Evidence map›Paper›PMID 37277833›Full record

ArticleTrials2023

Effect of pelvic floor muscle training on reports of urinary incontinence in obese women undergoing a low-calorie diet before bariatric surgery - protocol of a randomized controlled trial.

Pauliana C S Mendes, Tatiana B Fretta, Milena F C Camargo, Patricia Driusso, Cristine Homsi Jorge

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04159467 (Effect of Pelvic Floor Muscle Training on Urinary Incontinence Reports in Obese Women Undergoing a Low Calorie Diet Prior to Bariatric Surgery), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT04159467 naunknown statusnot on this map

Effect of Pelvic Floor Muscle Training on Urinary Incontinence Reports in Obese Women Undergoing a Low Calorie Diet Prior to Bariatric Surgery: an Assessor Blinded Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Sao PauloRan2022 to 2023Enrolled20ConditionsUrinary Incontinence, Obesity, Strength, Pelvic FloorArmsPelvic Floor Muscle Training
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

5 authors.

Pauliana C S MendesDepartment of Health Sciences, University of Sao Paulo, Ribeirão Preto, São Paulo, Brazil.
Tatiana B FrettaDepartment of Health Sciences, University of Sao Paulo, Ribeirão Preto, São Paulo, Brazil.
Milena F C CamargoUniversity of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Patricia DriussoFederal University of Sao Carlos, São Carlos, Brazil.
Cristine Homsi JorgeUniversity of São Paulo, Ribeirão Preto Medical School, Graduation Program in Rehabilitation and Functional Performance, Avenida Bandeirantes 3900, Monte Alegre, SP, 14.049-900, Ribeirão Preto, Brazil. cristine@fmrp.usp.br.ORCID http://orcid.org/0000-0002-4956-4611

Funding

CAPES (Coordination for the Improvement of Higher Level -or Education- Personnel) 001
6 · The paper itself

Abstract

backgroundObesity represents a growing threat to health with multiple negative impacts including urinary incontinence. Pelvic floor muscle training (PFMT) is the first line of treatment for urinary incontinence. Both surgical and conservative weight loss results in improvement of urinary incontinence reports in obese women and we hypothesize that a low-calorie diet in combination with PFMT would result in additional beneficial effects to urinary symptoms in women with UI compared would with weight loss alone.

objectiveTo assess the effect of a low-calorie diet plus PFMT protocol in obese women's urinary incontinence reports.

methodsThis is a protocol for a randomized controlled trial that will include obese women reporting UI and being able to contract their pelvic floor muscles. The participants will be randomly allocated in two groups: group 1 will participate in a 12-week protocol of low-calorie diet delivered by a multi-professional team at a tertiary hospital; group II will receive the same low-calorie diet protocol during 12 weeks and will additionally participate in 6 group sessions of supervised PFMT delivered by a physiotherapist. The primary outcome of the study is self-reported UI, and severity and impact of UI on women's quality of life will be assessed by the ICIQ-SF score. The secondary outcomes will be adherence to the protocols assessed using a home diary, pelvic floor muscle function assessed by bidigital vaginal palpation and the modified Oxford grading scale, and women's self-perception of their PFM contraction using a questionnaire. Satisfaction with treatments will be assessed using a visual analog scale. The statistical analysis will be performed by intention to treat and multivariate analysis of mixed effects will be used to compare outcomes. The complier average causal effects (CACE) method will be used to assess adherence. There is an urgent need for a high-quality RCT to investigate if the association of a low-calorie diet and PFMT can provide a larger effect in the improvement of urinary incontinence reports in women with obesity.

trial registrationClinical Trials NCT04159467. Registered on 08/28/2021.

Indexed as

Bariatric SurgeryUrinary IncontinenceUrinary Incontinence, StressCaloric RestrictionExercise TherapyFemaleHumansObesityPelvic FloorQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeDiet therapyObesityPelvic floorPhysiotherapyUrinary incontinenceWomen

Identifiers

PMID37277833
PMCPMC10240468

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.