Giulia Keppe Pisani1, Tatiana de Oliveira Sato1, Cristiano Carvalho2. 1. Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, km 235 -SP-310, São Carlos, São Paulo, Zip Code: 13565-905, Brazil. 2. Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, km 235 -SP-310, São Carlos, São Paulo, Zip Code: 13565-905, Brazil. cristiano_ew@hotmail.com.
Abstract
INTRODUCTION AND HYPOTHESIS: It is known that high-impact exercises can cause an increase in intra-abdominal pressure and provide overload in the pelvic floor structures. We hypothesized that female CrossFit practitioners would report symptoms of pelvic floor dysfunction (PFD) and that there will be factors associated with these dysfunctions. METHODS: The study design is an online cross-sectional survey. Demographic and anthropometric data, the characterization of CrossFit activity, the description of PFD and previous obstetric history were collected through a structured web-based questionnaire. Associations between PFD and the clinical and CrossFit-related independent variables were tested using logistic regression analysis. RESULTS: A total of 828 female CrossFit practitioners answered the questionnaire. The most prevalent symptom was anal incontinence (AI) (52.7%), with flatus incontinence (FI) being the most reported (93.3%). Women who reported constipation are 1.7 times more likely to have FI, and women who practice CrossFit more than five times a week are 3.0 times more likely to have FI. Urinary incontinence(UI) affected 36% of women, and 84.2% of participants reported urinary loss during CrossFit practice. The occurrence of dyspareunia was reported by 48.7% and showed an inverse association with age and body mass index. POP was reported by only 1.4% of the sample. CONCLUSION: There is a high prevalence of PFD in female CrossFit practitioners, with AI being the most reported symptom, especially FI. In addition, constipation and weekly training frequency were significantly associated with FI. UI occurred primarily in CrossFit exercises, and dyspareunia was the most prevalent sexual symptom.
INTRODUCTION AND HYPOTHESIS: It is known that high-impact exercises can cause an increase in intra-abdominal pressure and provide overload in the pelvic floor structures. We hypothesized that female CrossFit practitioners would report symptoms of pelvic floor dysfunction (PFD) and that there will be factors associated with these dysfunctions. METHODS: The study design is an online cross-sectional survey. Demographic and anthropometric data, the characterization of CrossFit activity, the description of PFD and previous obstetric history were collected through a structured web-based questionnaire. Associations between PFD and the clinical and CrossFit-related independent variables were tested using logistic regression analysis. RESULTS: A total of 828 female CrossFit practitioners answered the questionnaire. The most prevalent symptom was anal incontinence (AI) (52.7%), with flatus incontinence (FI) being the most reported (93.3%). Women who reported constipation are 1.7 times more likely to have FI, and women who practice CrossFit more than five times a week are 3.0 times more likely to have FI. Urinary incontinence(UI) affected 36% of women, and 84.2% of participants reported urinary loss during CrossFit practice. The occurrence of dyspareunia was reported by 48.7% and showed an inverse association with age and body mass index. POP was reported by only 1.4% of the sample. CONCLUSION: There is a high prevalence of PFD in female CrossFit practitioners, with AI being the most reported symptom, especially FI. In addition, constipation and weekly training frequency were significantly associated with FI. UI occurred primarily in CrossFit exercises, and dyspareunia was the most prevalent sexual symptom.
Authors: Bert Messelink; Thomas Benson; Bary Berghmans; Kari Bø; Jacques Corcos; Clare Fowler; Jo Laycock; Peter Huat-Chye Lim; Rik van Lunsen; Guus Lycklama á Nijeholt; John Pemberton; Alex Wang; Alain Watier; Philip Van Kerrebroeck Journal: Neurourol Urodyn Date: 2005 Impact factor: 2.696
Authors: Jean Yang; Julie W Cheng; Hillary Wagner; Everett Lohman; Sang H Yang; Gene Austin Krishingner; Alexandra Trofimova; Muhannad Alsyouf; Andrea Staack Journal: Neurourol Urodyn Date: 2019-01-08 Impact factor: 2.696
Authors: T H Rockwood; J M Church; J W Fleshman; R L Kane; C Mavrantonis; A G Thorson; S D Wexner; D Bliss; A C Lowry Journal: Dis Colon Rectum Date: 1999-12 Impact factor: 4.585
Authors: Cristiano Carvalho; Paula Regina Mendes da Silva Serrão; Ana Carolina Sartorato Beleza; Patricia Driusso Journal: Int Urogynecol J Date: 2019-08-14 Impact factor: 2.894
Authors: M B A Almeida; A A Barra; F Saltiel; A L Silva-Filho; A M R M Fonseca; E M Figueiredo Journal: Scand J Med Sci Sports Date: 2015-09-15 Impact factor: 4.221
Authors: Bianca Escuer Bifani; Tatiana de Oliveira Sato; Gabriel Bernardi Dos Santos; Paula Regina Mendes da Silva Serrão; Ana Paula Rodrigues Rocha; Cristiano Carvalho Journal: Int Urogynecol J Date: 2022-08-01 Impact factor: 1.932
Authors: Haifaa Malaekah; Haifaa Saud Al Medbel; Sameerah Al Mowallad; Zahra Al Asiri; Alhanouf Albadrani; Hussam Abdullah Journal: Womens Health (Lond) Date: 2022 Jan-Dec