Commentary on “Do women runners report more pelvic floor symptoms than women in CrossFit? A cross-sectional survey” by Forner et al.

Abstract Background Female Genital Mutilation/Cutting (FGM/C) concerns over 200 million women and girls worldwide and is associated with obstetric trauma and long-term urogynaecological and psychosexual complications that are often under-investigated and undertreated. The aim of this study was to assess the pelvic floor distress and the impact of pelvic floor and psychosexual symptoms among migrant women with different types of FGM/C. Methods This cross-sectional study was conducted between April 2016 and January 2019 at the Division of Gynaecology of the Geneva University Hospitals. The participants were interviewed on socio-demographic and background information, underwent a systematic gynaecological examination to assess the presence and type of FGM/C and eventual Pelvic Organ Prolapse (POP), and completed six validated questionnaires on pelvic floor and psychosexual symptoms (PFDI-20 and PFIQ7 on pelvic floor distress and impact, FISI and WCS on faecal incontinence and constipation, PISQ-IR and FGSIS on sexual function and genital self-image). The participants’ scores were compared with scores of uncut women available from the literature. The association between selected variables and higher scores for distress and impact of pelvic floor symptoms was assessed using univariate and multivariable linear regression models. Results 124 women with a mean age of 31.5 (± 7.5), mostly with a normal BMI, and with no significant POP were included. PFDI-20 and PFIQ-7 mean (± SD) scores were of 49.5 (± 52.0) and 40.7 (± 53.6) respectively. In comparison with the available literature, the participants’ scores were lower than those of uncut women with pelvic floor dysfunction but higher than those of uncut women without such disorders. Past violent events other than FGM/C and forced or arranged marriage, age at FGM/C of more than 10, a period of staying in Switzerland of less than 6 months, and nulliparity were significantly associated with higher scores for distress and impact of pelvic floor symptoms, independently of known risk factors such as age, weight, ongoing pregnancy and history of episiotomy. Conclusions Women with various types of FGM/C, without POP, can suffer from pelvic floor symptoms responsible for distress and impact on their daily life. Trial registration. The study protocol was approved by the Swiss Ethics Committee on research involving humans (protocol n°15-224).

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Severe Pelvic Floor Symptoms After Cervical Cancer Treatment Are Predominantly Associated With Mental and Physical Well-Being and Body Image: A Cross-Sectional Study

International Journal of Gynecological Cancer ◽

10.1097/igc.0b013e3182332df8 ◽

2012 ◽

Vol 22 (1) ◽

pp. 154-160 ◽

Cited By ~ 9

Author(s):

Menke H. Hazewinkel ◽

Mirjam A.G. Sprangers ◽

Jacobus van der Velden ◽

Matthé P.M. Burger ◽

Jan-Paul W.R. Roovers

Keyword(s):

Cervical Cancer ◽

Body Image ◽

Pelvic Floor ◽

Cancer Treatment ◽

Multivariate Analyses ◽

Academic Medical Center ◽

Well Being ◽

Body Image Disturbance ◽

Cross Sectional ◽

Pelvic Floor Symptoms

ObjectiveTo identify associations between demographic, disease-related, and psychological variables and severe distress from pelvic floor symptoms (PFSs) after cervical cancer treatment.MethodsThis study was cross-sectional and questionnaire based. We included patients with cervical cancer treated between 1997 and 2007 in the Academic Medical Center, Amsterdam. Pelvic floor symptoms were assessed with urogenital distress inventory and defecatory distress inventory. Scores were dichotomized into severe (>90th percentile) versus nonsevere distress. Disease-related variables were extracted from medical files. Psychological factors included mental and physical well-being, optimism, and body image, which were assessed with standardized questionnaires. Univariate and multivariate logistic regression analyses were performed.ResultsA total of 282 patients were included: 148 were treated with radical hysterectomy and pelvic lymph node dissection, 61 patients were treated with surgery and adjuvant radiotherapy, and 73 patients were treated with primary radiotherapy. Demographic: Multivariate analyses showed no significant relation between demographic variables and symptoms. Disease-related: None of these variables were significantly associated in multivariate analyses. Psychosocial: In all treatment groups, multivariate associations were found. In general, better mental and physical well-being was associated with nonsevere PFSs. Increased body image disturbance was associated with severe defecation symptoms.ConclusionsFew associations were found between demographic and disease-related variables and distress from PFS after cervical cancer treatment. However, better mental and physical well-being is associated with nonsevere distress from urogenital and defecation symptoms and more body image disturbance with severe PFSs. Improving these factors might reduce distress from PFSs and should be a focus of future research.

