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Contributory effects of individual characteristics on pelvic floor distress in women with pelvic floor dysfunctions.
- Source :
-
Physiotherapy Theory & Practice . Mar2024, Vol. 40 Issue 3, p625-636. 12p. - Publication Year :
- 2024
-
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]
- Subjects :
- *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
Subjects
Details
- Language :
- English
- ISSN :
- 09593985
- Volume :
- 40
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Physiotherapy Theory & Practice
- Publication Type :
- Academic Journal
- Accession number :
- 175723240
- Full Text :
- https://doi.org/10.1080/09593985.2022.2127137