Prevalence abdominal muscle straight diastasis and floor dysfunction pelvic complaints in women in climacteric

• Grant number: 16/09733-9
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Effective date (Start): August 01, 2016
• Effective date (End): July 31, 2017
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Gabriela Marini Prata
• Grantee: Beatriz Souza Harada
• Host Institution: Centro de Ciências da Saúde. Universidade do Sagrado Coração (USC). Bauru , SP, Brazil

Abstract

Introduction: Currently the Brazilian population is undergoing a rapid process of aging, and that life expectancy has increased significantly. For women in our culture the major milestone of female aging is perimenopause and among many physical changes arising, diastasis of the rectus abdominis muscle is very prevalent and along with it, these women have pelvic floor dysfunction, including diagnosis urinary incontinence, fecal incontinence and prolapses of the pelvic organs. Objective: To determine the prevalence of diastasis of the rectus abdominis and dysfunction of the pelvic floor complaints in premenopausal women. Materials and Methods: This cross-sectional study with women with over 50 years of age who attend the Open University of the Third Age University of the Sacred Heart. All participants signed the informed consent, respond to socio-demographic and clinical issues, evaluation of anthropometric measurements and measurement of the distance Inter-rectus abdominal performed with a digital caliper. Women answer the questionnaires International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) for urinary incontinence; Wexner scale for fecal incontinence; and the questionnaire International Consultation on Incontinence Questionnaire-Vaginal Symptoms (ICIQ-VS) for prolapse identification. Considering the estimated prevalence of 65% of diastasis of the rectus abdominis muscle in menopausal women, sampling error of 3% and 95% confidence level, it is estimated a total of 167 women. Expected results: expected to relate the values of diastasis of the rectus abdominis with pelvic floor dysfunction, and suggest that the important relationship of the abdominal muscles with complaints of urinary incontinence, fecal and pelvic prolapse. With these results, we can propose better strategies for prevention and treatment of major complaints and thus intervene positively in the quality of life of women in climateric. (AU)

Scientific publications

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

HARADA, BEATRIZ SOUZA; DE BORTOLLI, THAINA TOLOSA; CARNAZ, LETICIA; SOUZA DE CONTI, MARTA HELENA; HIJAZ, ADONIZ; DRIUSSO, PATRICIA; MARINI, GABRIELA. Diastasis recti abdominis and pelvic floor dysfunction in peri- and postmenopausal women: a cross-sectional study. PHYSIOTHERAPY THEORY AND PRACTICE, DEC 2020. (16/09733-9, 17/08371-9, 18/01994-3)