Evidence map›Paper›PMID 39918585›Full record

SynthesisInternational urogynecology journal2025

Influence of Powerlifting and Weightlifting on Female Pelvic Floor Dysfunction: Systematic Literature Review.

Andressa Soares Castro Alves, Maita Poli de Araújo, Gláucia Miranda Varella Pereira, Luiz Gustavo Oliveira Brito, Cássia Raquel Teatin Juliato

Registry-linked trialAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urogynecology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07727460 (The Reliability of Pelvic Floor Morphometry Measured From Ultrasound Images Acquired at Rest and During Weightlifting Tasks.), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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.

NCT07727460 recruitingnot on this mapstarted 2026, after this paper: background citation

The Reliability of Pelvic Floor Morphometry Measured From Ultrasound Images Acquired at Rest and During Weightlifting Tasks.

TypeobservationalSponsorUniversity of OttawaRan2026 to 2026Enrolled40ConditionsUrinary Incontinence , Stress
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Female pelvic floor protection-Where do we have to go?Acta obstetricia et gynecologica Scandinavica · 2026
    Review
  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

5 authors.

Andressa Soares Castro AlvesDepartment of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas - UNICAMP, Rua Alexander Fleming 101, Campinas, São Paulo, 13083-881, Brazil.
Maita Poli de AraújoDepartment of Obstetrics and Gynecology, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
Gláucia Miranda Varella PereiraDepartment of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas - UNICAMP, Rua Alexander Fleming 101, Campinas, São Paulo, 13083-881, Brazil.
Luiz Gustavo Oliveira BritoDepartment of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas - UNICAMP, Rua Alexander Fleming 101, Campinas, São Paulo, 13083-881, Brazil.
Cássia Raquel Teatin JuliatoDepartment of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas - UNICAMP, Rua Alexander Fleming 101, Campinas, São Paulo, 13083-881, Brazil. cjuliato@unicamp.br.ORCID 0000-0003-3197-1195

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe participation of women in sports such as powerlifting and weightlifting has grown over the years, and there is no consensus on the role of exercises in pelvic floor disorders (PFDs). We aimed to identify and summarize the current evidence on the impact of powerlifting and weightlifting on PFDs.

methodsA systematic literature search was conducted on databases with no language restriction, from inception to 20 January 2024. We included observational studies or randomized controlled trials investigating female athletes in powerlifting or weightlifting providing information regarding the impact of these sports on pelvic floor structures. Studies on CrossFit trainers, nonfemale athletes, age <18, and congress abstracts were excluded. Two researchers independently performed the data extraction and quality assessment. The risk of bias was assessed using the Risk Of Bias In Non-randomized Studies-of Interventions. The main outcomes were the prevalence of PFDs in women practicing powerlifting or weightlifting, the factors associated with PFDs, and exercise related to urinary loss.

resultsOf the 221 articles found, 5 studies with 1,809 participants were included in the qualitative synthesis. The prevalence of urinary incontinence (UI) in powerlifters ranged from 41.0% to 48.8% and in weightlifters from 36.6% to 54.1%. The main associated factors were age, parity, and body mass index. Deadlift was the exercise most commonly associated with UI (42.5%), followed by squats (36.3%). High loads and repetitions, along with competitions, were associated with UI.

conclusionThis systematic review reveals a clear connection between PFD, particularly UI, and the engagement of women in powerlifting and weightlifting.

Indexed as

Pelvic Floor DisordersWeight LiftingAdultFemaleHumansMiddle AgedUrinary IncontinenceFecal incontinencePelvic organ prolapseSportsUrinary incontinence

Identifiers

PMID39918585

What OpenQuestion holds

Textmetadata
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.