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女性进行不同高强度运动时的压力性尿失禁:一项初步调查。

Stress Incontinence during Different High-Impact Exercises in Women: A Pilot Survey.

机构信息

College of Rehabilitative Sciences, University of St Augustine for Health Sciences, San Marcos, CA 92069, USA.

School of Physical Therapy, Touro University Nevada, Henderson, NV 89014, USA.

出版信息

Int J Environ Res Public Health. 2020 Nov 12;17(22):8372. doi: 10.3390/ijerph17228372.

Abstract

The aim of this survey was to investigate the prevalence of stress urinary incontinence (SUI) among women (primigravida, multigravida, and nulligravida) in high-impact exercise groups-CrossFit, kickboxing, and boot camp. Incontinence Survey was modified to an anonymous online questionnaire. A total of 17 participants, 64.2% reported at least some urinary leakage during exercise. About 85.7% of participants in each of the 3 high-intensity exercise groups exercised >3 h/week. There was no significant difference in the likelihood of urinary leakage between participants who have had at least 1 pregnancy and those who had never been pregnant. CrossFit group were significantly more likely to report urinary leakage than those in the kickboxing and boot camp groups combined ( = 0.023). The participants did not exhibit typical risk factors, as they were premenopausal, active, and had an average body mass index within the normal range. This pilot survey indicates that all women those who do high-impact exercises are susceptible to stress urinary incontinence (SUI), and that CrossFit poses a greater risk for SUI in terms of more jumping resulting in increased intra-abdominal pressure and ground reaction forces compared to others. Our pilot study indicates that a higher risk of SUI during high impact exercises may exist associated with previous pregnancy but also in nulliparous women.

摘要

本调查旨在研究高强度运动(CrossFit、跆拳道和体能训练营)女性(初产妇、经产妇和未产妇)压力性尿失禁(SUI)的患病率。我们将尿失禁调查问卷修改为匿名在线问卷。共有 17 名参与者,64.2%的参与者在运动时至少有一些漏尿。大约 85.7%的 3 个高强度运动组的参与者每周锻炼>3 小时。至少有 1 次妊娠的参与者与从未妊娠的参与者发生尿失禁的可能性无显著差异。与跆拳道和体能训练营组相比,CrossFit 组报告漏尿的可能性明显更高( = 0.023)。参与者没有表现出典型的风险因素,因为她们处于绝经前、活跃状态,且平均体重指数在正常范围内。这项初步调查表明,所有从事高强度运动的女性都容易发生压力性尿失禁(SUI),而且与其他运动相比,CrossFit 由于更多的跳跃导致腹内压和地面反作用力增加,因此对 SUI 的风险更大。我们的初步研究表明,高强度运动时发生 SUI 的风险可能与之前的妊娠有关,但也可能与未生育的女性有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b5b/7696460/07e48667ecb9/ijerph-17-08372-g001.jpg

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