Do women runners report more pelvic floor symptoms than women in CrossFit®? A cross-sectional survey

被引:19
作者
Forner, Lori B. [1 ]
Beckman, Emma M. [2 ]
Smith, Michelle D. [1 ]
机构
[1] Univ Queensland, Sch Hlth & Rehabil Sci, Brisbane, Qld, Australia
[2] Univ Queensland, Sch Human Movement & Nutr Sci, Brisbane, Qld, Australia
关键词
Pelvic floor; Incontinence; Heavy weightlifting; Exercise; Pelvic organ prolapse; Running; ICS JOINT REPORT; URINARY-INCONTINENCE; VAGINAL PRESSURE; ORGAN PROLAPSE; EXERCISE; PREVALENCE; DISORDERS; TERMINOLOGY; PFDI-20; IMPACT;
D O I
10.1007/s00192-020-04531-x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Introduction and hypothesis Women who perform high-impact activities might be at greater risk of pelvic floor dysfunction (PFD) than those participating in low-impact exercise; however, little is known about whether PFD is more common in one type of high-impact activity than another. The aim of this study was to compare the prevalence of PFD symptoms in women who engage in high-impact activity compared with CrossFit (R)-brand training (CF). Methods An online survey collected data from 1,379 women (521 runners, 858 CF) on exercise participation, parity, and PFD symptoms, via the Pelvic Floor Distress Inventory (PFDI-20). Specific questions from each PFDI-20 subscale further investigated symptoms of pelvic organ prolapse (POP), anal incontinence (AI), as well as stress (SUI) and urgency (UUI) urinary incontinence. Results Symptoms of POP and AI were significantly higher in runners (POP 12.7%, AI 34.0%) than in CF (POP 7.8%,p = 0.003; AI 27.7%,p = 0.014). There was no significant difference in SUI symptoms between groups (37.0% vs 41.0% respectively,p = 0.141). Vaginally parous runners reported significantly more symptoms of POP (19.0% vs 12.2%,p = 0.023), AI (39.3% vs 27.2%,p = 0.001), and UUI (36.3% vs 29.0%,p = 0.037) than CF. Conclusion Women, particularly parous women, who participate in running, have a higher prevalence of POP and AI symptoms than women who participate in CF. This suggests that CrossFit (R)-brand training might not be more detrimental to PFD symptoms than other high-impact activity, such as running. This study does not conclude a pelvic floor health benefit of one exercise over another, but highlights that exercise options can be provided to women.
引用
收藏
页码:295 / 302
页数:8
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