{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T20:32:45Z","timestamp":1791923565081,"version":"4.3.4"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T00:00:00Z","timestamp":1588550400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"South-Eastern Norway Regional Health Authority and the Norwegian Research Council"},{"name":"Norwegian Foundation for Health and Rehabilitation and the Norwegian Women\u2019s Public Health Association","award":["2012\/2\/0207"],"award-info":[{"award-number":["2012\/2\/0207"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>There is limited knowledge on how exercise impacts the pelvic floor muscles (PFM) and prevalence of stress urinary incontinence (SUI) and pelvic organ prolapse (POP) postpartum. The purpose of this study was to investigate whether early onset of general exercise postpartum negatively affects the PFM and\/or increases the risk of SUI and POP 12\u00a0months postpartum.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This study used a prospective cohort design. At 6\u00a0weeks postpartum, 57 women classified as exercisers (exercising \u22653 times at \u226530\u00a0min\/wk) were compared with 120 nonexercisers (mean age\u00a0=\u00a029 years, SD\u00a0=\u00a04.3). Manometry was used to measure vaginal resting pressure, PFM strength, and PFM endurance, and symptoms of SUI and POP were assessed using questionnaires. Data were presented as standardized beta coefficients (B) and odds ratios (OR).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>No differences were found between exercisers (n\u00a0=\u00a057) and non-exercisers (n\u00a0=\u00a0120) at 6\u00a0weeks postpartum on vaginal resting pressure (B\u00a0=\u00a0\u22120.04 [95% CI\u00a0=\u00a0\u22123.4 to 2.1]), PFM strength (B\u00a0=\u00a00.03 [95% CI\u00a0=\u00a0\u22124.7 to 7.4]), PFM endurance (B\u00a0=\u00a0\u22120.02 [95% CI\u00a0=\u00a0\u221259 to 46]), or symptoms of SUI (OR\u00a0=\u00a00.51 [95% CI\u00a0=\u00a00.25 to 1.1]) or POP (OR\u00a0=\u00a00.62 [95% CI\u00a0=\u00a00.26 to 1.5]) measured at 12\u00a0months postpartum. Adjusting for covariates, women with body mass index between 25 and 29.9 and\u00a0&amp;gt;30 were more likely to report SUI 12\u00a0months postpartum (OR\u00a0=\u00a02.2 [95% CI\u00a0=\u00a01.0 to 4.7] and OR\u00a0=\u00a03.3 [95% CI\u00a0=\u00a01.2 to 9.4], respectively). Women with physically strenuous occupations were more likely to report POP 12\u00a0months postpartum (OR\u00a0=\u00a03.0 [95% CI = 1.2 to 7.3]).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study suggests that regular exercise 6\u00a0weeks postpartum has no negative effect on PFM function or on SUI or POP. Being overweight, however, was associated with more SUI, and women with physically strenuous occupations reported more POP.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Impact<\/jats:title>\n                  <jats:p>Results from this study suggest that first-time mothers should be encouraged to start general exercise within the first 6\u00a0weeks after giving birth. Women at risk for PFD should be advised accordingly and potentially modifiable risk factors should be addressed prior to delivery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Lay Summary<\/jats:title>\n                  <jats:p>First-time mothers are encouraged to talk with a physical therapist about starting regular general exercise in the early postpartum weeks. Health care providers should advise patients on possible preventive measures for women at risk for PFD.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzaa084","type":"journal-article","created":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T19:11:07Z","timestamp":1588101067000},"page":"1681-1689","source":"Crossref","is-referenced-by-count":39,"title":["The Influence of Early Exercise Postpartum on Pelvic Floor Muscle Function and Prevalence of Pelvic Floor Dysfunction 12\u00a0Months Postpartum"],"prefix":"10.1093","volume":"100","author":[{"given":"Merete Kolberg","family":"Tennfjord","sequence":"first","affiliation":[{"name":"School of Health Science , Kristiania University College, Kirkegata 24, Oslo 0107, Norway; Department of Obstetrics and Gynaecology, Akershus University Hospital, Lorenskog, Norway; and Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Ellstr\u00f6m","family":"Engh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology , Akershus University Hospital; and Institute of Clinical Medicine, University of Oslo, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kari","family":"B\u00f8","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine , Norwegian School of Sports Sciences and Department of Obstetrics and Gynaecology, Akershus University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,5,4]]},"reference":[{"key":"2023011804292337700_ref1","doi-asserted-by":"crossref","first-page":"1326","DOI":"10.1097\/AOG.0000000000001209","article-title":"Committee Opinion No. 650 Summary: Physical Activity and Exercise During Pregnancy and the Postpartum Period","volume":"126","author":"The American College of Obstetricians and Gynecologists (ACOG)","year":"2015","journal-title":"Obstet Gynecol"},{"key":"2023011804292337700_ref2","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1136\/bjsports-2017-097964","article-title":"Exercise and pregnancy in recreational and elite athletes: 2016\/17 evidence summary from the IOC expert group meeting, Lausanne. 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