Sports Medicine and the Pelvic Floor

Donnelly, G. L.; Moore, Isabel S.

doi:10.1249/jsr.0000000000001045

Cited by 11 publications

(16 citation statements)

References 96 publications

(167 reference statements)

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“…Training duration per week increased the risk of rugby players experiencing SUI, but increasing body mass index (BMI) and age did not 7. This contrasts with other populations where a higher BMI and age are associated with SUI 15. Playing position may also affect SUI risk due to different game demands and physical characteristics associated with positions but has not been explored.…”

Section: Introductionmentioning

confidence: 99%

Stress urinary incontinence prevalence and risk factors in female rugby players: a common health problem across four nations

McCarthy-Ryan,

Perkins,

Donnelly

et al. 2024

BMJ Open Sport Exerc Med

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ObjectivesFemale athletes engaging in high-impact sports have a higher prevalence of experiencing stress urinary incontinence (SUI). However, the prevalence of sport-specific SUI and associated risk factors in female rugby players is relatively unknown. We aimed to determine the prevalence of general and rugby-related SUI and identify associated risk factors and inciting events in female rugby players.MethodsObservational, cross-sectional study of 396 female rugby players (age 28±8 years, mass 80±18 kg, height 1.90±0.19 m, playing years 7±6 years) participating in rugby across UK and Ireland completed an electronic questionnaire regardless of SUI status.Results63 to 88% of players had SUI, and 43% had rugby-related SUI. There was an association with players reporting a change in incontinence status due to playing rugby (p<0.001). Players who experienced constipation (OR 2.33 (95% CI 1.49 to 3.66)), had given birth (OR 2.36 (95% CI 1.18 to 4.73)) or who had a higher body mass index (BMI) (OR 1.04 (95% CI 1.01 to 1.08)), were identified as having increased odds of rugby-related SUI. For rugby-specific risk factors, playing as a forward (OR 1.97 (95% CI 1.29 to 3.01)) increased the odds, whereas playing at a national compared with amateur level (OR 0.44 (95% CI 0.20 to 0.97)) decreased the odds of rugby-related SUI. The most prevalent inciting SUI events were being tackled (75%), tackling (66%), running (63%) and jumping/landing (59%).ConclusionRugby-related SUI was prevalent in female rugby players. Risk factors were having constipation, a high BMI, being postpartum, playing position and level. Player welfare strategies addressing pelvic floor dysfunction and postpartum rehabilitation are warranted.

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Section: Introductionmentioning

confidence: 99%

Stress urinary incontinence prevalence and risk factors in female rugby players: a common health problem across four nations

McCarthy-Ryan,

Perkins,

Donnelly

et al. 2024

BMJ Open Sport Exerc Med

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“…High-impact sports have been linked with an increased risk of developing PFD. For instance, up to 76% of female volleyball players reported urinary symptoms 2…”

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confidence: 99%

“…Despite the widespread occurrence and consequences of PFD, it remains under-reported by athletes 1 2. Misinformation, misperceptions and miseducation about PFD for both clinicians and athletes can adversely impact an athlete’s health, care, training and performance 2 3…”

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confidence: 99%

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Infographic. Ten naked truths about the pelvic floor in athletes

Giagio,

Stracciolini,

Faigenbaum

et al. 2023

Br J Sports Med

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Is your system fit for purpose? Female athlete health considerations for rugby injury and illness surveillance systems

Moore,

McCarthy‐Ryan,

Palmer

et al. 2024

European Journal of Sport Science

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This review discusses female‐specific health considerations in injury and illness surveillance and provides rugby‐specific recommendations for future surveillance. Identifying priority injury and illness problems by determining those problems with the highest rates within women's rugby may highlight different priorities than sex comparisons between men's and women's rugby. Whilst sports exposure is the primary risk for health problems in sports injury and illness surveillance, female athletes have health domains that should also be considered. Alongside female athlete health domains, studies investigating rugby injuries and illnesses highlight the need to broaden the health problem definition typically used in rugby injury and illness surveillance. Using a non‐time‐loss health problem definition, recording female‐specific population characteristics, embedding female athlete health domains and having up‐to‐date injury and illness coding systems should be prioritized within surveillance systems to begin to shed light on potential interactions between sports exposure, health domains and, injuries and illnesses. We call for a collaborative approach across women's rugby to facilitate large injury and illness datasets to be generated and enable granular level categorization and analysis, which may be necessary for certain female athlete health domains. Applying these recommendations will ensure injury and illness surveillance systems improve risk identification and better inform injury and illness prevention strategies in women's rugby.

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Sports Medicine and the Pelvic Floor

Cited by 11 publications

References 96 publications

Stress urinary incontinence prevalence and risk factors in female rugby players: a common health problem across four nations

Stress urinary incontinence prevalence and risk factors in female rugby players: a common health problem across four nations

Infographic. Ten naked truths about the pelvic floor in athletes

Is your system fit for purpose? Female athlete health considerations for rugby injury and illness surveillance systems

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