The effect of physical activity on pelvic organ prolapse
The effect of physical activity on pelvic organ prolapse
复制标题
DOI：
10.1111/j.1471-0528.2009.02112.x
复制
发表时间：
2009-05-01
影响因子：
5.8
通讯作者：
中科院分区：
文献类型：
--
作者：
本研究的目的是确定是否增加体育活动后盆腔器官脱垂。前瞻性观察研究。圣玛丽医院，曼彻斯特，英国。妇女接受盆腔器官脱垂手术。54名妇女被招募到这项研究。经过一段时间的规定活动和过夜卧床休息后，对症状和POPQ结果进行评估。主要结果是盆腔器官脱垂定量（POPQ）测量值随活动的增加而增加。次要结果是症状或生活质量评分（盆底不适量表[PFDI]和盆底影响问卷[PFIQ]）与POPQ测量值增加的相关性，POPQ分期和5个阴道参数（Aa、Ba、C、Ap和Bp）与体力活动显著增加（P < 0.001）。报告的症状，更高的PFDI和PFIQ评分和更高的个人症状困扰评分并不更常见的妇女更大的盆腔器官下降（测量POPQ系统）后体力activity.Greater盆腔器官脱垂发现POPQ检查后体力activity.Greater，但这是不相关的症状恶化和更大的损害生活质量。
The objective of this study was to determine whether pelvic organ prolapse increases after physical activity.Prospective observational study.St Mary's Hospital, Manchester, UK.Women undergoing surgery for pelvic organ prolapse.Fifty-four women were recruited to the study. Symptoms and POPQ findings were assessed after a period of prescribed activity and overnight bedrest.Primary outcome was an increase in Pelvic Organ Prolapse Quantification (POPQ) measurements with activity. Secondary outcomes were association of symptoms or quality-of-life scores (Pelvic Floor Distress Inventory [PFDI] and Pelvic Floor Impact Questionnaire [PFIQ]) with an increase in POPQ measurements.There was a significant increase in POPQ stage and five vaginal parameters (Aa, Ba, C, Ap and Bp) with physical activity (P < 0.001). Reported symptoms, higher PFDI and PFIQ scores and higher individual symptom bother scores were not more common in the women with greater pelvic organ descent (measured by the POPQ system) following physical activity.Greater pelvic organ prolapse was found on POPQ examination following physical activity, but this was not associated with worsening of symptoms and greater impairment of quality of life.