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Prenatal Exercise Decreases Urinary Incontinence in Late Pregnancy and Three Months Postpartum: A Randomized Controlled Trial.
Medicine & Science in Sports & Exercise ( IF 4.1 ) Pub Date : 2024-11-18 , DOI: 10.1249/mss.0000000000003597
Dingfeng Zhang,Miguel Sánchez-Polán,Cristina Silva-Jose,Ángeles Díaz-Blanco,Maia Brik,Aranzazu Martín Arias,Paloma Hernando,Rubén Barakat
Medicine & Science in Sports & Exercise ( IF 4.1 ) Pub Date : 2024-11-18 , DOI: 10.1249/mss.0000000000003597
Dingfeng Zhang,Miguel Sánchez-Polán,Cristina Silva-Jose,Ángeles Díaz-Blanco,Maia Brik,Aranzazu Martín Arias,Paloma Hernando,Rubén Barakat
PURPOSE
This study aimed to evaluate the impact of a supervised exercise program, including Pelvic Floor Muscle Training (PFMT), throughout pregnancy on Urinary Incontinence (UI).
METHODS
A randomized clinical trial (NCT04563065) was conducted. Initially, 600 pregnant women were screened for eligibility, with data from 356 participants eventually analyzed. Of these, 172 were allocated to the Exercise Group (EG) and 184 to the Control Group (CG). Participants in the EG engaged in a supervised moderate exercise program three days per week, each session lasting 60 minutes, from 8-10 weeks to 38-40 weeks of gestation, achieving an adherence rate of 73.5%.
RESULTS
A lower prevalence of UI in the EG compared to the CG was observed during late pregnancy (χ2 = 20.04; p = 0.001) and at three months postpartum (χ2 = 12.52; p = 0.03), as well as in birth weight (F = 4.16; p = 0.04). No significant differences were found between the groups in other maternal and newborn outcomes.
CONCLUSIONS
Supervised exercise during pregnancy, which included PFMT, effectively reduced the incidence of urinary incontinence in late pregnancy and at three months postpartum.
中文翻译:
产前运动可减少妊娠晚期和产后三个月的尿失禁:一项随机对照试验。
目的 本研究旨在评估整个怀孕期间监督锻炼计划(包括盆底肌肉训练 (PFMT) 对尿失禁 (UI) 的影响。方法 进行了一项随机临床试验 (NCT04563065)。最初,对 600 名孕妇进行了资格筛选,最终分析了 356 名参与者的数据。其中,172 名被分配到运动组 (EG),184 名被分配到对照组 (CG)。EG 的参与者每周 3 天进行有监督的适度运动计划,每次持续 60 分钟,从妊娠 8-10 周到 38-40 周,依从率达到 73.5%。结果与CG相比,在妊娠晚期(χ2 = 20.04;p = 0.001)和产后三个月(χ2 = 12.52;p = 0.03)以及出生体重(F = 4.16;p = 0.04)中观察到 UI 患病率较低。两组之间在其他孕产妇和新生儿结局方面未发现显著差异。结论 孕期监督运动,包括 PFMT,有效降低了孕晚期和产后 3 个月尿失禁的发生率。
更新日期:2024-11-18
中文翻译:
![](https://scdn.x-mol.com/jcss/images/paperTranslation.png)
产前运动可减少妊娠晚期和产后三个月的尿失禁:一项随机对照试验。
目的 本研究旨在评估整个怀孕期间监督锻炼计划(包括盆底肌肉训练 (PFMT) 对尿失禁 (UI) 的影响。方法 进行了一项随机临床试验 (NCT04563065)。最初,对 600 名孕妇进行了资格筛选,最终分析了 356 名参与者的数据。其中,172 名被分配到运动组 (EG),184 名被分配到对照组 (CG)。EG 的参与者每周 3 天进行有监督的适度运动计划,每次持续 60 分钟,从妊娠 8-10 周到 38-40 周,依从率达到 73.5%。结果与CG相比,在妊娠晚期(χ2 = 20.04;p = 0.001)和产后三个月(χ2 = 12.52;p = 0.03)以及出生体重(F = 4.16;p = 0.04)中观察到 UI 患病率较低。两组之间在其他孕产妇和新生儿结局方面未发现显著差异。结论 孕期监督运动,包括 PFMT,有效降低了孕晚期和产后 3 个月尿失禁的发生率。