The Stress Urinary Incontinence in CrossFit (SUCCeSS) Study

Abstract

Objective To evaluate the prevalence and severity of urinary incontinence (UI) in women who participate in CrossFit classes compared with women who participate in non-CrossFit group fitness classes. Methods The authors conducted a cross-sectional study of women who participate in either CrossFit or non-CrossFit group fitness classes using an online survey. Participants provided demographic information and completed the Incontinence Severity Index and Urinary Distress Inventory. Participants were recruited from local CrossFit and non-CrossFit gyms, online via social media, and an electronic CrossFit Newsletter. Associated comorbidities, exercises associated with UI, and coping mechanisms for urinary leakage were also assessed. Results Four hundred twenty-three women meeting inclusion criteria completed the survey, including 322 CrossFit participants and 101 non-CrossFit participants. We found that CrossFit participants were older than non-CrossFit participants and more likely to self-identify as non-Hispanic white. CrossFit participants more commonly reported UI (84% vs 48%, P = <0.001), higher severity of UI (Urinary Distress Inventory score: 20.8 vs 12.5, P < 0.001), and specifically more stress UI (73% vs 47%, P < 0.001). Weightlifting and jumping movements were the most common exercises associated with UI in CrossFit participants. Age and participation in CrossFit are significant and independent predictors of UI. Conclusions More than 80% of CrossFit participants reported UI and half of these reported moderate-severe UI, as compared with women who participate in non-CrossFit classes, less than half of whom reported UI with a small minority reporting moderate-severe UI. Exercises most associated with UI were jumping and weightlifting.

Risk factors of postpartum stress urinary incontinence in primiparas

“…[ 18 ] The incidence of postpartum SUI reported in previous literature is differed 7% to 40%, and the reason for the large difference in incidence may be related to the diagnosis standard of SUI, inspection time and delivery method, number of deliveries, ethnicity, and socioeconomic status. [ 19 , 20 ] The pathogenesis of SUI is complicated, and there is no conclusion yet. It is generally believed that postpartum pelvic floor tissue neurological damage, myogenic changes or collagen tissue structure changes, leading to pelvic floor dysfunction and thus leading to the occurrence of SUI.…”

CrossFit® – Development, Benefits and Risks

“…Weightlifting, jumping movements (single and double unders) and box-jumps with high intra-abdominal pressure were the most common exercises and reasons associated with UI in CrossFit athletes; also age and participation in CrossFit are significant and independent predictors of UI as number of vaginal deliveries ( [6] , [12] ).…”

“…At this point the injury reducing influence of supervision by qualified coaches becomes apparent [40] ; especially among novice participants who seem more prone to injury than experienced participants [21] . Also, this includes the adequate exercise selection for females with urinary incontinence problems which are more likely to occur in CrossFit [6] .…”

Disfunções do assoalho pélvico em praticantes de Crossfit

“…Foram encontrados dois estudos que investigaram a prevalência de DAP em praticantes de CrossFit® através de questionários eletrônicos [17,18]. Dois estudos compararam os sintomas urinários entre atletas de CrossFit® e praticantes de atividades de baixo impacto [9,19]. Outros dois artigos utilizaram testes para força e suporte da MAP [20,21] e todos os estudos incluídos foram de delineamento transversal.…”

“…Por fim, 6 estudos foram selecionados após a leitura analítica por apresentarem o objeto de análise e aspectos que respondiam à questão norteadora. A Figura 1 representa o fluxograma de pesquisa relatado e os 6 artigos selecionados trata-se de estudos de delineamento transversal[9,[17][18][19][20][21].Prisma, 2009[16]…”