1. Contributory effects of individual characteristics on pelvic floor distress in women with pelvic floor dysfunctions.
- Author
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Özgül, Serap, Gürşen, Ceren, Toprak Çelenay, Şeyda, Baran, Emine, Üzelpasacı, Esra, Nakip, Gülbala, Çinar, Gamze Nalan, Beksaç, Mehmet Sinan, and Akbayrak, Türkan
- Subjects
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PELVIC anatomy , *MATERNAL health services , *CONFIDENCE intervals , *ANTHROPOMETRY , *CROSS-sectional method , *CONSTIPATION , *AGE distribution , *MUSCULOSKELETAL system , *REGRESSION analysis , *RISK assessment , *WAIST-hip ratio , *T-test (Statistics) , *VAGINA , *PEARSON correlation (Statistics) , *PSYCHOLOGY of women , *WAIST circumference , *MATERNAL age , *COUGH , *BIRTH weight , *DESCRIPTIVE statistics , *URINARY incontinence , *SOCIODEMOGRAPHIC factors , *DELIVERY (Obstetrics) , *BODY mass index , *DATA analysis software , *PELVIC floor disorders , *PSYCHOLOGICAL distress , *EDUCATIONAL attainment , *DISEASE risk factors , *DISEASE complications - Abstract
To determine individual characteristics (i.e. sociodemographic and medical, obstetric and gynecological, and musculoskeletal and anthropometric parameters) for greater pelvic floor distress (PFD). A cross-sectional study was performed in 253 women with pelvic floor dysfunction. PFD was assessed using the Pelvic Floor Distress Inventory-20 (PFDI-20). The score of Urogenital Distress Inventory-6 (UDI-6) was used to perform secondary analyses. Sociodemographic, medical, and obstetric & gynecological parameters were recorded. Waist and hip circumferences and pelvic diameters were measured as anthropometric parameters. Pearson test, t-test, and linear regression analyses were conducted with a significance level of 0.05. Education level (r = −0.23, p <.001; r = −0.24, p <.001), number of vaginal births (r = 0.15, p =.012; r = 0.12, p =.048), total vaginal birth weight (r = 0.15, p =.021; r = 0.16, p =.019), and Body Mass Index (r = 0.12, p =.043; r = 0.16, p =.007) were significantly correlated with the higher PFDI-20 and UDI-6 scores. The maternal age at the first vaginal birth (r = −0.13, p =.049) and pelvic antero-posterior diameter (r = 0.17, p =.013) were also significantly correlated with higher UDI-6 score. Linear regression analyses revealed that younger age (Beta coefficient (β) = −1.10, p =.005), greater symptom duration (β = 2.28, p =.001), the presence of chronic cough/constipation (β = 25.72, p =.001), and increased total vaginal birth weight (β = 2.38, p =.030) were associated with the greater PFDI-20 score. Increased pelvic antero-posterior diameter (β = 0.88, p =.049) was a contributory factor for the greater UDI-6 score. This study showed that younger age, chronic cough/constipation, higher total vaginal birth weight, greater symptom duration, and pelvic antero-posterior diameter can be contributors of greater PFD. We suggest further longitudinal studies that better reveal the causal relationship between individual characteristics and PFD. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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