Pelvic floor muscle strength and influencing factors based on vaginal manometry among healthy women at different life stages: A multicentre cross‐sectional study
Objective To assess pelvic floor muscle (PFM) strength and influencing factors among healthy women at different life stages. Design Multicentre cross‐sectional study. Setting Fourteen hospitals in China. Population A total of 5040 healthy women allocated to the following groups (with 1680 women per...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2024-06, Vol.131 (7), p.952-960 |
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| container_title | BJOG : an international journal of obstetrics and gynaecology |
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| creator | Sun, Zhi‐Jing Tian, Zhao Xu, Tao Wang, Zhong‐Min Zhu, Xi‐Hui Luo, Jun Cheng, Fang Gong, Lin Zhang, Jie Wang, Li‐Hui Zhu, Wei‐Pei Qu, Xue‐Ling Lin, Zhong Ge, Wei‐Ping Wang, Bi‐Nan Zhu, Lan |
| description | Objective
To assess pelvic floor muscle (PFM) strength and influencing factors among healthy women at different life stages.
Design
Multicentre cross‐sectional study.
Setting
Fourteen hospitals in China.
Population
A total of 5040 healthy women allocated to the following groups (with 1680 women per group): premenopausal nulliparous, premenopausal parous and postmenopausal.
Methods
The PFM strength was evaluated by vaginal manometry. Multivariate logistic regression was used to determine the influencing factors for low PFM strength.
Main Outcome Measures
Maximum voluntary contraction pressure (MVCP).
Results
The median MVCP values were 36, 35 and 35 cmH2O in premenopausal nulliparous (aged 19–51 years), premenopausal parous (aged 22–61 years), and postmenopausal (aged 40–86 years) women, respectively. In the premenopausal nulliparous group, physical work (odds ratio, OR 2.05) was the risk factor for low PFM strength, which may be related to the chronic increased abdominal pressure caused by physical work. In the premenopausal parous group, the number of vaginal deliveries (OR 1.28) and diabetes (OR 2.70) were risk factors for low PFM strength, whereas sexual intercourse ( |
| doi_str_mv | 10.1111/1471-0528.17736 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2910190785</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2910190785</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3666-bc546bd0f148f893311358faf8532a6648da83dab2bdfa2cd2c67a0c9f98f4cb3</originalsourceid><addsrcrecordid>eNqFkc9uFSEUh4nR2Hp17c6QuHEzLQwzDOOubfybJnWha3KGgXtpGKjAtJmdj-A7-GY-icy9tQs3soEcPr4D_BB6SckJLeOUNh2tSFuLE9p1jD9Cxw-Vx_s1qQirxRF6ltI1IZTXhD1FR0xQLpq-OUa_vmh3axU2LoSIpzkpp3HKUftt3mHwI7beuFl7Zf0WG1A5xIQHSHrEweNb2FoPDk_gw6RzXDBMoYA7DS7vFnxXqh5DxqM1Rhdrxs6atQNsdXqLz0pLl60qG1FjFUNKv3_8TFplG1ZvyvO4PEdPDLikX9zPG_Tt_buvFx-ry6sPny7OLivFOOfVoNqGDyMxtBFG9IxRylphwIiW1cB5I0YQbIShHkYDtRprxTsgqje9MI0a2Aa9OXhvYvg-65TlZJPSzoHXYU6y7imhPemKb4Ne_4NehzmWGyfJSMMZJeV7C3V6oPYPi9rIm2gniIukRK75yTUtuaYl9_mVE6_uvfMw6fGB_xtYAdoDcGedXv7nk-efrw7iPzIwqVc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3046310849</pqid></control><display><type>article</type><title>Pelvic floor muscle strength and influencing factors based on vaginal manometry among healthy women at different life stages: A multicentre cross‐sectional study</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Sun, Zhi‐Jing ; Tian, Zhao ; Xu, Tao ; Wang, Zhong‐Min ; Zhu, Xi‐Hui ; Luo, Jun ; Cheng, Fang ; Gong, Lin ; Zhang, Jie ; Wang, Li‐Hui ; Zhu, Wei‐Pei ; Qu, Xue‐Ling ; Lin, Zhong ; Ge, Wei‐Ping ; Wang, Bi‐Nan ; Zhu, Lan</creator><creatorcontrib>Sun, Zhi‐Jing ; Tian, Zhao ; Xu, Tao ; Wang, Zhong‐Min ; Zhu, Xi‐Hui ; Luo, Jun ; Cheng, Fang ; Gong, Lin ; Zhang, Jie ; Wang, Li‐Hui ; Zhu, Wei‐Pei ; Qu, Xue‐Ling ; Lin, Zhong ; Ge, Wei‐Ping ; Wang, Bi‐Nan ; Zhu, Lan</creatorcontrib><description>Objective
To assess pelvic floor muscle (PFM) strength and influencing factors among healthy women at different life stages.
