Risk Factors for Decreased Pelvic Floor Muscle Strength: Which is More Effective?

Yıl: 2021 Cilt: 27 Sayı: 1 Sayfa Aralığı: 56 - 59 Metin Dili: İngilizce DOI: 10.21613/GORM.2019.947
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Risk Factors for Decreased Pelvic Floor Muscle Strength: Which is More Effective?

Öz:
OBJECTIVE: The aim of this study was to assess whether cigarette smoking weakens the pelvic floorand to determine its effective impact relative to other factors.STUDY DESIGN: Between September 2017 and September 2018, 250 patients admitted to an outpatient gynecology clinic was examined by a single physician and their anamnesis were taken, the dataobtained were evaluated retrospectively. As a result of the examination, the pelvic floor muscle strengthwas evaluated according to the Modified Oxford Scale and the patients evaluated as 1/5 and 2/5 weregrouped as having weak muscle strength and the rest were grouped as having high muscle strength.The intention was then to compare these two groups. The SPSS 21.0 for Windows program was usedto perform statistical evaluations. Comparative analysis was performed with regression analysis.RESULTS: 250 women participated in the study. 4 patients had muscle strength of 1/5; while 40 patientshad muscle strength of 2/5 (17.6%). Patients with muscle strength of 1/5 and 2/5 were grouped as weakmuscle strength. Advanced age, increased parity, smoking, and obesity are risk factors for a decreasein pelvic floor muscle strength (p < 0.05). Binary logistic regression analysis was performed to determinewhich of these factors has the greatest impact on pelvic floor muscle strength. Smoking has a 7-fold effect on decreased muscle strength (OR: 7.925) and obesity has a 5-fold impact (OR: 5.374).CONCLUSION: Although the mechanism of the effect of cigarette smoking on the pelvic floor is notknown, it should be remembered that this effect has an adverse impact together with other factors whichalso have proven detrimental effects.
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  • 1. Stepp KJ. Walters MD. Anatomy of the lower urinary tract, rectum and pelvic floor. In: Walters M. Karram M. editors. Urogynecology and Reconstructive Surgery, 3, Philadelphia: Mosby; 2007. p.24.
  • 2. Mannella P. Palla G. Bellini M. Simoncini T. The female pelvic floor through midlife and aging. Maturitas. 2013;76(3):230-4. doi: 10.1016/j.maturitas.2013.08.008.
  • 3. Bo K. Frawley HC. Haylen BT. Abramov Y. Almeida FG. Berghmans B. et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Int Urogynecol J. 2017;28(2):191-213. doi: 10.1007/s00192-016-3123-4.
  • 4. Jelovsek JE. Maher C. Barber MD. Pelvic organ prolapse. Lancet. 2007;369(9566):1027-38. doi: 10.1016/S0140- 6736(07)60462-0.
  • 5. Vergeldt TF. Weemhoff M. IntHout J. Kluivers KB. Risk factors for pelvic organ prolapse and its recurrence: a systematic review. Int Urogynecol J. 2015;26(11):1559-73. doi: 10.1007/s00192-015-2695-8.
  • 6. Laycock J. Clinical evaluation of the pelvic floor. In: Schussler B. Laycock J. Norton P. Stanton SL. editors. Pelvic Floor Re-education. London, United Kingdom: Springer-Verlag; 1994. p. 42-8.
  • 7. Bo K. Sherburn M. Evaluation of female pelvic-floor muscle function and strength. Phys Ther. 2015;85(3):269-82.
  • 8. Ferreira CH. Barbosa PB. de Oliveira Souza F. Antonio FI. Franco MM. Bo K. Inter-rater reliability study of the modified Oxford grading scale and the Peritron manometer. Physiotherapy. 2011;97(2):132-8. doi:10.1016/ j.physio.2010.06.007.
  • 9. DeLancey JO. Kearney R. Chou Q. Speights S. Binno S. The appearance of levator ani muscle abnormalities in magnetic resonance images after vaginal delivery. Obstet Gynecol. 2003;101(1):46-53. doi:10.1016/s0029-7844 (02)02465-1.
  • 10. Chen L. Ashton-Miller JA. Hsu Y. DeLancey JO. Interaction among apical support, levator ani impairment, and anterior vaginal wall prolapse. Obstet Gynecol. 2006;108(2):324-32. doi:10.1097/01.AOG. 0000227786. 69257.a8.
  • 11. Luber KM. Boero S. Choe JY. The demographics of pelvic floor disorders: current observations and future projections. Am J Obstet Gynecol. 2001;184(7):1496-501. doi: 10.1067/mob.2001.114868.
  • 12. Giri A. Hartmann KE. Hellwege JN. Velez Edwards DR. Edwards TL. Obesity and pelvic organ prolapse: a systematic review and meta-analysis of observational studies. Am J Obstet Gynecol. 2017;217(1):11-26. doi: 10.1016/ j.ajog.2017.01.039.
  • 13. Afshari P. Dabagh F. Iravani M. Abedi P. Comparison of pelvic floor muscle strength in nulliparous women and those with normal vaginal delivery and cesarean section. Int Urogynecol J. 2017;28(8):1171-5. doi: 10.1007/s00192-016-3239-6.
  • 14. Mendes Ede P. Oliveira SM. Caroci Ade S. Francisco AA, Oliveira SG, Silva RL. et al. Pelvic floor muscle strength in primiparous women according to the delivery type: cross-sectional study. Rev Lat Am Enfermagem. 2016; 24:e2758.doi: 10.1590/1518-8345.0926.2758.
  • 15. Yang XJ. Sun Y. Comparison of caesarean section and vaginal delivery for pelvic floor function of parturients: a meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2019;235:42-8. doi: 10.1016/j.ejogrb.2019.02.003.
APA TURAN H, DEMIR O (2021). Risk Factors for Decreased Pelvic Floor Muscle Strength: Which is More Effective?. GORM:Gynecology Obstetrics & Reproductive Medicine, 27(1), 56 - 59. 10.21613/GORM.2019.947
Chicago TURAN Hasan,DEMIR Omer Risk Factors for Decreased Pelvic Floor Muscle Strength: Which is More Effective?. GORM:Gynecology Obstetrics & Reproductive Medicine 27, no.1 (2021): 56 - 59. 10.21613/GORM.2019.947
MLA TURAN Hasan,DEMIR Omer Risk Factors for Decreased Pelvic Floor Muscle Strength: Which is More Effective?. GORM:Gynecology Obstetrics & Reproductive Medicine, vol.27, no.1, 2021, ss.56 - 59. 10.21613/GORM.2019.947
AMA TURAN H,DEMIR O Risk Factors for Decreased Pelvic Floor Muscle Strength: Which is More Effective?. GORM:Gynecology Obstetrics & Reproductive Medicine. 2021; 27(1): 56 - 59. 10.21613/GORM.2019.947
Vancouver TURAN H,DEMIR O Risk Factors for Decreased Pelvic Floor Muscle Strength: Which is More Effective?. GORM:Gynecology Obstetrics & Reproductive Medicine. 2021; 27(1): 56 - 59. 10.21613/GORM.2019.947
IEEE TURAN H,DEMIR O "Risk Factors for Decreased Pelvic Floor Muscle Strength: Which is More Effective?." GORM:Gynecology Obstetrics & Reproductive Medicine, 27, ss.56 - 59, 2021. 10.21613/GORM.2019.947