Association Between Physical Activity and Pelvic Floor Disorders in Parous Ugandan Women

Julia Diane Fleecs; Michael Derrick Ngobi; Flavia Matovu Kiweewa; Ramya Vemulapalli; JaNiese Elizabeth Jensen; Haley Alaine Steffen; Linder Hagstrom Wendt; Jay Brooks Jackson; Kimberly Ann Kenne

doi:10.1007/s00192-024-05859-4

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Association Between Physical Activity and Pelvic Floor Disorders in Parous Ugandan Women

Journal article

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Association Between Physical Activity and Pelvic Floor Disorders in Parous Ugandan Women

Julia Diane Fleecs, Michael Derrick Ngobi, Flavia Matovu Kiweewa, Ramya Vemulapalli, JaNiese Elizabeth Jensen, Haley Alaine Steffen, Linder Hagstrom Wendt, Jay Brooks Jackson and Kimberly Ann Kenne

International urogynecology journal, Vol.35(9), pp.1769-1775

09/2024

DOI: 10.1007/s00192-024-05859-4

PMCID: PMC11420277

PMID: 39002045

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Abstract

Introduction and Hypothesis The aim was to assess the association between the degree of physical activity (PA) and the presence of pelvic floor disorders (PFDs) in a cohort of parous Ugandan women. Methods In this cross-sectional study, PFDs were measured using symptom assessment, standardized questionnaires (Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire), and a standardized physical examination (POP-Q and cough stress test [CST]). Degree of PA was assessed using the International Physical Activity Questionnaire. Interquartile ranges were used to describe the age, parity, and body mass index (BMI) of participants. To examine the association between PA and PFDs, a log transformation was applied to the weekly minutes of PA variable and a logistic regression model was constructed with weekly minutes of moderate/vigorous PA, age, BMI, and parity as the predictors. Results A total of 159 women were enrolled. Median age was 35 (IQR 32–37), median parity 4 (IQR 3–5), and median BMI 29.0 (IQR 24–33). The prevalence of PFD as determined by symptom assessment was 28% (n=44). The most frequent stage of prolapse identified by POP-Q was stage II (57%, n=91). Thirty-six percent of the women (n=58) reported vigorous PA. Ninety-nine percent of the cohort (n=158) reported moderate PA. When controlling for age, parity, and BMI there was a significant positive association between PFD (defined as a combination of stage II prolapse, positive CST, and urinary incontinence (UI)) and moderate PA (OR 2.20, 95% CI 1.08–5.14, p value 0.045). Conclusions Pelvic floor disorders are common among parous Ugandan women and are associated with moderate PA when controlling for age, BMI, and parity. Understanding the risk factors associated with PFD in this population may better equip providers to screen and care for individuals.

Details

Title: Subtitle: Association Between Physical Activity and Pelvic Floor Disorders in Parous Ugandan Women
Creators: Julia Diane Fleecs - University of Iowa
Michael Derrick Ngobi - University of Iowa
Flavia Matovu Kiweewa - University of Iowa
Ramya Vemulapalli - University of Iowa
JaNiese Elizabeth Jensen - University of Iowa
Haley Alaine Steffen - University of Iowa
Linder Hagstrom Wendt - University of Iowa
Jay Brooks Jackson - University of Iowa, Pathology
Kimberly Ann Kenne - University of Iowa
Resource Type: Journal article
Publication Details: International urogynecology journal, Vol.35(9), pp.1769-1775
DOI: 10.1007/s00192-024-05859-4
PMID: 39002045
PMCID: PMC11420277
NLM abbreviation: Int Urogynecol J
ISSN: 1433-3023
eISSN: 1433-3023
Publisher: Springer Nature
Language: English
Electronic publication date: 07/13/2024
Date published: 09/2024
Academic Unit: Pathology; Obstetrics and Gynecology
Record Identifier: 9984656631702771

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