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Long-term cervical cancer survivors suffer from pelvic floor symptoms: A cross-sectional matched cohort study

Gynecologic Oncology ◽

10.1016/j.ygyno.2010.01.034 ◽

2010 ◽

Vol 117 (2) ◽

pp. 281-286 ◽

Cited By ~ 51

Author(s):

M.H. Hazewinkel ◽

M.A.G. Sprangers ◽

J. van der Velden ◽

C.H. van der Vaart ◽

L.J.A. Stalpers ◽

...

Keyword(s):

Cervical Cancer ◽

Cohort Study ◽

Pelvic Floor ◽

Cancer Survivors ◽

Matched Cohort ◽

Cross Sectional ◽

Matched Cohort Study ◽

Pelvic Floor Symptoms

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Urinary Incontinence in Competitive Women Powerlifters: A Cross-Sectional Survey

Sports Medicine - Open ◽

10.1186/s40798-021-00387-7 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Lolita Wikander ◽

Marilynne N. Kirshbaum ◽

Nasreena Waheed ◽

Daniel E. Gahreman

Keyword(s):

Urinary Incontinence ◽

Pelvic Floor ◽

Online Survey ◽

Severity Index ◽

Cross Sectional Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Pelvic Floor Exercises ◽

Body Mass Index Score

Abstract Background Urinary incontinence (UI) can negatively affect a woman’s quality of life, participation in sport and athletic performance. The objectives of this study were to determine the prevalence of UI in competitive women powerlifters; identify possible risk factors and activities likely to provoke UI; and establish self-care practices. Methods This international cross-sectional study was conducted using an online survey completed by 480 competitive women powerlifters aged between 20 and 71 years. The Incontinence Severity Index (ISI) was used to determine the severity of UI. Results We found that 43.9% of women had experienced UI within the three months prior to this study. The deadlift was the most likely, and the bench-press the least likely exercise to provoke UI. ISI scores were positively correlated with parity (τ = 0.227, p < 0.001), age (τ = 0.179, p < 0.001), competition total (τ = 0.105, p = 0.002) and body mass index score (τ = 0.089, p = 0.009). There was no significant correlation between ISI and years strength training (τ = − 0.052, p = 0.147) or years powerlifting (τ = 0.041, p = 0.275). There was a negative correlation between ISI score with having a pelvic floor assessment (η = 0.197), and the ability to correctly perform pelvic floor exercises (η = 0.172). Conclusion The prevalence of UI in this cohort was at the upper limit experienced by women in the general population. Women who had undergone a pelvic floor examination or were confident in correctly performing pelvic floor exercises experienced less severe UI.

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Pregnant women’s awareness, knowledge and beliefs about pelvic floor muscles: a cross-sectional survey

International Urogynecology Journal ◽

10.1007/s00192-017-3309-4 ◽

2017 ◽

Vol 28 (10) ◽

pp. 1557-1565 ◽

Cited By ~ 10

Author(s):

Anne-Marie Hill ◽

Steven M. McPhail ◽

Judith M. Wilson ◽

Richard G. Berlach

Keyword(s):

Pelvic Floor ◽

Pelvic Floor Muscles ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Knowledge And Beliefs

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Sexual function in older women with pelvic floor symptoms: a cross-sectional study in general practice

British Journal of General Practice ◽

10.3399/bjgp14x677518 ◽

2014 ◽

Vol 64 (620) ◽

pp. e144-e150 ◽

Cited By ~ 12

Author(s):

Chantal MCR Panman ◽

Marian Wiegersma ◽

Marrit N Talsma ◽

Boudewijn J Kollen ◽

Marjolein Y Berger ◽

...

