TY - JOUR
T1 - Physical activity in women planning sacrocolpopexy
AU - Nygaard, Ingrid
AU - Handa, Vicki
AU - Brubaker, Linda
AU - Borello-France, Diane
AU - Wei, John
AU - Wells, Ellen
AU - Weber, Anne M.
N1 - Funding Information:
Acknowledgements This study was supported by grants from the National Institute of Child Health and Human Development (U01 HD41249, U10 HD41268, U10 HD41248, U10 HD41250, U10 HD41261, U10 HD41263, U10 HD41269, and U10 HD41267).
Funding Information:
Subjects included 314 of the 322 women enrolled in “Colpopexy And Urinary Reduction Efforts” (CARE), a randomized trial designed to evaluate whether a standardized modified Burch colposuspension, when added to abdominal sacrocolpopexy to treat POP, improves urinary stress continence in subjects without preoperative symptoms of stress urinary incontinence [6, 7]. The CARE trial is performed through the Pelvic Floor Disorders Network (PFDN), a cooperative agreement network sponsored by the National Institute of Child Health and Human Development (one of the National Institutes of Health). Each clinical site in the PFDN and the central data coordinating center received Institutional Review Board approval for this trial, and all subjects provided oral and written informed consent. This study represents a cross-sectional analysis of baseline data collected before surgery. Information about physical activity was collected to address specific a priori hypotheses of this ancillary study. Before initiating data collection, we hypothesized that as the stage of prolapse increases, frequency of physical activities and exercise decreases, and perceived interference with physical activities decreases. We further hypothesized that as symptom distress (assessed by the Pelvic Floor Distress Inventory, PFDI) increases, perceived interference with physical activities also increases.
PY - 2007/1
Y1 - 2007/1
N2 - This study describes preoperative physical activity in 314 stress-continent women with prolapse planning sacrocolpopexy. Seventy-six percent reported that they engaged in mild, 60% in moderate, and 26% in strenuous exercise (counts are not mutually exclusive). Activity frequencies did not generally differ by prolapse stage. Prolapse substantially interfered with exercise or recreation in 27% of women, household work or yard work in 19%, and work outside the home in 8%. Compared to women with less symptom distress, more women with greater symptom distress reported that prolapse interfered with household/yard work (43 vs 5%, p<0.0001), working outside the home (29 vs 8%, p<0.005), and recreation/exercise (51 vs 10%, p<0.0001). Prolapse stage was not associated with interference with household/yard work (p=0.28) or work outside home (p=0.89). Although prolapse stage is associated with interference with recreation (p=0.02), this association is not consistently positive : stage II, 42%; stage III, 22%; and stage IV, 32%.
AB - This study describes preoperative physical activity in 314 stress-continent women with prolapse planning sacrocolpopexy. Seventy-six percent reported that they engaged in mild, 60% in moderate, and 26% in strenuous exercise (counts are not mutually exclusive). Activity frequencies did not generally differ by prolapse stage. Prolapse substantially interfered with exercise or recreation in 27% of women, household work or yard work in 19%, and work outside the home in 8%. Compared to women with less symptom distress, more women with greater symptom distress reported that prolapse interfered with household/yard work (43 vs 5%, p<0.0001), working outside the home (29 vs 8%, p<0.005), and recreation/exercise (51 vs 10%, p<0.0001). Prolapse stage was not associated with interference with household/yard work (p=0.28) or work outside home (p=0.89). Although prolapse stage is associated with interference with recreation (p=0.02), this association is not consistently positive : stage II, 42%; stage III, 22%; and stage IV, 32%.
KW - Exercise
KW - Pelvic organ prolapse
KW - Physical activity
KW - Sacrocolpopexy
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U2 - 10.1007/s00192-006-0116-8
DO - 10.1007/s00192-006-0116-8
M3 - Article
C2 - 16688397
AN - SCOPUS:37849189603
SN - 0937-3462
VL - 18
SP - 33
EP - 37
JO - International Urogynecology Journal
JF - International Urogynecology Journal
IS - 1
ER -