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dc.contributor.authorTennfjord, Merete Kolberg
dc.contributor.authorEngh, Marie Ellström
dc.contributor.authorBø, Kari
dc.date.accessioned2021-06-07T07:21:32Z
dc.date.available2021-06-07T07:21:32Z
dc.date.created2020-06-12T13:19:27Z
dc.date.issued2020
dc.identifier.citationPhysical Therapy. 2020, 100(9), 1681-1689.en_US
dc.identifier.issn0031-9023
dc.identifier.urihttps://hdl.handle.net/11250/2758063
dc.descriptionDette er siste tekst-versjon av artikkelen, og den kan inneholde små forskjeller fra forlagets pdf-versjon. Forlagets pdf-versjon finner du her: https://doi.org/10.1093/ptj/pzaa084 / This is the final text version of the article, and it may contain minor differences from the journal's pdf version. The original publication is available here: https://doi.org/10.1093/ptj/pzaa084en_US
dc.description.abstractObjective: There is limited knowledge on how exercise impacts the pelvic floor muscles (PFM) and prevalence of stress urinary incontinence (SUI) and pelvic organ prolapse (POP) postpartum. The purpose of this study was to investigate whether early onset of general exercise postpartum negatively affects the PFM and/or increases the risk of SUI and POP 12 months postpartum. Methods: This study used a prospective cohort design. At 6 weeks postpartum, 57 women classified as exercisers (exercising ≥3 times at ≥30 min/week) were compared with 120 nonexercisers (mean age = 29 y, SD = 4.3). Manometry was used to measure vaginal resting pressure (VRP), PFM strength, and PFM endurance, and symptoms of SUI and POP were assessed using questionnaires. Data were presented as standardized beta coefficients (B) and odds ratios (OR). Results: No differences were found between exercisers (n = 57) and nonexercisers (n = 120) at 6 weeks postpartum on VRP (B = −0.04 [95% CI = −3.4 to 2.1]), PFM strength (B = 0.03 [95% CI = −4.7 to 7.4]), PFM endurance (B = −0.02 [95% CI = −59 to 46]), or symptoms of SUI (OR = 0.51 [95% CI = 0.25 to 1.1]) or POP (OR = 0.62 [95% CI = 0.26 to 1.5]) measured at 12 months postpartum. Adjusting for covariates, women with body mass index between 25 and 29.9 and > 30 were more likely to report SUI 12 months postpartum (OR = 2.2 [95% CI = 1.0 to 4.7] and OR = 3.3 [95% CI = 1.2 to 9.4], respectively). Women with physically strenuous occupations were more likely to report POP 12 months postpartum (OR = 3.0 [95%CI: 1.2 to 7.3]). Conclusions: This study suggests that regular exercise 6 weeks postpartum has no negative effect on PFM function or on SUI or POP. Being overweight, however, was associated with more SUI, and women with physically strenuous occupations reported more POP. Impact: Results from this study suggest that first time mothers should be encouraged to start general exercise within the first 6 weeks after giving birth. Women at risk for PFD should be advised accordingly and potentially modifiable risk factors should be addressed prior to delivery.en_US
dc.language.isoengen_US
dc.subjectadulten_US
dc.subjectexercise / physiologyen_US
dc.subjectfemaleen_US
dc.subjecthumansen_US
dc.subjectmanometryen_US
dc.subjectmuscle strength / physiologyen_US
dc.subjectmuscular diseases / epidemiologyen_US
dc.subjectoccupationsen_US
dc.subjectoverweight / complicationsen_US
dc.subjectparityen_US
dc.subjectpelvic floor / physiologyen_US
dc.subjectpelvic organ prolapseen_US
dc.subjectpostpartum perioden_US
dc.subjectpregnancyen_US
dc.subjectprevalenceen_US
dc.subjectprospective studiesen_US
dc.subjecturinary incontinence, stressen_US
dc.subjectvagina / physiologyen_US
dc.titleThe Influence of Early Exercise Postpartum on Pelvic Floor Muscle Function and Prevalence of Pelvic Floor Dysfunction 12 Months Postpartumen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionacceptedVersionen_US
dc.source.pagenumber1681-1689en_US
dc.source.volume100en_US
dc.source.journalPhysical Therapyen_US
dc.source.issue9en_US
dc.identifier.doi10.1093/ptj/pzaa084
dc.identifier.cristin1815244
dc.description.localcodeInstitutt for idrettsmedisinske fag / Department of Sports Medicineen_US
cristin.ispublishedtrue
cristin.fulltextpostprint
cristin.fulltextpostprint
cristin.qualitycode2


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