ArticleFemale pelvic medicine & reconstructive surgery2020
Intra-abdominal Pressure and Pelvic Floor Health: Should We Be Thinking About This Relationship Differently?
Article in Female pelvic medicine & reconstructive surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06709924 (Evaluating Effectiveness of Elevated Intra-abdominal Pressure), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluating Effectiveness of Elevated Intra-abdominal Pressure (IAP) by PressureDOT
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Technologies for Evaluation of Pelvic Floor Functionality: A Systematic Review.Sensors (Basel, Switzerland) · 2024Pooled it
- Most of the pelvic floor muscle functions in women differ in different body positions, yet others remain similar: systematic review with meta-analysis.Frontiers in medicine · 2023Pooled it
- Ultrasound-Based Morphofunctional Assessment of the Transversus Abdominis and Urinary Incontinence in Female Rugby Players.Journal of functional morphology and kinesiology · 2026Article
- Risk Factors and Quality of Life in Women with Urinary Incontinence in Kazakhstan: A Multicenter Case-Control Study.International journal of environmental research and public health · 2026Article
- Raman spectroscopy for nondestructive detection of vaginal tissue alterations in the fibulin-5 murine model of pelvic organ prolapse.Biophotonics discovery · 2026Article
- The Posterior Urethrovesical Angle in Continent and Incontinent Women Before and After a Treadmill Run.International urogynecology journal · 2026Article
- Measurement and Interpretation of Intra-Abdominal Pressure During Physical Activity: A Scoping Review.International urogynecology journal · 2026Review
- Gastrointestinal tolerance to a standardized milk-based hydration strategy is similar across exercise modalities.Frontiers in nutrition · 2026Article
- Is pelvic floor loading in female runners associated with post-run changes in pelvic floor morphometry or function?BJU international · 2025Article
- The Hidden Challenge: Pelvic Floor Symptoms and Their Impact on Performance and Well-Being in Elite Female Rugby Players.European journal of sport science · 2025Observational
- Fatigue loading and volumetric microscopy demonstrate changes to the mouse cervix throughout and after pregnancy.Connective tissue research · 2025Article
- Evaluating Pelvic Floor Dysfunction in Female Horse Show Jumpers Using the Australian Pelvic Floor Questionnaire.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Up for the tackle? The pelvic floor and rugby. A review.European journal of sport science · 2024Review
- The Feasibility of Using an Intravaginal Intra-Abdominal Pressure Sensor During Running to Evaluate Pelvic Floor Loading and Its Association with Running-Induced Stress Urinary Incontinence: An Observational Cohort Study.International urogynecology journal · 2024Observational
- Are very high rates of exogenous carbohydrate ingestion (>90 g/hr) sufficient or indeed necessary to run a sub-2hr marathon? An analysis of the model predictions of Lukasiewicz and colleagues.Frontiers in nutrition · 2024Article
- Intrinsic factors contributing to elevated intra-abdominal pressure.Computer methods in biomechanics and biomedical engineering · 2023Article
- Influence of toileting behavior on the natural course of anterior vaginal wall prolapse.BMC women's health · 2022Article
- Relative and Maximal Intra-abdominal Pressure and Postpartum Pelvic Floor Outcomes in Primiparas Delivered Vaginally.Female pelvic medicine & reconstructive surgery · 2022Article
- Characterizing Pelvic Floor Muscle Activity During Walking and Jogging in Continent Adults: A Cross-Sectional Study.Frontiers in human neuroscience · 2022Article
- Do women runners report more pelvic floor symptoms than women in CrossFit®? A cross-sectional survey.International urogynecology journal · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesIntra-abdominal pressure (IAP) increases during physical activity. Activities with high IAP are often restricted for women because of potential pelvic floor overloading. Researchers categorize high IAP activities using absolute values (in centimeters of water). Although essential for descriptive purposes, absolute IAP may not be ideal for individualized exercise recommendations. For oxygen consumption, a well-established measure of fitness, exercise scientists use a percentage of the maximal value observed during exercise to create relative exercise intensity prescriptions for an individual. Relative exercise intensity correlates inversely to the maximal value observed. We explore whether this approach and response pattern extend to IAP observed during exercise.
methodsFifty-five women completed 16 exercises while wearing a vaginal sensor to measure IAP. The highest mean IAP occurred during seated Valsalva/strain (IAPSTRAIN). We calculated relative IAP (in percent) for each participant by dividing the maximal IAP during each exercise by IAPSTRAIN. We examined relationships between relative IAP and IAPSTRAIN for each activity using Pearson r correlations.
resultsMean age was 30.4 ± 9.4 years, and body mass index was 22.4 ± 2.6 kg/m. For most women, IAP was greater during strain than during exercises. Relative IAPs negatively correlated with IAPSTRAIN. Excluding one exercise because of small sample sizes, r for all others ranged from -0.35 to -0.80, all statistically significant.
conclusionsThe relative IAP responses to many exercises exhibit an inverse relationship to the highest IAP values during strain, consistent with other variables measured during exercise. Relative IAP may provide an alternative to absolute IAP in understanding IAP's effect on pelvic floor health.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.