Prevalence and degree of bother of pelvic floor disorder symptoms among women from primary care and specialty clinics in Lebanon: an exploratory study

Ghandour, Lilian; Minassian, Vatché A.; Al‐Badr, Ahmed; Ghaida, Rami Abou; Geagea, Sandra; Bazi, Tony

doi:10.1007/s00192-016-3080-y

Cited by 25 publications

(30 citation statements)

References 25 publications

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“…The presence of PFMD has also been found in other studies in the literature, being more prevalent in overweight or obese women over 40 years of age [17,30,31]. Although, in the present study, the participants were young, Ghandour et al [32], in a study with 900 women, found a greater presence of PFMD in women over 60 years of age and in overweight women, suggesting such conditions to be a risk factor for PFMD.…”

Section: Discussionsupporting

confidence: 84%

Pelvic, anorectal and urinary symptoms according to the nutritional status of adult women: A cross-sectional study

et al. 2019

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To review the occurrence of pelvic, anorectal and urinary symptoms according to the nutritional status of adultwomen. Methods This is a cross-sectional study with 54 women, aged 18 to 35 years, divided into normal weight (<25kg/m2), overweight (25kg/m2 to 29.99kg/m2) and obesity (≥30kg/m2) according to the body mass index. The presence of pelvic floor muscle dysfunction symptoms was assessed by the Pelvic Floor Distress Inventory and the impact of these symptoms by the Pelvic Floor Impact Questionnaire. Descriptive and inferential statistics were used, with a significance level of 5%. Results Pelvic Floor Distress Inventory total score was 22.95 (SD=26.11) in the eutrophic group and 59.67 (SD=47.80) in the obesity group (p=0.01). Considering the scales, urinary symptoms were higher in obese women than in the eutrophic group (p=0.01). In the assessment of patients with each symptom, a difference (p<0.01) was observed in incomplete bowel emptying, in which the highest frequency occurred in overweight women (47.4%) compared to eutrophic and obese women (both 26.3%). Urinary incontinence symptoms (18.2% in eutrophic women, 27.3% overweight and 54.5% obese), stress urinary incontinence (8.3% eutrophic, 41.7% overweight and 50.0%, obese) and difficulty in emptying the bladder (0.0% eutrophic, 33.3% overweight and 66.7% obese) exhibited higher frequencies (p=0.03; p<0,01 and p=0.02, respectively) in obese women. Conclusion Symptoms of pelvic floor muscles dysfunction, especially urinary tract muscles, occur more frequently in obese adult women when compared to eutrophic women.

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Section: Discussionsupporting

confidence: 84%

Pelvic, anorectal and urinary symptoms according to the nutritional status of adult women: A cross-sectional study

et al. 2019

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“…Age, vaginal delivery, and higher parity were found to be the risk factors associated with the development of PFD. A recent study on Lebanese women visiting clinics in a University Medical Center in Beirut [ 48 ] reported a 34.6% prevalence of obstructed defecation. Pelvic Floor Bother Questionnaire (PFBQ) scores were found to be significantly higher in those who had ≥ 3 vaginal deliveries.…”

Section: Consensus Statementsmentioning

confidence: 99%

Indian consensus on chronic constipation in adults: A joint position statement of the Indian Motility and Functional Diseases Association and the Indian Society of Gastroenterology

Ghoshal

Sachdeva

Pratap

et al. 2018

Indian J Gastroenterol

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The Indian Motility and Functional Diseases Association and the Indian Society of Gastroenterology developed this evidence-based practice guideline for management of chronic constipation. A modified Delphi process was used to develop this consensus containing 29 statements, which were generated by electronic voting iteration as well as face to face meeting and review of the supporting literature primarily from India. These statements include 9 on epidemiology, clinical presentation, and diagnostic criteria; 8 on pathophysiology; and the remaining 12 on investigations and treatment. When the proportion of those who voted either to accept completely or with minor reservation was 80% or higher, the statement was regarded as accepted. The members of the consensus team believe that this would be useful for teaching, clinical practice, and research on chronic constipation in India and in other countries with similar spectrum of the disorders.

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“…10 However, the relationship between PFMD and obesity indicators is better known in the literature in middle-aged and elderly women. 5,6,9 This was reported by Lai et al, 11 who observed that the odds of having urinary stress incontinence increased by 1.27 times every 10 cm increase in WC and 1.32 times for every 5 units of BMI increase in women with a mean age of 59.1 years.…”

mentioning

confidence: 65%

Anthropometric indicators as predictors of pelvic floor muscle distress in young women

Scarabelot

Pereira

Pelegrini

et al. 2020

Neurourology and Urodynamics

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Aim To identify anthropometric indicators that could predict pelvic floor muscle distress (PFMD) in young women. Method A cross‐sectional study was conducted, whose sample consisted of 54 women aged between 18 and 35 years. The Pelvic Floor Distress Inventory was used to assess the PFMD. The anthropometric indicators evaluated were body mass index (BMI) being measured the weight and height, body fat percentage (skinfolds), waist circumference (WC), waist‐to‐hip ratio (WHR), and relative fat mass (RFM), which is calculated from height and WC. Descriptive and inferential statistics (Spearman correlation, simple linear regression, and receiver operating characteristic curve) were used, with a significance level of 5%. Results The PFMD and the anthropometric indicators BMI (r = .43), body fat percentage (r = .42), WC (r = .46), WHR (r = .49), and RFM (r = .48) showed a positive and moderate correlation (P < .01). In all, 24%, 23%, 20%, and 18% of the PFMD can be credited to RFM, WC, WHR, and body fat percentage, respectively. The cut‐off point for RFM was 38.44 for the symptom of pressure in the lower abdomen and 36.24 for symptom of stress urinary incontinence and incomplete emptying of the bladder. Conclusion Anthropometric indicators of body fat percentage, WC, WHR, and RFM can be predictors of PFMD in young women minimally symptomatic.

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Prevalence and degree of bother of pelvic floor disorder symptoms among women from primary care and specialty clinics in Lebanon: an exploratory study

Abstract: In this convenience sample of Lebanese women, PFD symptoms were common and were significantly correlated with demographic characteristics and self-reported comorbidities. The key reason for not seeking health care related to PFD was financial concern.

Cited by 25 publications

References 25 publications

Pelvic, anorectal and urinary symptoms according to the nutritional status of adult women: A cross-sectional study

Pelvic, anorectal and urinary symptoms according to the nutritional status of adult women: A cross-sectional study

Indian consensus on chronic constipation in adults: A joint position statement of the Indian Motility and Functional Diseases Association and the Indian Society of Gastroenterology

Anthropometric indicators as predictors of pelvic floor muscle distress in young women

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