Physical activity and stress urinary incontinence: versions and cantraversions

Korotkevich O.S., Mozes V.G., Mozes K.B., Eizenakh I.A.

1) A.A. Lutsik Novokuznetsk City Clinical Hospital No. 29, Novokuznetsk, Russia 2) Kemerovo State Medical University, Ministry of Health of the Russian Federation, Kemerovo, Russia 3) G.P. Kurbatov Novokuznetsk City Clinical Hospital No. 1, Novokuznetsk, Russia
Objective: To determine the impact of physical activity on the pelvic floor muscles in women.
Materials and methods: The review provides scientific evidence over the past 5 years regarding the impact of physical activity on stress urinary incontinence.
Results: Sports and fitness are associated with stress urinary incontinence in women. Stress urinary incontinence is most common during aerobic exercise associated with shock to the lower extremities: volleyball, running, and trampolining. The pathophysiology of this problem is associated with two key factors: an increase in intraabdominal pressure and a failure of the pelvic floor muscles, which is common in women involved in sports. Unlike specialized exercises, general exercise is not only inappropriate for strengthening the pelvic floor muscles, but it also increases the likelihood of pelvic floor prolapse.
Conclusion: The benefits of an active lifestyle for women, such as prevention of many diseases and improvement of health and quality of life, substantially tackle the problem caused by stress urinary incontinence. Strategies are being actively developed to reduce the incidence of stress urinary incontinence in women involved in sports.

Keywords

genital prolapse
stress urinary incontinence
sports
intra-abdominal pressure
pelvic floor exercises

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Received 18.11.2021

Accepted 30.11.2021

About the Authors

Olesya S. Korotkevich, obstetrician-gynecologist, Novokuznetsk City Clinical Hospital No. 29 named after A.A. Lutsik, Novokuznetsk, Russia, +7(904)998-03-39, olesya.korotkevich@inbox.ru, https://orcid.org/0000-0001-7953-1397.
Vadim G. Mozes, Dr. Med. Sci., Professor, Department of Obstetrics and Gynecology named after G.A. Ushakova, Kemerovo State Medical University, Ministry of Health of Russia, Kemerovo, Russia, +7(904)573-24-43, vadimmoses@gmail.com, https://orcid.org/0000-0002-3269-9018.
Kira B. Mozes, Assistant, Department of Polyclinic Therapy and Nursing, Kemerovo State Medical University, Ministry of Health of Russia, Kemerovo, Russia, +79502761185, kbsolo@mail.ru, https://orcid.org/0000-0003-2906-621.
Igor A. Eisenakh, MD, PhD, urologist, Novokuznetsk City clinical Hospital No. 1 named after G.P. Kurbatov, Novokuznetsk, Russia, +7(905)905-13-00, https://orcid.org/0000-0002-0895-2626.

Authors’ contributions: Mozes V.G., Korotkevich O.S. - concept and design of the investigation, material collection and processing; Mozes K.B. - writing the text; Eizenakh I.A. - editing.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The investigation had no sources of funding.
For citation: Korotkevich O.S., Mozes V.G., Mozes K.B., Eizenakh I.A. Physical activity and stress urinary incontinence: versions and contraversions. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2022; 1:48-54 (in Russian) https://dx.doi.org/10.18565/aig.2022.1.48-54

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