Prevalence of symptomatic pelvic floor disorders in community-dwelling women in low and middle-income countries: a systematic review and meta-analysis

Islam, Rezwan; Oldroyd, John; Rana, Juwel; Romero, Lorena; Karim, Nazmul

doi:10.1007/s00192-019-03992-z

Cited by 56 publications

(42 citation statements)

References 61 publications

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“…The mean prevalence of FI reported in the review was higher compared to this study [5]. On the other hand it is in line with a systemic review and meta-analysis in low and middle-income countries [22]. For local authorities and other concerned bodies, we recommend planning for regular campaigns to screen and link the women to health institution for further diagnosis and treatment of the problem.…”

Section: Discussionsupporting

confidence: 88%

Symptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia

et al. 2021

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Introduction Pelvic floor disorders (PFD) are gynecologic health problems containing a wide variety of clinical problems; the most prevalent problems are pelvic organ prolapse, fecal incontinence, and urinary incontinence. It is a significant women’s health problem for both developed and developing countries. One in five women in Ethiopia experiences at least one major type of pelvic floor disorders. Despite the severity of the problem, due attention was not given, and no study has been conducted on pelvic floor disorders in the Gurage Zone. Objective To determine the prevalence and associated factors of symptomatic pelvic floor disorders among women living in Gurage Zone, SNNPR, Ethiopia, 2020. Methodology Community-based cross-sectional study was conducted from February to March 2020 among 542 women residing in the Gurage Zone. A multi-stage sampling method was used to select the participants. Interviewer administered, pretested questionnaires containing questions related to pelvic organ prolapse, urinary, and fecal incontinence was used. The urinary incontinence severity index questionnaire was used to assess the severity of urinary incontinence. Epi-Info x7 was used to record data, and SPSS was used to analyze the data. Binary logistic regression with 95% CI was used to explore the relationship between PFD and other independent variables. After multivariable logistic regression analysis variables with P-value less than 0.05 was used to determine significant association. Result A total of 542 participants were included in this study. Overall, 41.1% of the participants reported one or more symptoms of pelvic floor disorders. Urinary incontinence had the highest prevalence (32.8%), followed by pelvic organ prolapse (25.5%) and fecal incontinence (4.2%). History of weight lifting >10 Kg (AOR = 3.38; 95% CI: 1.99, 5.72), ≥5 vaginal delivery (AOR = 11.18; 95% CI: 1.53, 81.58), and being in menopause (AOR = 3.37; 95% CI: 1.40, 8.07) were identified as possible contributing factors in the development of a pelvic floor disorders. Conclusion The prevalence of symptomatic PFD was higher compared to other similar studies in Ethiopia. Heavy weight lifting, repetitive vaginal deliveries and menopause were factors significantly associated with PFD. Expansion of technologies and building basic infrastructures, health education on kegel exercise and promotion of family planning should be considered as a prevention strategy.

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Section: Discussionsupporting

confidence: 88%

Symptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia

et al. 2021

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“…Studies conducted in high-income countries have demonstrated that incontinence can be prevented by addressing modifiable risk factors through primary prevention in the community or nursing homes [11,12]. Recognized risk factors for both urinary and fecal incontinence can be categorized into physical status (e.g., increasing age, obesity, constipation, limited physical activity, and cognitive impairment), psychosocial (e.g., changes in lifestyle, depression, and imagined or actual rejection by relatives), and environmental (e.g., inadequate lighting and heating in the toilet, lack of easy access to a toilet, and unsuitable clothing) [3,13,14]. Age-related changes, such as chronic diseases, cognitive impairment, and decline in daily activity, make older adults more vulnerable to incontinence.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Associated Factors of Fecal Incontinence and Double Incontinence among Rural Elderly in North China

Luo

Wang

Zou

et al. 2020

IJERPH

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Fecal and double incontinence are known to be more prevalent among the rural elderly. Yet, there have been few studies on their epidemic condition among Chinese rural elders. This study estimated the prevalence and correlates of fecal and double incontinence in rural elderly aged 65 years and over in North China. A multisite cross-sectional survey was conducted in 10 villages, yielding a sampling frame of 1250 residents. Fecal and urinary incontinence assessments were based on the self-reported bowel health questionnaire and the International Consultation on Incontinence Questionnaire-Short Form, respectively. The concomitant presence of fecal and urinary incontinence in the same subject was defined as double incontinence. The prevalence of fecal and double incontinence was 12.3% and 9.3%, respectively. Factors associated with fecal incontinence included urinary incontinence, lack of social interaction, traumatic brain injury, cerebrovascular disease, and poverty. Physical activities of daily living dependence, traumatic brain injury, lack of social interaction, and poor sleep quality were associated with higher odds of having double incontinence, whereas tea consumption was correlated with lower odds. Individualized intervention programs should be developed targeting associated factors and high-risk populations. These intervention programs should be integrated into existing public health services for the rural elderly to facilitate appropriate prevention and management of incontinence.

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“…Many people attributed it to some risk factors including aging, obesity, vaginal delivery, hypoestrogenism, preoperative hysterectomy, nutrition, an many other environmental factors [5][6][7][8][9]; however, these factors are not acting as a necessary role for POP progression. Approximate 50% POP patients do not embrace vaginal delivery or hypoestrogenism, and not everyone who is old or has preoperative hysterectomy will acquire POP.…”

Section: Introductionmentioning

confidence: 99%

COL3A1 rs1800255 polymorphism is associated with pelvic organ prolapse susceptibility in Caucasian individuals: Evidence from a meta-analysis

Ning

2021

PLoS ONE

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Background The collagen 3 alpha 1 (COL3A1) rs1800255 polymorphism has been reported to be associated with women pelvic organ prolapse (POP) susceptibility, but the results of these previous studies have been contradictory. The objective of current study is to explore whether COL3A1 rs1800255 polymorphism confers risk to POP. Methods Relevant literatures were searched by searching databases including Pubmed, Embase, Google academic, the Cochrane library, China National Knowledge Infrastructure (CNKI). Search time is from database foundation to March 2021. Results A total of seven literatures were enrolled in the present meta-analysis, including 1642 participants. Overall, no significant association was found by any genetic models. In subgroup analysis based on ethnicity, significant associations were demonstrated in Caucasians by allele contrast (A vs. G: OR = 1.34, 95%CI = 1.03–1.74,), homozygote comparison (AA vs. GG: OR = 3.25, 95%CI = 1.39–7.59), and recessive genetic model (AA vs. GG/GA: OR = 3.22, 95%CI = 1.40–7.42). Conclusions The present meta-analysis suggests that the COL3A1 is a candidate gene for POP susceptibility. Caucasian individuals with A allele and AA genotype have a higher risk of POP. The COL3A1 rs1800255 polymorphism may be risk factor for POP in Caucasian population.

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Prevalence of symptomatic pelvic floor disorders in community-dwelling women in low and middle-income countries: a systematic review and meta-analysis

Cited by 56 publications

References 61 publications

Symptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia

Symptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia

Prevalence and Associated Factors of Fecal Incontinence and Double Incontinence among Rural Elderly in North China

COL3A1 rs1800255 polymorphism is associated with pelvic organ prolapse susceptibility in Caucasian individuals: Evidence from a meta-analysis

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