Prenatal Exercise Decreases Urinary Incontinence in Late Pregnancy and 3 Months Postpartum: A Randomized Controlled Trial.

IF 4.1 2区医学 Q1 SPORT SCIENCES

Medicine and Science in Sports and Exercise Pub Date : 2025-03-01 Epub 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

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Abstract

Purpose: This study aimed to evaluate the impact of a supervised exercise program, including pelvic floor muscle training, 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 3 d·wk -1 , each session lasting 60 min, from 8-10 to 38-40 wk of gestation, achieving an adherence rate of 73.5%.

Results: A lower prevalence of UI in the EG compared with the CG was observed during late pregnancy ( χ2 = 20.04; P = 0.001) and at 3 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 pelvic floor muscle training, effectively reduced the incidence of UI in late pregnancy and at 3 months postpartum.

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产前锻炼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：本研究旨在评估包括盆底肌肉训练（PFMT）在内的孕期监督运动计划对尿失禁（UI）的影响。方法：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人被分配到运动组（EG）， 184人被分配到对照组（CG）。从妊娠8-10周到38-40周，EG的参与者每周进行三天有监督的适度运动，每次持续60分钟，依从率为73.5%。结果：妊娠晚期EG组尿失禁发生率低于CG组(χ2 = 20.04；P = 0.001)和产后3个月时(χ2 = 12.52；p = 0.03)，出生体重(F = 4.16；P = 0.04)。两组之间在其他产妇和新生儿结局方面没有发现显著差异。结论：包括PFMT在内的孕期监督运动可有效降低妊娠后期和产后3个月尿失禁的发生率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medicine and Science in Sports and Exercise 医学-运动科学

CiteScore

7.70

自引率

4.90%

发文量

2568

审稿时长

1 months

期刊介绍： Medicine & Science in Sports & Exercise® features original investigations, clinical studies, and comprehensive reviews on current topics in sports medicine and exercise science. With this leading multidisciplinary journal, exercise physiologists, physiatrists, physical therapists, team physicians, and athletic trainers get a vital exchange of information from basic and applied science, medicine, education, and allied health fields.