Design
Multicentre cross‐sectional study.
Setting
Fourteen hospitals in China.
Population
A total of 5040 healthy women allocated to the following groups (with 1680 women per group): premenopausal nulliparous, premenopausal parous and postmenopausal.
Methods
The PFM strength was evaluated by vaginal manometry. Multivariate logistic regression was used to determine the influencing factors for low PFM strength.
Main Outcome Measures
Maximum voluntary contraction pressure (MVCP).
Results
The median MVCP values were 36, 35 and 35 cmH2O in premenopausal nulliparous (aged 19–51 years), premenopausal parous (aged 22–61 years), and postmenopausal (aged 40–86 years) women, respectively. In the premenopausal nulliparous group, physical work (odds ratio, OR 2.05) was the risk factor for low PFM strength, which may be related to the chronic increased abdominal pressure caused by physical work. In the premenopausal parous group, the number of vaginal deliveries (OR 1.28) and diabetes (OR 2.70) were risk factors for low PFM strength, whereas sexual intercourse (<2 times per week vs. none, OR 0.55; ≥2 times per week vs. none, OR 0.56) and PFM exercise (OR 0.50) may have protective effects. In the postmenopausal group, the number of vaginal deliveries (OR 1.32) and family history of pelvic organ prolapse (POP) (OR 1.83) were risk factors for low PFM strength.
Conclusions
Physical work, vaginal delivery, diabetes and a family history of POP are all risk factors for low PFM strength, whereas PFM exercises and sexual life can have a protective effect. The importance of these factors varies at different stages of a woman's life.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.17736</identifier><identifier>PMID: 38168494</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Cross-sectional studies ; Diabetes ; Diabetes mellitus ; healthy women ; Muscle strength ; pelvic floor muscle strength ; Pelvis ; Post-menopause ; Risk factors ; Sexual intercourse ; Vagina ; vaginal manometry</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2024-06, Vol.131 (7), p.952-960</ispartof><rights>2024 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2024 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3666-bc546bd0f148f893311358faf8532a6648da83dab2bdfa2cd2c67a0c9f98f4cb3</cites><orcidid>0000-0001-5753-5426</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1471-0528.17736$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1471-0528.17736$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38168494$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sun, Zhi‐Jing</creatorcontrib><creatorcontrib>Tian, Zhao</creatorcontrib><creatorcontrib>Xu, Tao</creatorcontrib><creatorcontrib>Wang, Zhong‐Min</creatorcontrib><creatorcontrib>Zhu, Xi‐Hui</creatorcontrib><creatorcontrib>Luo, Jun</creatorcontrib><creatorcontrib>Cheng, Fang</creatorcontrib><creatorcontrib>Gong, Lin</creatorcontrib><creatorcontrib>Zhang, Jie</creatorcontrib><creatorcontrib>Wang, Li‐Hui</creatorcontrib><creatorcontrib>Zhu, Wei‐Pei</creatorcontrib><creatorcontrib>Qu, Xue‐Ling</creatorcontrib><creatorcontrib>Lin, Zhong</creatorcontrib><creatorcontrib>Ge, Wei‐Ping</creatorcontrib><creatorcontrib>Wang, Bi‐Nan</creatorcontrib><creatorcontrib>Zhu, Lan</creatorcontrib><title>Pelvic floor muscle strength and influencing factors based on vaginal manometry among healthy women at different life stages: A multicentre cross‐sectional study</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective
To assess pelvic floor muscle (PFM) strength and influencing factors among healthy women at different life stages.
Design
Multicentre cross‐sectional study.
Setting
Fourteen hospitals in China.
Population
A total of 5040 healthy women allocated to the following groups (with 1680 women per group): premenopausal nulliparous, premenopausal parous and postmenopausal.
Methods
The PFM strength was evaluated by vaginal manometry. Multivariate logistic regression was used to determine the influencing factors for low PFM strength.
Main Outcome Measures
Maximum voluntary contraction pressure (MVCP).
