Aims
To test the feasibility of monitoring intra-abdominal pressure (IAP) outside the laboratory environment and to compare IAP while 1) carrying 13.6 kg (similar to a 3-month old in car seat) in 6 different ways while walking 100 meters; and 2) walking 400 meters at self-selected slow, normal, and fast pace.
Methods
Forty-six healthy women between 19 and 54 years completed the walking and lifting activities; the order for each was randomized. IAP was monitored with an intra-vaginal pressure transducer that wirelessly transmitted pressure data to a portable base station. We analyzed maximal peak IAP and area under the curve (AUC) IAP.
Results
Monitoring IAP outside of the laboratory was feasible. Mean maximal IAP during walking increased as pace increased; 42.5 (SD 10.2), 50.5 (10.9), and 62.0 (12.1) cm H2O for slow, medium, and fast speeds, respectively (p < 0.0001 by mixed model ANOVA). The corresponding AUC of IAP for walking decreased as pace increased. The ‘awkward carry’, ‘side carry’, and ‘front carry’ activities each resulted in higher mean maximal IAP (65.8 (10.6), 67.7 (12.8), 77.3 (13.1) cm H2O, respectively) than the ‘carry in backpack’ activity (55.5 (11.4) cm H2O; p < 0.0001).
Conclusion
Subtle variations in walking speed or method of carrying a toddler-size load can produce significant changes in IAP. Whether these increase the risk of pelvic floor disorders is not yet clear. However, these data suggest further inquiry into optimal methods and appliances to assist women in carrying may enable achieving a lower IAP profile.