{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T01:01:42Z","timestamp":1784336502624,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T00:00:00Z","timestamp":1556582400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009971","name":"Andrews University","doi-asserted-by":"publisher","award":["AUFaculty Research Grant RSO1990CH19"],"award-info":[{"award-number":["AUFaculty Research Grant RSO1990CH19"]}],"id":[{"id":"10.13039\/100009971","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Women, during the antenatal and post\u2010partum period, report pelvic, low back pain, stress and urge urinary incontinence, colorectal dysfunction, and other co\u2010morbidities that negatively affect health\u2010related quality of life. Exercise and nutrition are important considerations for improving maternal health in this period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this study was to examine the effects of a community\u2010driven nutrition and exercise programme focused on pelvic floor and core stability, healthy nutrition, and breastfeeding counselling over an 8\u2010week period on pelvic floor and urinary distress (UDI), prolapse and colorectal distress for antenatal and post\u2010partum women with limited access to health care, and low socio\u2010economic resources from a Midwestern Region of the United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Purposive sample of 35 females, ages 18\u201344, were recruited for this prospective, preintervention to postintervention study, following ethical approval from Institutional Review Board and voluntary written consent from participants. The Health History Questionnaire, SF\u201036, Food Frequency Questionnaire, report of pelvic organ prolapse dysfunction (POPDI), colorectal\u2010anal dysfunction (CRADI), and UDI as measured by the Pelvic Floor Distress Inventory (PFDI) were completed before and after intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010five women (<jats:italic>n<\/jats:italic>\u00a0=\u00a035) 18 to 44\u00a0years old (mean age of 22.72\u00a0\u00b1\u00a03.45\u00a0years) completed the study. A significant difference was found from preintervention to postintervention scores means for PFDI total scores, CRADI individual scores, and UDI individual scores (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05). POPDI scores decreased preintervention to postintervention but were not significant. A significant improvement in healthy nutrition and breastfeeding postintervention was also found (<jats:italic>z<\/jats:italic>\u00a0=\u00a03.21, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.001). Further analysis showed significant, but weak, correlation between parity and POPDI (<jats:italic>r<\/jats:italic>\u00a0=\u00a0.366, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.033); between parity and UDI (<jats:italic>r<\/jats:italic>\u00a0=\u00a0.384, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.03); and between parity and PFDI (<jats:italic>r<\/jats:italic>\u00a0=\u00a0.419, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.014).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our study found a significant reduction in pelvic floor dysfunction, urinary, and colorectal\u2010anal distress symptoms and improvement in breastfeeding and healthy nutrition following an 8\u2010week community\u2010driven nutrition and exercise programme focused on pelvic floor and core stability, healthy nutrition, and breastfeeding counselling.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.1780","type":"journal-article","created":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T02:57:35Z","timestamp":1556679455000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Effects of an 8\u2010week pelvic core stability and nutrition community programme on maternal health outcomes"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3221-7365","authenticated-orcid":false,"given":"Lori Maria","family":"Walton","sequence":"first","affiliation":[{"name":"Department of Physiotherapy University of Sharjah\/College of Health Sciences  Sharjah United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veena","family":"Raigangar","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy University of Sharjah\/College of Health Sciences  Sharjah United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mini Sara","family":"Abraham","sequence":"additional","affiliation":[{"name":"Department of Nursing University of Sharjah  Sharjah United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherisse","family":"Buddy","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Andrews University  Berrien Springs Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magaly","family":"Hernandez","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Andrews University  Berrien Springs Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gretchen","family":"Krivak","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Andrews University  Berrien Springs Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose","family":"Caceras","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Andrews University  Berrien Springs Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,30]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.02.033"},{"key":"e_1_2_14_3_1","unstructured":"American College of Obstetricians and Gynecologists(2018).Optimizing postpartum care. 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