Sade Shanny, Naor Inbar, Rotem Reut, Waichenberg Lauren, Kravits Dana Zilberman, Weintraub Adi Y
Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, PO Box 151, Beer-Sheva, Israel.
Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Arch Gynecol Obstet. 2024 May;309(5):2223-2228. doi: 10.1007/s00404-023-07351-8. Epub 2024 Feb 11.
Sports and physical activity are known risk factors for pelvic floor dysfunction (PFD). The aim of this study is to examine the impact of amateur running on PFD, quality of life (QoL), and sexual function.
Amateur runners were contacted through social media. Their PFD, sexual function, and QoL were evaluated by self-reporting validated questionnaires (PFDI-20, PISQ-12, IIQ-7). They were divided by degree of effort into two categories, 'High effort' and 'Moderate effort'. The differences between the two groups were examined by a Mann-Whitney U Test, T-Test, and Chi-square test.
180 women were included. A high incidence of PFD was found among 'High effort' runners in comparison to 'Moderate effort' runners. In addition, women who scored above the median in the PFDI-20 showed significantly greater impairment in QoL and sexual function. Interestingly, the 'High effort' group reported experiencing higher intensity orgasms compared with women in the 'Moderate effort' group. A correlation was also found between the weekly running distance and the intensity of orgasm experienced (P value = 0.004).
'High effort' runners present a higher incidence of PFD in comparison to 'Moderate effort' runners. Professional pelvic floor muscle training counselling should be considered even for amateur runners. Future interventional physical therapy studies should be carried out in order to investigate preventative strategies.
运动和体育活动是已知的盆底功能障碍（PFD）风险因素。本研究的目的是探讨业余跑步对盆底功能障碍、生活质量（QoL）和性功能的影响。
通过社交媒体联系业余跑步者。通过自我报告验证问卷（PFDI - 20、PISQ - 12、IIQ - 7）评估他们的盆底功能障碍、性功能和生活质量。根据努力程度将他们分为“高强度努力”和“中等强度努力”两类。两组之间的差异通过曼 - 惠特尼U检验、T检验和卡方检验进行检查。
纳入180名女性。与“中等强度努力”的跑步者相比，“高强度努力”的跑步者中盆底功能障碍的发生率较高。此外，PFDI - 20得分高于中位数的女性在生活质量和性功能方面的损害明显更大。有趣的是，与“中等强度努力”组的女性相比，“高强度努力”组报告经历的性高潮强度更高。还发现每周跑步距离与经历的性高潮强度之间存在相关性（P值 = 0.004）。
与“中等强度努力”的跑步者相比，“高强度努力”的跑步者盆底功能障碍的发生率更高。即使对于业余跑步者，也应考虑提供专业的盆底肌肉训练咨询。未来应开展干预性物理治疗研究以调查预防策略。
