Evidence map›Paper›PMID 39186785›Full record

Trial reportAnnals of internal medicine2024

Efficacy of a Therapeutic Pelvic Yoga Program Versus a Physical Conditioning Program on Urinary Incontinence in Women : A Randomized Trial.

Alison J Huang, Margaret Chesney, Michael Schembri, Harini Raghunathan, Eric Vittinghoff, Wendy Berry Mendes, Sarah Pawlowsky, Leslee L Subak

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03672461 (A Randomized Controlled Trial of a Group-Based Therapeutic Yoga Intervention for Urinary Incontinence in Ambulatory Older Women), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT03672461 nacompletednot on this map

A Randomized Controlled Trial of a Group-Based Therapeutic Yoga Intervention for Urinary Incontinence in Ambulatory Older Women

TypeinterventionalSponsorUniversity of California, San FranciscoRan2019 to 2022Enrolled240ConditionsStress Incontinence, Female, Stress Incontinence, Urinary, Stress Incontinence, Urge IncontinenceArmsYoga Practice Program, Physical Conditioning Program
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. 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

8 authors.

Alison J HuangDepartment of Medicine, Department of Urology, and Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California (A.J.H.).
Margaret ChesneyDepartment of Medicine, and Osher Center for Integrative Health, University of California San Francisco, San Francisco, California (M.C.).ORCID 0000-0001-6038-3486
Michael SchembriDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, California (M.S.).ORCID 0000-0002-0511-853X
Harini RaghunathanDepartment of Medicine, University of California San Francisco, San Francisco, California (H.R.).
Eric VittinghoffDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California (E.V.).ORCID 0000-0001-8535-0920
Wendy Berry MendesDepartment of Psychology, Yale University, New Haven, Connecticut (W.B.M.).ORCID 0000-0003-4453-1201
Sarah PawlowskySan Francisco State University, San Francisco, California (S.P.).
Leslee L SubakDepartment of Obstetrics and Gynecology, Stanford University, Stanford, California (L.L.S.).

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Promoting engagement, assessing barriers, and evaluating self-efficacy in yoga research among women from underrepresented racial and ethnic backgroundsR01DK116712 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, ALISON · 2018 to 2022
$3.7M
Transdermal Nitroglycerin Therapy for Menopausal Hot FlashesR01AG050588 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, ALISON · 2016 to 2019
$2.2M
Patient-Oriented Research and Mentoring in Genitourinary AgingK24AG068601 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alison Huang · 2020 to 2026
$1.2M
NCATS NIH HHS UL1 TR001863NIA NIH HHS K24 AG068601NIA NIH HHS R01 AG050588NIDDK NIH HHS R01 DK116712
6 · The paper itself

Abstract

backgroundPelvic floor yoga has been recommended as a complementary treatment strategy for urinary incontinence (UI) in women, but evidence of its efficacy is lacking.

objectiveTo evaluate the effects of a therapeutic pelvic floor yoga program versus a nonspecific physical conditioning program on UI in women.

designRandomized trial. (ClinicalTrials.gov: NCT03672461).

settingThree study sites in California, United States.

participantsAmbulatory women aged 45 years or older reporting daily urgency-, stress-, or mixed-type UI.

interventionTwelve-week program of twice-weekly group instruction and once-weekly self-directed practice of pelvic floor-specific Hatha yoga techniques (pelvic yoga) versus equivalent-time instruction and practice of general skeletal muscle stretching and strengthening exercises (physical conditioning). MEASUREMENTS: Total and type-specific UI frequency assessed by 3-day voiding diaries.

resultsAmong the 240 randomly assigned women (age range, 45 to 90 years), mean baseline UI frequency was 3.4 episodes per day (SD, 2.2), including 1.9 urgency-type episodes per day (SD, 1.9) and 1.4 stress-type episodes per day (SD, 1.7). Over a 12-week time period, total UI frequency (primary outcome) decreased by an average of 2.3 episodes per day with pelvic yoga and 1.9 episodes per day with physical conditioning (between-group difference of -0.3 episodes per day [95% CI, -0.7 to 0.0]). Urgency-type UI frequency decreased by 1.2 episodes per day in the pelvic yoga group and 1.0 episode per day in the physical conditioning group (between-group difference of -0.3 episodes per day [CI, -0.5 to 0.0]). Reductions in stress-type UI frequency did not differ between groups (-0.1 episodes per day [CI, -0.3 to 0.3]). LIMITATION: No comparison to no treatment or other clinical UI treatments; conversion to videoconference-based intervention instruction during the COVID-19 pandemic.

conclusionA 12-week pelvic yoga program was not superior to a general muscle stretching and strengthening program in reducing clinically important UI in midlife and older women with daily UI. PRIMARY FUNDING SOURCE: National Institutes of Health.

Indexed as

Pelvic FloorUrinary IncontinenceYogaAgedAged, 80 and overCOVID-19Exercise TherapyFemaleHumansMiddle AgedMuscle Stretching ExercisesTreatment Outcome

Identifiers

PMID39186785
PMCPMC11473233

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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.