Altshuler Paulina C, Burgard Iris M, Poling James K, Muffly Tyler
Department of Obstetrics and Gynecology, Intermountain Health, Saint Joseph Hospital, Denver, USA.
Department of Gynecologic Surgery and Obstetrics, University of Nevada, Las Vegas, Las Vegas, USA.
Wilderness Environ Med. 2025 Dec;36(4):457-464. doi: 10.1177/10806032241290804. Epub 2024 Nov 25.
IntroductionRock climbing has recently gained popularity, particularly among females. There are no current studies evaluating pelvic floor dysfunction among female climbers. This cross-sectional study seeks to investigate the prevalence of incontinence and pelvic floor disorders among female rock climbers in the United States.MethodsThis study utilized an online survey distributed via social media platforms to assess the prevalence of pelvic floor disorders. Participants were queried about demographic information, climbing habits, pregnancy history, and pelvic floor symptoms. Data analysis involved descriptive statistics and inferential analysis where applicable.ResultsA total of 343 participants completed the study, with a median age of 34 years, lean body mass, and the majority identifying as White or Caucasian. The most common pelvic floor disorder was overactive bladder ( = 314, 91.5%), and the least common was pelvic organ prolapse ( = 6, 1.7%). Rope climbers were significantly more bothered by pelvic organ prolapse and anal incontinence symptoms than boulderers (4, < .01 and 1.44, < .01, respectively). Parous climbers reported significantly higher bothersome symptoms of OAB and SUI (1.43, = .01 and 2.71, < .01, respectively) than their nulliparous counterparts.ConclusionsAlthough rock climbing represents a relatively low-impact sport and our sample was largely comprised of young, healthy, nulliparous women, female rock climbers demonstrated higher rates of pelvic floor disorders than a normative population, with rope climbers at higher risk than boulderers. Clinicians should be aware of the need for more frequent pelvic floor disorder screening in active women.
引言
攀岩运动近来颇受欢迎，在女性群体中尤甚。目前尚无针对女性攀岩者盆底功能障碍的研究。这项横断面研究旨在调查美国女性攀岩者中尿失禁和盆底疾病的患病率。
方法
本研究通过社交媒体平台发放在线调查问卷，以评估盆底疾病的患病率。询问了参与者的人口统计学信息、攀岩习惯、妊娠史和盆底症状。数据分析在适用时包括描述性统计和推断性分析。
结果
共有343名参与者完成了研究，中位年龄为34岁，身体偏瘦，大多数人认定为白人或高加索人。最常见的盆底疾病是膀胱过度活动症（n = 314，91.5%），最不常见的是盆腔器官脱垂（n = 6，1.7%）。与抱石者相比，绳索攀岩者受盆腔器官脱垂和肛门失禁症状的困扰明显更严重（分别为4，P <.01和1.44，P <.01）。经产妇攀岩者报告的膀胱过度活动症和压力性尿失禁的困扰症状明显高于未生育的同行（分别为1.43，P = 0.01和2.71，P <.01）。
结论
尽管攀岩是一项冲击力相对较低的运动，且我们的样本主要由年轻、健康、未生育的女性组成，但女性攀岩者的盆底疾病发生率高于正常人群，绳索攀岩者的风险高于抱石者。临床医生应意识到有必要对活跃女性更频繁地进行盆底疾病筛查。
