Department of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical University in Szczecin, Poland.
Department of Gynecology, Endocrinology and Gynecologic Oncology, Pomeranian Medical University in Szczecin, Poland.
Biomed Res Int. 2020 Jul 2;2020:1205281. doi: 10.1155/2020/1205281. eCollection 2020.
The aim of the study was to analyze the influence gymnastics has on the quality of life (QOL) in women with grade 1 stress urinary incontinence (SUI) and to determine the relationship between the outcome and selected body weight indices: body mass index (BMI) and waist-to-hip ratio (WHR).
A randomized study of 140 women (45-60 years) with grade 1 SUI. The subjects were randomly assigned to a 3-month training for pelvic floor muscles and a transverse abdominal muscle (PFM + TrA, = 70) or PFM alone ( = 70). The QOL was determined with the questionnaire International Consultation on Incontinence Modular Questionnaire-Lower Urinary Tract Symptoms Quality of Life (ICIQ LUTS QOL), before and after the program.
Women with BMI < 30 kg/m benefited more from the PFM + TrA program with respect to physical limitations and embarrassment domains, whereas patients with a gynoid body type (WHR < 0.8) benefited more in terms of physical and social limitations, SUI-evoked emotions, severity measures, and embarrassment domains.
After the PFM + TrA training, women with WHR < 0.8 had a better QOL than those with WHR > 0.8.
本研究旨在分析体操对 1 级压力性尿失禁（SUI）女性生活质量（QOL）的影响，并确定结果与选定体重指数之间的关系：体重指数（BMI）和腰臀比（WHR）。
对 140 名 45-60 岁 1 级 SUI 女性进行随机研究。将受试者随机分为 3 个月的骨盆底肌肉和腹横肌训练组（PFM + TrA，n=70）或单独 PFM 训练组（n=70）。在方案前后，使用国际尿失禁咨询委员会下尿路症状生活质量问卷（ICIQ-LUTS QOL）对 QOL 进行评估。
BMI<30kg/m2 的女性从 PFM+TrA 方案中获益更多，在身体限制和尴尬领域，而女性体型为女性型（WHR<0.8）在身体和社会限制、SUI 诱发的情绪、严重程度衡量和尴尬领域获益更多。
经过 PFM+TrA 训练后，WHR<0.8 的女性比 WHR>0.8 的女性生活质量更好。
