1467-70; discussion 1470-1
pubmed: 8987926
BMJ Open. 2017 Jan 10;7(1):e014252
pubmed: 28073797
Am J Obstet Gynecol. 2008 Dec;199(6):610.e1-5
pubmed: 18533115
BMJ. 2016 Jul 20;354:i3853
pubmed: 27439423
Am J Obstet Gynecol. 2006 Oct;195(4):942-8
pubmed: 16681989
IEEE J Transl Eng Health Med. 2019 Nov 15;8:2500208
pubmed: 31966934
Mil Med. 2012 Dec;177(12):1519-23
pubmed: 23397699
Female Pelvic Med Reconstr Surg. 2020 Jun;26(6):351-357
pubmed: 30921083
Am J Gastroenterol. 2004 Apr;99(4):750-9
pubmed: 15089911
Obstet Gynecol. 2010 Nov;116(5):1096-100
pubmed: 20966694
Obstet Gynecol. 2006 Jan;107(1):144-9
pubmed: 16394052
J Am Geriatr Soc. 2017 Jan;65(1):42-50
pubmed: 27918084
J Strength Cond Res. 2017 Nov;31(11):3218-3234
pubmed: 28796127
Eur J Obstet Gynecol Reprod Biol. 2009 May;144 Suppl 1:S146-58
pubmed: 19285776
Mil Med. 2017 Nov;182(11):e1859-e1863
pubmed: 29087853
Clin Nutr. 2008 Jun;27(3):357-62
pubmed: 18455840
Obstet Gynecol. 2014 Jun;123(6):1201-1206
pubmed: 24807341
Physiother Theory Pract. 2021 Nov;37(11):1217-1226
pubmed: 31686567
Int Urogynecol J. 2018 Mar;29(3):327-338
pubmed: 29332252