Mp37-17 physical activity level and performance of pelvic floor muscle exercises

You have accessJournal of UrologyCME1 Apr 2023MP37-17 PHYSICAL ACTIVITY LEVEL AND PERFORMANCE OF PELVIC FLOOR MUSCLE EXERCISES Zoe Gan, Diane Newman, and Ariana Smith Zoe GanZoe Gan More articles by this author , Diane NewmanDiane Newman More articles by this author , and Ariana SmithAriana Smith More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003275.17AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Pelvic floor muscle (PFM) exercises are a non-invasive and effective treatment option for female pelvic floor disorders, but patient adherence is often poor, and predictors of adherence are limited. Our objective was to evaluate the relationship between physical activity level in women and performance of PFM exercises. METHODS: Women administered a cross-sectional survey through Research Match, a national online volunteer registry, were stratified into low, moderate, and high activity categories based on the International Physical Activity Questionnaire (IPAQ) Short Form. The Kruskal-Wallis rank sum test was used to evaluate the association between activity level and the self-reported frequency of performing Kegels or PFM exercises. Multivariable logistic regression was used to assess the impact of physical activity level, demographic characteristics (including age, race, ethnicity, insurance status), and urinary symptoms (assessed by the Lower Urinary Tract Research Network-Symptom Index, LURN-SI 29) on performing PFM exercises several times a month or more. RESULTS: A total of 1,748 women were classified as having low (48%), moderate (26%), and high (26%) activity. Few performed PFM exercises several times a month or more (13%), but more women in the high IPAQ category reported doing so (18%, vs. 11% for moderate activity and 12% for low activity; p<0.01, Figure 1). Of women who provided a reason for not doing PFM exercises, those in the low and moderate activity groups were more likely to cite lack of motivation as a reason compared to women in the high activity group (63% vs. 39%). Most women were familiar with PFM exercises (90%) and learned about them from a variety of sources, most commonly from a doctor, nurse or therapist (37%), followed by a book/magazine (31%) and a friend or family member (28%). On multivariable logistic regression, physical activity level and having insurance coverage were significant predictors of performing PFM exercises several times a week or more. CONCLUSIONS: Higher physical activity level in women is associated with performing PFM exercises. Interventions aimed at increasing PFM exercise participation may benefit from linking to physical activity and motivational tactics. Access to preventative health care through medical insurance may facilitate knowledge on the importance of physical activity and PFM exercises. Source of Funding: The Smith Bladder Health Fund © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e521 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Zoe Gan More articles by this author Diane Newman More articles by this author Ariana Smith More articles by this author Expand All Advertisement PDF downloadLoading ...