Keyword(s):

General Practice ◽

Sexual Function ◽

Pelvic Floor ◽

Older Women ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Pelvic Floor Symptoms

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What do female university students know about pelvic floor disorders? A cross-sectional survey

International Urogynecology Journal ◽

10.1007/s00192-021-04828-5 ◽

2021 ◽

Author(s):

Marta Bailón Queiruga ◽

Aina Delgado-Morell ◽

Marta Peró Garcia ◽

Sandra Coll Girona ◽

Ignasi Gich Saladich ◽

...

Keyword(s):

University Students ◽

Pelvic Floor ◽

Pelvic Floor Disorders ◽

Cross Sectional Survey ◽

Cross Sectional

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Testing the Strain Theory of Suicide – The Moderating Role of Social Support

Crisis ◽

10.1027/0227-5910/a000604 ◽

2020 ◽

Vol 41 (2) ◽

pp. 82-88 ◽

Cited By ~ 1

Author(s):

Bob Lew ◽

Ksenia Chistopolskaya ◽

Yanzheng Liu ◽

Mansor Abu Talib ◽

Olga Mitina ◽

...

Keyword(s):

Social Support ◽

Suicidal Behavior ◽

Online Survey ◽

Perceived Social Support ◽

Strain Theory ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Psychological Strains ◽

Moderating Role

Abstract. Background: According to the strain theory of suicide, strains, resulting from conﬂicting and competing pressures in an individual's life, are hypothesized to precede suicide. But social support is an important factor that can mitigate strains and lessen their input in suicidal behavior. Aims: This study was designed to assess the moderating role of social support in the relation between strain and suicidality. Methods: A sample of 1,051 employees were recruited in Beijing, the capital of China, through an online survey. Moderation analysis was performed using SPSS PROCESS Macro. Social support was measured with the Multidimensional Scale of Perceived Social Support, and strains were assessed with the Psychological Strains Scale. Results: Psychological strains are a good predictor of suicidality, and social support, a basic need for each human being, moderates and decreases the effects of psychological strains on suicidality. Limitations: The cross-sectional survey limited the extent to which conclusions about causal relationships can be drawn. Furthermore, the results may not be generalized to the whole of China because of its diversity. Conclusion: Social support has a tendency to mitigate the effects of psychological strains on suicidality.

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Fit and Congruency

Journal of Personnel Psychology ◽

10.1027/1866-5888/a000233 ◽

2019 ◽

Vol 18 (3) ◽

pp. 148-156

Author(s):

Mary Hogue ◽

Lee Fox-Cardamone ◽

Deborah Erdos Knapp

Keyword(s):

Role Theory ◽

Social Role ◽

Gender Diversity ◽

Job Fit ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Working Adults ◽

Role Congruity ◽

Self Selection ◽

Selection Of

Abstract. Applicant job pursuit intentions impact the composition of an organization’s applicant pool, thereby influencing selection outcomes. An example is the self-selection of women and men into gender-congruent jobs. Such self-selection contributes to a lack of gender diversity across a variety of occupations. We use person-job fit and the role congruity perspective of social role theory to explore job pursuit intentions. We present research from two cross-sectional survey studies (520 students, 174 working adults) indicating that at different points in their careers women and men choose to pursue gender-congruent jobs. For students, the choice was mediated by value placed on the job’s associated gender-congruent outcomes, but for working adults it was not. We offer suggestions for practitioners and researchers.

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