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Symptoms of pelvic organ prolapse in women who lift heavy weights for exercise: a cross-sectional survey.

Title: Symptoms of pelvic organ prolapse in women who lift heavy weights for exercise: a cross-sectional survey.
Authors: Forner LB; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia. l.forner@uqconnect.edu.au.; Beckman EM; School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Queensland, Australia.; Smith MD; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Source: International urogynecology journal [Int Urogynecol J] 2020 Aug; Vol. 31 (8), pp. 1551-1558. Date of Electronic Publication: 2019 Dec 07.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Springer Country of Publication: England NLM ID: 101567041 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-3023 (Electronic) Linking ISSN: 09373462 NLM ISO Abbreviation: Int Urogynecol J Subsets: MEDLINE
Imprint Name(s): Original Publication: London : Springer
MeSH Terms: Pelvic Organ Prolapse*/epidemiology ; Pelvic Organ Prolapse*/etiology ; Cesarean Section*; Adolescent ; Adult ; Cross-Sectional Studies ; Exercise ; Female ; Humans ; Pelvic Floor ; Pregnancy
Abstract: Introduction and Hypothesis: The aim of the study was to determine the prevalence of symptoms of pelvic organ prolapse (POP), defined as the sensation of a vaginal bulge, and associated risk factors in women over 18 years of age who lift light (≤15 kg), moderate (16-50 kg), and heavy (>50 kg) weights for exercise, and those who do not lift weights for exercise.; Methods: Women completed an online survey about risk factors for pelvic floor dysfunctions, physical activity history, and pelvic floor symptoms. A question about a vaginal bulge sensation from the validated Pelvic Floor Distress Inventory (PFDI-20) was used to indicate symptoms of POP. Relationships between symptoms of POP and possible risk factors were assessed through logistic regression analysis.; Results: Of the 3,934 survey participants, the total prevalence of POP symptoms was 14.4% (n = 566). Category of weight lifted, age, vaginal parity, history of constipation or hemorrhoids, and family history of POP were significantly associated with symptoms. Physically active women lifting weights ≤15 kg were more likely to report symptoms of pelvic organ prolapse than women lifting weights greater than 50 kg (59.7% vs 15.2%; adjusted odds ratio 2.1; 95% confidence interval 1.7-3.4). There was no relationship between POP symptoms and body mass index, forceps delivery, cesarean section, hysterectomy, or menopausal status.; Conclusion: Physically active women who lift heavy weights for exercise do not have an increased prevalence of POP symptoms. Advice on the contribution of heavy weight lifting as part of a physical activity regime to the pathophysiology of POP requires further investigation.
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Contributed Indexing: Keywords: Bulge; Exercise; Heavy weight lifting; POP; Pelvic organ prolapse; Prolapse
Entry Date(s): Date Created: 20191209 Date Completed: 20210623 Latest Revision: 20210623
Update Code: 20260130
DOI: 10.1007/s00192-019-04163-w
PMID: 31813038
Database: MEDLINE

Journal Article