Should women with incontinence and prolapse do abdominal curls?
MetadataShow full item record
© 2016 The International Urogynecological Association Introduction and hypothesis: Urinary incontinence (UI) and pelvic organ prolapse (POP) occur in 30–50 % of women. It is proposed that increases in intra-abdominal pressure (IAP) caused by high-intensity activities may contribute to symptoms of pelvic floor dysfunction. There is a lack of consensus as to the type of activity restrictions that may be necessary in this population. The objective was to determine the change in IAP (cm H20) during abdominal curl and cough in patients with UI and POP attending urodynamic evaluation. Methods: In this exploratory descriptive study, 30 women with diagnosed POP and/or UI were recruited. IAP was measured by multichannel cystometry whilst participants performed three abdominal curls and three maximal coughs. Results: Participants were aged 29–80 (mean 56.2) years, and mean ± standard deviation (SD) body mass index (BMI) was 29.9 (5.2) kg/m-2. All participants had UI and 12 had POP in addition to UI. IAP increased significantly from rest to abdominal curl and cough (19.6–50.3 and 78.4, respectively; p < 0.001). Greater pressures were generated in the women with POP than in those with UI only (p = 0.02). There were large variations in change in pressure between participants (1.67–159.66 for cough; 4–81.67 for abdominal curl). Conclusion: The large variability in IAP generated during abdominal curl and cough suggests some current recommendations may be unnecessarily restrictive in some women but important in others. Advice for women with pelvic floor dysfunction undertaking tasks that increase IAP needs to be individualized.
Showing items related by title, author, creator and subject.
Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising womenBarton, A.; Serrao, C.; Thompson, Judith; Briffa, K. (2015)Introduction and hypothesis: The aim of this study was to assess pelvic floor muscle (PFM) function using transabdominal ultrasound (TAUS) in women attending group exercise classes. Specific aims were to: (1) identify the ...
How effective was Curtin University's Activity, Food and Attitudes Program at changing behaviours in overweight and obese adolescents?Smith, Kyla; Howie, Erin; Fenner, Ashley; Kerr, Deborah; Haggar, Martin; McManus, Alexandra; Davis, Melissa; Olds, T.; Abbott, Rebecca; McVeigh, Joanne; Smith, Anne; Straker, Leon (2014)Aim: Interventions for overweight/obese adolescents in Australia are scarce. The aim of this study was to evaluate an intervention based on self-determination theory that targeted activity, food and attitudes in ...
Excess fat in the abdomen but not general obesity is associated with poorer metabolic and cardiovascular health in premenopausal and postmenopausal Asian womenGoh, Victor; Hart, William (2018)Objectives: To examine the associations of various metabolites and hormones and hormone replacement therapy (HRT) with obesity. Methods: This is a cross-sectional study of 1326 Singaporean women. A DXA-derived percent ...