Evidence map›Paper›PMID 34609664›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2022

Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study.

R L Kaufmann, C S Reiner, U A Dietz, P A Clavien, R Vonlanthen, S A Käser

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT06302816 nacompletednot on this mapstarted 2023, after this paper: background citation

Comparative Effects of Tupler and Scoop Exercises on Inter-recti-distance, Low Back Pain, Abdominal Strength and Urogynecological Symptoms in Diastasis Recti

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2024Enrolled30ConditionsDiastasisArmsTUPLER exercises, SCOOP EXERCISES
NCT07521085 narecruitingnot on this mapstarted 2025, after this paper: background citation

Combined Effects Of Stability Oriented Breathing Exercises and Kegel's Exercises On Inter-recti Distance, Lumbopelvic Pain and Strength In Postpartum Women

TypeinterventionalSponsorRiphah International UniversityRan2025 to 2026Enrolled60ConditionsPostpartum Complication, StrengthArmsStability Oriented Breathing Training, kegels exercises
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Risk factors and interaction analysis of severe diastasis recti abdominis within 6 months postpartum.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
  8. Article
  9. Diastasis recti in male patients: a literature review and proposed management.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Principles of rectus diastasis classification and treatment.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Review
  14. Article
  15. Rectus diastasis in males: a narrative review.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

R L KaufmannDepartment of Visceral and Transplantation Surgery, University Hospital of Zurich, Zurich, Switzerland.
C S ReinerInstitute of Diagnostic and Interventional Radiology, University Hospital of Zurich, Zurich, Switzerland.
U A DietzDepartment of General, Visceral and Plastic Surgery, Cantonal Hospital of Olten, Olten, Switzerland.
P A ClavienDepartment of Visceral and Transplantation Surgery, University Hospital of Zurich, Zurich, Switzerland.
R VonlanthenDepartment of Visceral and Transplantation Surgery, University Hospital of Zurich, Zurich, Switzerland.
S A KäserDepartment of Visceral and Transplantation Surgery, University Hospital of Zurich, Zurich, Switzerland. sakaeser@swissonline.ch.ORCID http://orcid.org/0000-0001-8692-5474
University of Zurich · CHKantonsschule Olten · CHUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe prevalence and definition of diastasis recti abdominis (DRA) is under debate. This retrospective cross-sectional study evaluated the interrectal distance and the prevalence of DRA in computed tomography (CT) in an asymptomatic population. MATERIALS AND

methodsPatients undergoing CT scans for suspected appendicitis or kidney stones from 01/2016 to 12/2018 were screened retrospectively to participate. A study population with equal distribution according to gender and age (18-90 years) was generated (n = 329 patients) and the interrectal distance was measured at six reference points.

resultsDRA (defined as > 2 cm at 3 cm above the umbilicus) was present in 57% of the population. The 80th percentile of the interrectal distance was 10 mm at the xiphoid (median 3 mm, 95% confidence interval (CI) 0-19 mm), 27 mm halfway from xiphoid to umbilicus (median 17 mm, 95% CI 0-39 mm), 34 mm at 3 cm above the umbilicus (median 22 mm, 95% CI 0-50 mm), 32 mm at the umbilicus (median 25 mm, 95% CI 0-45 mm), 25 mm at 2 cm below the umbilicus (median 14 mm, 95% CI 0-39 mm), and 4 mm halfway from umbilicus to pubic symphysis (median 0 mm, 95% CI 0-19 mm). In the multivariate analysis, higher age (p = 0.001), increased body mass index (p < 0.001), and parity (p < 0.037) were independent risk factors for DRA, while split xiphoid, tobacco abuse, and umbilical hernia were not.

conclusionThe prevalence of DRA is much higher than commonly estimated (57%). The IRD 3 cm above the umbilicus may be considered normal up to 34 mm. To avoid over-treatment, the definition of DRA should be revised.

Indexed as

Diastasis, MuscleRectus AbdominisAdolescentAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHerniorrhaphyHumansMiddle AgedPregnancyPrevalenceRetrospective StudiesRisk FactorsYoung AdultDiastasis recti abdominisInterrectal distanceLinea alba widthNormal widthPrevalenceRectus abdominis diastasis

Identifiers

PMID34609664
PMCPMC9012734
OpenAlexW3201764005

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.