Thursday, July 24, 2014

Female triathletes at risk for pelvic-floor disorders, other complications

MAYWOOD, Ill. (July 24, 2014) – Female triathletes are at risk for pelvic-floor disorders, decreased energy, menstrual irregularities and abnormal bone density, according to researchers at Loyola University Health System (LUHS). These data were presented today at the American Urogynecologic Society 2014 Scientific Meeting in Washington, D.C.

The study found that 1 in 3 female triathletes suffered from a pelvic-floor disorder such as urinary incontinence, bowel incontinence and pelvic-organ prolapse. Also, 1 in 4 had one component of the female athlete triad, a condition characterized by decreased energy, menstrual irregularities and abnormal bone density from excessive exercise and inadequate nutrition.

“There has been a surge in popularity of high-impact sports such as triathlons, but little has been known until now about the prevalence of pelvic health and certain other issues associated with endurance training and events,” said Colleen Fitzgerald, MD, study investigator and physiatrist, LUHS.

For this study researchers surveyed 311 women with a median age range of 35-44. These women were involved with triathlete groups and most (82 percent) were training for a triathlon at the time of the survey. On average, survey participants ran 3.7 days a week, biked 2.9 days a week and swam 2.4 days a week.

Of those who reported pelvic-floor-disorder symptoms, 16 percent had urgency urinary incontinence, 37.4 percent had stress urinary incontinence, 28 percent had bowel incontinence and 5 percent had pelvic-organ prolapse. Training mileage and intensity were not associated with pelvic-floor-disorder symptoms. Also, 22 percent of those surveyed screened positive for problematic eating habits, 24 percent had menstrual irregularities and 29 percent demonstrated abnormal bone strength.

“While both pelvic-floor disorders and the female athlete triad are prevalent in female triathletes, both are often ignored,” said Johnny Yi, MD, urogynecologist and study investigator. “Doctors should be aware of how common these conditions are in this group of athletes and treat patients appropriately to avoid long-term health consequences.”

About Loyola University Health System

Loyola University Health System (LUHS) is a member of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system that includes Loyola University Medical Center (LUMC), located on a 61-acre campus in Maywood, Gottlieb Memorial Hospital (GMH), on a 36-acre campus in Melrose Park, and convenient locations offering primary and specialty care services throughout Cook, Will and DuPage counties. At the heart of LUMC is a 547-licensed-bed hospital that houses the Center for Heart & Vascular Medicine, the Cardinal Bernardin Cancer Center, a Level 1 trauma center, a burn center, a children's hospital, Loyola Outpatient Center, and Loyola Oral Health Center. The campus also is home to Loyola University Chicago Stritch School of Medicine, Loyola University Chicago Marcella Niehoff School of Nursing and the Loyola Center for Fitness. The GMH campus includes a 254-licensed-bed community hospital, a Professional Office Building with 150 private practice clinics, an adult day care program, the Gottlieb Center for Fitness, the Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.

Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation. It serves people and communities in 22 states from coast to coast with 93 hospitals, and 120 continuing care locations — including home care, hospice, PACE and senior living facilities — that provide nearly 2.5 million visits annually.