Female sexual function and urinary incontinence in nulliparous athletes: An exploratory study

Santos, Keyla Mara dos; Roza, Thuane Da; Silva, Lislayne Luiza da; Wolpe, Raquel Eleine; Honório, Gesilani Júlia da Silva; Luz, Soraia Cristina Tonon da

doi:10.1016/j.ptsp.2018.06.004

Cited by 31 publications

(36 citation statements)

References 28 publications

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“…32 On the other hand, Yi et al 13 found that 24% of tri-athletes had at least one arm of the female athlete triad, but the athletic triad was not associated with symptoms of any pelvic floor disorders, for example, UI. Our results did not confirm other findings from other sports where low BMI 12,29 and length of participation in sport/hours of training 15,18,[33][34][35][36][37][38][39][40][41][42][43] were significant risk factors. This may be explained by the high training load and low BMI in all the rhythmic gymnasts.…”

Section: Discussioncontrasting

confidence: 99%

High level rhythmic gymnasts and urinary incontinence: Prevalence, risk factors, and influence on performance

Gram

Bø

2019

Scandinavian Med Sci Sports

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Urinary incontinence (UI) is common among exercising women, but no studies have been found in rhythmic gymnasts. The aims of the present study were to investigate the prevalence and risk factors for UI in rhythmic gymnasts and the impact of UI on performance. This was a cross-sectional study including all rhythmic gymnasts competing at the highest national and international level in Norway. One hundred and thirty-three gymnasts from 22 sports clubs were invited to participate. Background data and possible risk factors were collected via electronic questionnaires. UI was assessed by Urinary Incontinence short form (ICIQ-UI SF). The "Triad-specific selfreport questionnaire" was applied to assess the female athlete triad. Joint mobility was assessed by Beighton score. Logistic regression analysis was used to assess possible risk factors. One hundred and seven nulliparous rhythmic gymnasts (80.5% response rate) from 21 sports clubs, with mean age of 14.5 (SD 1.6) years, participated in the study. Thirty-four (31.8%) reported UI with 21 (61.8%), 3 (8.8%), 6 (17.6%), and 4 (11.8%) reporting stress, urgency, mixed urinary incontinence, and leakage for no obvious reason, respectively. BMI, hypermobility, menarche, disordered eating, and hours of training were not found to be risk factors for stress urinary incontinence.Twenty-four gymnasts with UI (70.6%) reported incontinence to influence sports performance; 10 (29.4%) reported to be afraid of visible leakage and 5 (14.7%) that the leakage would happen again. Seventy-four (69.1%) had never heard about the pelvic floor. In conclusion, UI is common in rhythmic gymnasts and may influence sports performance. K E Y W O R D Sfemale athletes, pelvic floor, performance, rhythmic gymnastics, urinary incontinence How to cite this article: Gram MCD, Bø K. High level rhythmic gymnasts and urinary incontinence: Prevalence, risk factors, and influence on performance. Scand J Med Sci Sports. 2020;30:159-165. https ://doi.

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Section: Discussioncontrasting

confidence: 99%

High level rhythmic gymnasts and urinary incontinence: Prevalence, risk factors, and influence on performance

Gram

Bø

2019

Scandinavian Med Sci Sports

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“…Our results showed that athletes who trained ≥ 4 times per week had 2.3 times higher odds of SUI than those who trained less. Higher training dosage has also been associated with UI in studies of female trampolinists [17,18] and athletes from different sport modalities [20], indicating that higher training exposure may increase the risk of UI. As in our study, one of the above-mentioned studies [18] found a higher prevalence 1 Percentage of total N, 2 percentage of total N of artistic gymnasts, 3 percentage of total N of team gymnasts, 4 percentage of total N of cheerleaders p = 0.03) [21].…”

Section: Discussionmentioning

confidence: 99%

Urinary and anal incontinence among female gymnasts and cheerleaders—bother and associated factors. A cross-sectional study

et al. 2021

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Introduction and hypothesis Artistic gymnastics, team gymnastics and cheerleading are sports including high-impact activities. It is presumed that the athletes’ pelvic floor must be functioning well to prevent urinary (UI) and anal incontinence (AI) during sports. The aim of this study was to investigate the prevalence and risk factors for UI and AI in female artistic gymnasts, team gymnasts and cheerleaders; the influence of UI and AI on daily living and sport performance; and the athletes’ knowledge about the pelvic floor muscles (PFM). Methods All female athletes ≥ 12 years of age competing in ≥ 1 National Championship in artistic gymnastics, team gymnastics or cheerleading in 2018/2019 were invited. International Consensus on Incontinence Questionnaires were used to assess the prevalence/bother of UI and AI. Results Among the 319 gymnasts and cheerleaders who participated, the prevalence of UI and AI was 67% and 84%, respectively. Age, training ≥ 4 days/week and straining to void were significantly associated with stress urinary incontinence (SUI) and years of training with AI. Eighty-three percent of athletes with SUI reported a negative effect on sports performance, 22% would occasionally avoid training or specific exercises because of leakage, and 28% used pads for protection. Forty-one percent of the athletes had never heard about the PFM, and 74% reported an interest in PFM training to prevent/treat UI or AI. Conclusions UI and AI were prevalent in female gymnasts and cheerleaders, and SUI negatively influenced sport performance. The athletes’ knowledge about the PFM was limited.

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“…In a study conducted by Grzybowska et al 39 it is stated that women with severe and mid-level stress urinary incontinence have a poor sexual function quality. In a study conducted by Dos Santos et al 40 on nulliparous athletes, it is stated that women with urinary incontinence have 2.7 times more sexual desire problems, compared to women who do not have this problem. In current studies, the reason for positive correlation between SD and UI was indicated as the effect of UI on life quality, especially it posed a barrier on satisfaction of women, having coital incontinence, with sexual life.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of sexual dysfunction in healthy women in Turkey

Kılıç¹

2019

Afr H. Sci.

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Objectives: This is a cross sectional study conducted in order to determine sexual dysfunction in healthy women and risk factors.Patients and methods: The population of the study consisted of 282 women. The whole of the population, without sample selection, was included in the study. For data, questionnaire and Female Sexual Function Index-FSFI, whose Turkish validity and reliability study was conducted, were used. Student t and chi-square significant tests and logistic regression analysis were used to carry out statistical analysis.Results: It was found that 35.8% of 282 women who participated in the study were in the age range of 30-39 years, 54.6% had high school educational level or above, and 59.6% worked. Prevalence was determined as 53.2% FSFI score < 26 according to Female Sexual Function Index FSFI; 23% of the women had complaints about urinary incontinence UI. According to logistic regression results, it is determined that CFB risk is increased in patients with age and urination problem. It was determined that there was no significant correlation between income, number of children, prceived economic status, dyspareunia, having problem with the partner, experiencing premenstrual syndrome, and SD. Conclusion: In this study, approximately half of healthy women had SD and development of SD was affected based on some descriptive characteristics. As sexual life was considered as a factor increasing life quality, it was thought that it is fairly important to discuss the questioning of problems related to sexual life for systematic evaluation of patients, as well.Keywords: SD, risk factors, prevalence, Turkey.

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Female sexual function and urinary incontinence in nulliparous athletes: An exploratory study

Cited by 31 publications

References 28 publications

High level rhythmic gymnasts and urinary incontinence: Prevalence, risk factors, and influence on performance

High level rhythmic gymnasts and urinary incontinence: Prevalence, risk factors, and influence on performance

Urinary and anal incontinence among female gymnasts and cheerleaders—bother and associated factors. A cross-sectional study

Prevalence and risk factors of sexual dysfunction in healthy women in Turkey

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