{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T16:16:47Z","timestamp":1787588207424,"version":"build-2736575974"},"reference-count":40,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,9,15]],"date-time":"2015-09-15T00:00:00Z","timestamp":1442275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004901","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de Minas Gerais","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004901","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:p>The pelvic floor (<jats:styled-content style=\"fixed-case\">PF<\/jats:styled-content>) provides support to all pelvic organs, as well as appropriately closure\/opening mechanism of the urethra, vagina, and anus. Therefore, it is likely that female athletes involved in high\u2010impact and in strong\u2010effort activities are at risk for the occurrence of urinary incontinence (<jats:styled-content style=\"fixed-case\">UI<\/jats:styled-content>). This study aimed to investigate the occurrence of <jats:styled-content style=\"fixed-case\">UI<\/jats:styled-content> and other <jats:styled-content style=\"fixed-case\">PF<\/jats:styled-content> dysfunctions (<jats:styled-content style=\"fixed-case\">PFD<\/jats:styled-content>) [anal incontinence (<jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>), symptoms of constipation, dyspareunia, vaginal laxity, and pelvic organ prolapse] in 67 amateur athletes (<jats:styled-content style=\"fixed-case\">AT<\/jats:styled-content>) compared with a group 96 of nonathletes (<jats:styled-content style=\"fixed-case\">NAT<\/jats:styled-content>). An <jats:italic>ad hoc<\/jats:italic> survey based on questions from reliable and valid instruments was developed to investigate the occurrence of PFD symptoms. The risk of <jats:styled-content style=\"fixed-case\">UI<\/jats:styled-content> was higher in <jats:styled-content style=\"fixed-case\">AT<\/jats:styled-content> group (odds ratio: 2.90; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.50\u20135.61), mostly among artistic gymnastics and trampoline, followed by swimming and judo athletes. Whereas, <jats:styled-content style=\"fixed-case\">AT<\/jats:styled-content> group reported less straining to evacuate (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>: 0.46; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.22\u20130.96), manual assistance to defecate (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>: 0.24; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.05\u20131.12), and a higher stool frequency (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>: 0.29; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.13\u20130.64) than <jats:styled-content style=\"fixed-case\">NAT<\/jats:styled-content> group. The occurrence of loss of gas and sexual symptoms was high for both groups when compared with literature, although with no statistical difference between them. Pelvic organ prolapse was only reported by nonathletes. Athletes are at higher risk to develop <jats:styled-content style=\"fixed-case\">UI<\/jats:styled-content>, loss of gas, and sexual dysfunctions, either practicing high\u2010impact or strong\u2010effort activities. Thus, pelvic floor must be considered as an entity and addressed as well. Also, women involved in long\u2010term high\u2010impact and strengthening sports should be advised of the impact of such activities on pelvic floor function and offered preventive <jats:styled-content style=\"fixed-case\">PFD<\/jats:styled-content> strategies as well.<\/jats:p>","DOI":"10.1111\/sms.12546","type":"journal-article","created":{"date-parts":[[2015,9,15]],"date-time":"2015-09-15T11:33:08Z","timestamp":1442316788000},"page":"1109-1116","source":"Crossref","is-referenced-by-count":87,"title":["Urinary incontinence and other pelvic floor dysfunctions in female athletes in <scp>B<\/scp>razil: A cross\u2010sectional study"],"prefix":"10.1111","volume":"26","author":[{"given":"M. B. 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M.","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Department UFMG  Belo Horizonte MG Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. 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