A rectus diastasis prevalenciája, lehetséges                     rizikófaktorai és szövődményei

Gitta, Stefánia; Magyar, Zoltán; Tardi, Péter; Füge, Istvánné; Járomi, Melinda; Ács, Pongrác; Garai, János; Bódis, József; Hock, Márta

doi:10.1556/650.2017.30703

Cited by 32 publications

(18 citation statements)

References 19 publications

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“…Turan et al [13] proposed an observative study in 95 young women (nulliparous, primiparous and multiparous) referring to the gynecology practice for vaginal discharge and examined for the presence of DRA. Any separation between the Gitta et al [32] Article in Hungarian Rett et al [33] Article in Portuguese Wang et al [35] Full text NA Candido et al [34] Full text NA Champion [37] Full text NA Doubkova [36] Full text NA Zhou [38] Full text NA medial edges of the rectus muscles that was greater than 2 cm width by palpation, in a stress position, constituted a diagnosis of DRA. DRA prevalence was 24%, and a positive correlation was established between parity and DRA; DRA was not detected in the nulliparous group (in contrast to results by Spitznagle); but DRA was present in 2% of primiparous and 59% of multiparous patients.…”

Section: Resultsmentioning

confidence: 99%

Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation

Cavalli

Aiolfi

Bruni

et al. 2021

Hernia

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Purpose Diastasis recti abdominis (DRA) or rectus diastasis is an acquired condition in which the rectus muscles are separated by an abnormal distance along their length, but with no fascia defect. To data there is no consensus about risk factors for DRA. The aim of this article is to critically review the literature about prevalence and risk factor of DRA. Method A total of 13 papers were identified. Results The real prevalence of DRA is unknown because the prevalence rate varies with measurement method, measurement site and judgment criteria, but it is certainly an extremely frequent condition. Numbers of parity, BMI, diabetes are the most plausible risk factors. We identified a new anatomical variation in cadaveric dissection and in abdominal CT image evaluation: along the semilunar line the internal oblique aponeurosis could join the rectus sheath with only a posterior layer, so without a double layer (anterior and posterior) as usually described. We conducted a retrospective review of abdominal CT images and the presence of the posterior insertion only could be considered as a risk factor for DRA. Conclusion Further studies with large sample size, including nulliparous, primiparous, pluriparous and men too, are necessary for identify the real prevalence

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Section: Resultsmentioning

confidence: 99%

Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation

Cavalli

Aiolfi

Bruni

et al. 2021

Hernia

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“…When assessing the normal linea alba width and the prevalence of DRA, the question arises whom to include in a study. Many studies focused on women during pregnancies and postpartum [16,[25][26][27][38][39][40], on women with urogenital issues and low back pain [35,41] or on cadavers [20,33]. To our knowledge, the published studies on IRD or DRA included only specific populations.…”

Section: Discussionmentioning

confidence: 99%

Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study

Kaufmann

Reiner

Dietz

et al. 2021

Hernia

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Aim The prevalence and definition of diastasis recti abdominis (DRA) is under debate. This retrospective cross-sectional study evaluated the interrectal distance and the prevalence of DRA in computed tomography (CT) in an asymptomatic population. Materials and methods Patients undergoing CT scans for suspected appendicitis or kidney stones from 01/2016 to 12/2018 were screened retrospectively to participate. A study population with equal distribution according to gender and age (18–90 years) was generated (n = 329 patients) and the interrectal distance was measured at six reference points. Results DRA (defined as > 2 cm at 3 cm above the umbilicus) was present in 57% of the population. The 80th percentile of the interrectal distance was 10 mm at the xiphoid (median 3 mm, 95% confidence interval (CI) 0–19 mm), 27 mm halfway from xiphoid to umbilicus (median 17 mm, 95% CI 0–39 mm), 34 mm at 3 cm above the umbilicus (median 22 mm, 95% CI 0–50 mm), 32 mm at the umbilicus (median 25 mm, 95% CI 0–45 mm), 25 mm at 2 cm below the umbilicus (median 14 mm, 95% CI 0–39 mm), and 4 mm halfway from umbilicus to pubic symphysis (median 0 mm, 95% CI 0–19 mm). In the multivariate analysis, higher age (p = 0.001), increased body mass index (p < 0.001), and parity (p < 0.037) were independent risk factors for DRA, while split xiphoid, tobacco abuse, and umbilical hernia were not. Conclusion The prevalence of DRA is much higher than commonly estimated (57%). The IRD 3 cm above the umbilicus may be considered normal up to 34 mm. To avoid over-treatment, the definition of DRA should be revised.

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“…A terhesség alatt szétnyílt egyenes hasizom a core izmait is gyengévé teszi, mivel azok közvetlen kapcsolatban állnak vele, ami idővel az alsó háti szakasz fájdalmához vezethet (Gitta et al, 2017), illetve erősítése segíthet megszabadulni a fájdalmaktól (Franca et al, 2010;Chang, 2015). Úgyszintén megterhelhetik a gerincet a terhességet megelőző évek során megszokásból berögzült rossz ülő, álló pozíciók és a hajlongás, a terhesség maga pedig már könnyen túlterhelheti ezt az amúgy is megviselt gerincet.…”

Section: Bevezetésunclassified

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A rectus diastasis prevalenciája, lehetséges rizikófaktorai és szövődményei

Abstract: In line with the literature we found, that diastasis recti can predispose on serious sequelae, hence on decreased quality of life. Orv. Hetil., 2017, 158(12), 454-460.

Cited by 32 publications

References 19 publications

Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation

Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation

Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study

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