Results
The median MVCP values were 36, 35 and 35 cmH2O in premenopausal nulliparous (aged 19–51 years), premenopausal parous (aged 22–61 years), and postmenopausal (aged 40–86 years) women, respectively. In the premenopausal nulliparous group, physical work (odds ratio, OR 2.05) was the risk factor for low PFM strength, which may be related to the chronic increased abdominal pressure caused by physical work. In the premenopausal parous group, the number of vaginal deliveries (OR 1.28) and diabetes (OR 2.70) were risk factors for low PFM strength, whereas sexual intercourse (<2 times per week vs. none, OR 0.55; ≥2 times per week vs. none, OR 0.56) and PFM exercise (OR 0.50) may have protective effects. In the postmenopausal group, the number of vaginal deliveries (OR 1.32) and family history of pelvic organ prolapse (POP) (OR 1.83) were risk factors for low PFM strength.
Conclusions
Physical work, vaginal delivery, diabetes and a family history of POP are all risk factors for low PFM strength, whereas PFM exercises and sexual life can have a protective effect. The importance of these factors varies at different stages of a woman's life.</description><subject>Cross-sectional studies</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>healthy women</subject><subject>Muscle strength</subject><subject>pelvic floor muscle strength</subject><subject>Pelvis</subject><subject>Post-menopause</subject><subject>Risk factors</subject><subject>Sexual intercourse</subject><subject>Vagina</subject><subject>vaginal manometry</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNqFkc9uFSEUh4nR2Hp17c6QuHEzLQwzDOOubfybJnWha3KGgXtpGKjAtJmdj-A7-GY-icy9tQs3soEcPr4D_BB6SckJLeOUNh2tSFuLE9p1jD9Cxw-Vx_s1qQirxRF6ltI1IZTXhD1FR0xQLpq-OUa_vmh3axU2LoSIpzkpp3HKUftt3mHwI7beuFl7Zf0WG1A5xIQHSHrEweNb2FoPDk_gw6RzXDBMoYA7DS7vFnxXqh5DxqM1Rhdrxs6atQNsdXqLz0pLl60qG1FjFUNKv3_8TFplG1ZvyvO4PEdPDLikX9zPG_Tt_buvFx-ry6sPny7OLivFOOfVoNqGDyMxtBFG9IxRylphwIiW1cB5I0YQbIShHkYDtRprxTsgqje9MI0a2Aa9OXhvYvg-65TlZJPSzoHXYU6y7imhPemKb4Ne_4NehzmWGyfJSMMZJeV7C3V6oPYPi9rIm2gniIukRK75yTUtuaYl9_mVE6_uvfMw6fGB_xtYAdoDcGedXv7nk-efrw7iPzIwqVc</recordid><startdate>202406</startdate><enddate>202406</enddate><creator>Sun, Zhi‐Jing</creator><creator>Tian, Zhao</creator><creator>Xu, Tao</creator><creator>Wang, Zhong‐Min</creator><creator>Zhu, Xi‐Hui</creator><creator>Luo, Jun</creator><creator>Cheng, Fang</creator><creator>Gong, Lin</creator><creator>Zhang, Jie</creator><creator>Wang, Li‐Hui</creator><creator>Zhu, Wei‐Pei</creator><creator>Qu, Xue‐Ling</creator><creator>Lin, Zhong</creator><creator>Ge, Wei‐Ping</creator><creator>Wang, Bi‐Nan</creator><creator>Zhu, Lan</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5753-5426</orcidid></search><sort><creationdate>202406</creationdate><title>Pelvic floor muscle strength and influencing factors based on vaginal manometry among healthy women at different life stages: A multicentre cross‐sectional study</title><author>Sun, Zhi‐Jing ; Tian, Zhao ; Xu, Tao ; Wang, Zhong‐Min ; Zhu, Xi‐Hui ; Luo, Jun ; Cheng, Fang ; Gong, Lin ; Zhang, Jie ; Wang, Li‐Hui ; Zhu, Wei‐Pei ; Qu, Xue‐Ling ; Lin, Zhong ; Ge, Wei‐Ping ; Wang, Bi‐Nan ; Zhu, Lan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3666-bc546bd0f148f893311358faf8532a6648da83dab2bdfa2cd2c67a0c9f98f4cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Cross-sectional studies</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>healthy women</topic><topic>Muscle strength</topic><topic>pelvic floor muscle strength</topic><topic>Pelvis</topic><topic>Post-menopause</topic><topic>Risk factors</topic><topic>Sexual intercourse</topic><topic>Vagina</topic><topic>vaginal