Loyola Study Finds Female Triathletes at Higher Risk for Pelvic Floor Disorders
August 23, 2016Categories: Orthopaedics, Women's Health
Tags: Orthopaedics, Womens Health
MAYWOOD, IL – A study led by Loyola Medicine researchers found that female triathletes are at higher risk for pelvic floor disorders, among other health issues.
The study, published in Female Pelvic Medicine and Reconstructive Surgery, found that female triathletes suffered from a high rate of stress urinary and anal incontinence.
“We expected the high rates of urinary incontinence, but did not expect to find such high rates of anal incontinence,” said senior author, Colleen Fitzgerald, MD, MS. Dr. Fitzgerald is the medical director of the Chronic Pelvic Pain program and an associate professor in the department of obstetrics and gynecology at Loyola University Chicago Stritch School of Medicine.
“These findings generate a new question as to address the mechanism of injury for why this is occurring, whether it is metabolic or digestive, or due to prolonged impacted on the pelvic floor from biking or other unexplained causes,” Dr. Fitzgerald said.
Researchers conducted an internet survey of 311 self-identified female triathletes. Results showed a significant prevalence of pelvic floor disorders, with urinary incontinences (37.4%) and anal incontinence (28%) being the most common.
Urgency urinary incontinence (16%) and pelvic organ prolapse (5%) were less common. Pelvic girdle pain was noted in 18% of these triathletes, but was not indicated as disabling or preventing exercise.
Nearly a quarter of respondents also screened positive for at least one arm of the female athlete triad, a condition characterized by decreased energy, menstrual irregularities and abnormal bone density from excessive exercise and inadequate nutrition.
Loyola researchers conducted a similar study on female athletes in 2014, focusing on runners. In that study, researchers found a similarly high percentage of women complained of urinary incontinence symptoms. The goal of this study was to expand on previous results, incorporating the low impact sport of swimming.
Along with Fitzgerald, co-authors on the study were Johnny Yi, MD, FACOG, then a urogynecology fellow at Loyola and now with Mayo Clinic Arizona, Sandi Tenfelde, PhD, RN, APN, Dina Tell, PhD, and Cynthia Brincat, MD, PhD, FACOG.
“Our goal of this study was not to deter triathletes from participating in their training,” Dr. Fitzgerald said. “Exercise in all forms can be healthy and should be encouraged. However, we would recommend that if women are bothered by these symptoms, they should seek medical care from a urogynecologist or female pelvic reconstructive surgery specialist.”
About Loyola Medicine
Loyola Medicine, a member of Trinity Health, is a nationally ranked academic, quaternary care system based in Chicago's western suburbs. The three-hospital system includes Loyola University Medical Center (LUMC), Gottlieb Memorial Hospital, MacNeal Hospital, as well as convenient locations offering primary care, specialty care and immediate care services from nearly 2,000 physicians throughout Cook, Will and DuPage counties. LUMC is a 547-licensed-bed hospital in Maywood that includes the William G. and Mary A. Ryan Center for Heart & Vascular Medicine, the Cardinal Bernardin Cancer Center, the John L. Keeley, MD, Emergency Department, a Level 1 trauma center, Illinois's largest burn center, the Nancy W. Knowles Orthopaedic Institute, a certified comprehensive stroke center, transplant center and a children’s hospital. Having delivered compassionate care for over 50 years, Loyola also trains the next generation of caregivers through its academic affiliation with Loyola University Chicago’s Stritch School of Medicine and Marcella Niehoff School of Nursing.
For more information, visit loyolamedicine.org. You can also follow Loyola Medicine on LinkedIn, Facebook, Instagram or X (formerly known as Twitter).
About Trinity Health
Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. It is a family of 127,000 colleagues and more than 38,300 physicians and clinicians caring for diverse communities across 26 states. Nationally recognized for care and experience, the Trinity Health system includes 93 hospitals, 107 continuing care locations, the second largest PACE program in the country, 142 urgent care locations and many other health and well-being services. In fiscal year 2024, the Livonia, Michigan-based health system invested $1.3 billion in its communities in the form of charity care and other community benefit programs. For more information, visit us at www.trinity-health.org, or follow us on LinkedIn, Facebook, and X (formerly known as Twitter).