manometry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sun, Zhi‐Jing</creatorcontrib><creatorcontrib>Tian, Zhao</creatorcontrib><creatorcontrib>Xu, Tao</creatorcontrib><creatorcontrib>Wang, Zhong‐Min</creatorcontrib><creatorcontrib>Zhu, Xi‐Hui</creatorcontrib><creatorcontrib>Luo, Jun</creatorcontrib><creatorcontrib>Cheng, Fang</creatorcontrib><creatorcontrib>Gong, Lin</creatorcontrib><creatorcontrib>Zhang, Jie</creatorcontrib><creatorcontrib>Wang, Li‐Hui</creatorcontrib><creatorcontrib>Zhu, Wei‐Pei</creatorcontrib><creatorcontrib>Qu, Xue‐Ling</creatorcontrib><creatorcontrib>Lin, Zhong</creatorcontrib><creatorcontrib>Ge, Wei‐Ping</creatorcontrib><creatorcontrib>Wang, Bi‐Nan</creatorcontrib><creatorcontrib>Zhu, Lan</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sun, Zhi‐Jing</au><au>Tian, Zhao</au><au>Xu, Tao</au><au>Wang, Zhong‐Min</au><au>Zhu, Xi‐Hui</au><au>Luo, Jun</au><au>Cheng, Fang</au><au>Gong, Lin</au><au>Zhang, Jie</au><au>Wang, Li‐Hui</au><au>Zhu, Wei‐Pei</au><au>Qu, Xue‐Ling</au><au>Lin, Zhong</au><au>Ge, Wei‐Ping</au><au>Wang, Bi‐Nan</au><au>Zhu, Lan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pelvic floor muscle strength and influencing factors based on vaginal manometry among healthy women at different life stages: A multicentre cross‐sectional study</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2024-06</date><risdate>2024</risdate><volume>131</volume><issue>7</issue><spage>952</spage><epage>960</epage><pages>952-960</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><abstract>Objective
To assess pelvic floor muscle (PFM) strength and influencing factors among healthy women at different life stages.
Design
Multicentre cross‐sectional study.
Setting
Fourteen hospitals in China.
Population
A total of 5040 healthy women allocated to the following groups (with 1680 women per group): premenopausal nulliparous, premenopausal parous and postmenopausal.
Methods
The PFM strength was evaluated by vaginal manometry. Multivariate logistic regression was used to determine the influencing factors for low PFM strength.
Main Outcome Measures
Maximum voluntary contraction pressure (MVCP).
Results
The median MVCP values were 36, 35 and 35 cmH2O in premenopausal nulliparous (aged 19–51 years), premenopausal parous (aged 22–61 years), and postmenopausal (aged 40–86 years) women, respectively. In the premenopausal nulliparous group, physical work (odds ratio, OR 2.05) was the risk factor for low PFM strength, which may be related to the chronic increased abdominal pressure caused by physical work. In the premenopausal parous group, the number of vaginal deliveries (OR 1.28) and diabetes (OR 2.70) were risk factors for low PFM strength, whereas sexual intercourse (<2 times per week vs. none, OR 0.55; ≥2 times per week vs. none, OR 0.56) and PFM exercise (OR 0.50) may have protective effects. In the postmenopausal group, the number of vaginal deliveries (OR 1.32) and family history of pelvic organ prolapse (POP) (OR 1.83) were risk factors for low PFM strength.
Conclusions
Physical work, vaginal delivery, diabetes and a family history of POP are all risk factors for low PFM strength, whereas PFM exercises and sexual life can have a protective effect. The importance of these factors varies at different stages of a woman's life.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38168494</pmid><doi>10.1111/1471-0528.17736</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-5753-5426</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1470-0328 |
| ispartof | BJOG : an international journal of obstetrics and gynaecology, 2024-06, Vol.131 (7), p.952-960 |
| issn | 1470-0328 1471-0528 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2910190785 |
| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Cross-sectional studies Diabetes Diabetes mellitus healthy women Muscle strength pelvic floor muscle strength Pelvis Post-menopause Risk factors Sexual intercourse Vagina vaginal manometry |
| title | Pelvic floor muscle strength and influencing factors based on vaginal manometry among healthy women at different life stages: A multicentre cross‐sectional study |
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