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Relationships between perioperative physical activity and urinary incontinence after radical prostatectomy: an observational study.

Mungovan SF, Huijbers BP, Hirschhorn AD, Patel MI - BMC Urol (2013)

Bottom Line: At 6 weeks postoperatively, physical activity levels did not differ significantly from baseline (p = 0.181), but remained significantly lower than the week before surgery (p = 0.002).There was no significant interaction effect between preoperative physical activity category and time on the 24-hour pad test (p = 0.726) or ICIQ (p = 0.608).Nor were there any significant correlations between physical activity levels and the 24-hour pad test and ICIQ at 3 or 6 weeks postoperatively.

View Article: PubMed Central - HTML - PubMed

Affiliation: The Clinical Research Institute, Westmead Private Physiotherapy Services, Sydney, Australia. andrew.hirschhorn@crinstitute.com.au.

ABSTRACT

Background: Higher physical activity levels are continence-protective in non-prostate cancer populations. Primary aims of this study were to investigate changes in physical activity levels over the perioperative period in patients having radical prostatectomy, and relationships between perioperative physical activity levels and post-prostatectomy urinary incontinence.

Methods: A prospective analysis of patients having radical prostatectomy and receiving perioperative physiotherapy including pelvic floor muscle training and physical activity prescription (n = 33). Physical activity levels were measured using the International Physical Activity Questionnaire and/or the SenseWear Pro3 Armband at four timepoints: before preoperative physiotherapy, the week before surgery, and 3 and 6 weeks postoperatively. Urinary incontinence was measured at 3 and 6 weeks postoperatively using a 24-hour pad test and the International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ).

Results: Physical activity levels changed significantly over the perioperative period (p < 0.001). At 6 weeks postoperatively, physical activity levels did not differ significantly from baseline (p = 0.181), but remained significantly lower than the week before surgery (p = 0.002). There was no significant interaction effect between preoperative physical activity category and time on the 24-hour pad test (p = 0.726) or ICIQ (p = 0.608). Nor were there any significant correlations between physical activity levels and the 24-hour pad test and ICIQ at 3 or 6 weeks postoperatively.

Conclusions: This study provides novel data on perioperative physical activity levels for patients having radical prostatectomy. There was no relationship between perioperative physical activity levels and post-prostatectomy urinary incontinence, although participants had high overall preoperative physical activity levels and low overall urinary incontinence.

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Related in: MedlinePlus

Physical activity duration (min/week) for the 33 study participants (9 ORP, 24 RALP) over the perioperative period, as measured by IPAQ and Armband, separated by surgical group (mean ± SE).
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Figure 4: Physical activity duration (min/week) for the 33 study participants (9 ORP, 24 RALP) over the perioperative period, as measured by IPAQ and Armband, separated by surgical group (mean ± SE).

Mentions: Figures 3 and 4 show physical activity levels and duration over the perioperative period, as measured by both IPAQ and Armband, separated by surgical group. There were no significant differences between surgical groups for baseline or week before surgery physical activity levels (IPAQ: baseline: p = 0.653, week before surgery: p = 0.529; Armband: week before surgery: p = 0.370). There were no significant interaction effects between time and surgical group on physical activity levels (IPAQ: p = 0.832; Armband: p = 0.466).


Relationships between perioperative physical activity and urinary incontinence after radical prostatectomy: an observational study.

Mungovan SF, Huijbers BP, Hirschhorn AD, Patel MI - BMC Urol (2013)

Physical activity duration (min/week) for the 33 study participants (9 ORP, 24 RALP) over the perioperative period, as measured by IPAQ and Armband, separated by surgical group (mean ± SE).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4219599&req=5

Figure 4: Physical activity duration (min/week) for the 33 study participants (9 ORP, 24 RALP) over the perioperative period, as measured by IPAQ and Armband, separated by surgical group (mean ± SE).
Mentions: Figures 3 and 4 show physical activity levels and duration over the perioperative period, as measured by both IPAQ and Armband, separated by surgical group. There were no significant differences between surgical groups for baseline or week before surgery physical activity levels (IPAQ: baseline: p = 0.653, week before surgery: p = 0.529; Armband: week before surgery: p = 0.370). There were no significant interaction effects between time and surgical group on physical activity levels (IPAQ: p = 0.832; Armband: p = 0.466).

Bottom Line: At 6 weeks postoperatively, physical activity levels did not differ significantly from baseline (p = 0.181), but remained significantly lower than the week before surgery (p = 0.002).There was no significant interaction effect between preoperative physical activity category and time on the 24-hour pad test (p = 0.726) or ICIQ (p = 0.608).Nor were there any significant correlations between physical activity levels and the 24-hour pad test and ICIQ at 3 or 6 weeks postoperatively.

View Article: PubMed Central - HTML - PubMed

Affiliation: The Clinical Research Institute, Westmead Private Physiotherapy Services, Sydney, Australia. andrew.hirschhorn@crinstitute.com.au.

ABSTRACT

Background: Higher physical activity levels are continence-protective in non-prostate cancer populations. Primary aims of this study were to investigate changes in physical activity levels over the perioperative period in patients having radical prostatectomy, and relationships between perioperative physical activity levels and post-prostatectomy urinary incontinence.

Methods: A prospective analysis of patients having radical prostatectomy and receiving perioperative physiotherapy including pelvic floor muscle training and physical activity prescription (n = 33). Physical activity levels were measured using the International Physical Activity Questionnaire and/or the SenseWear Pro3 Armband at four timepoints: before preoperative physiotherapy, the week before surgery, and 3 and 6 weeks postoperatively. Urinary incontinence was measured at 3 and 6 weeks postoperatively using a 24-hour pad test and the International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ).

Results: Physical activity levels changed significantly over the perioperative period (p < 0.001). At 6 weeks postoperatively, physical activity levels did not differ significantly from baseline (p = 0.181), but remained significantly lower than the week before surgery (p = 0.002). There was no significant interaction effect between preoperative physical activity category and time on the 24-hour pad test (p = 0.726) or ICIQ (p = 0.608). Nor were there any significant correlations between physical activity levels and the 24-hour pad test and ICIQ at 3 or 6 weeks postoperatively.

Conclusions: This study provides novel data on perioperative physical activity levels for patients having radical prostatectomy. There was no relationship between perioperative physical activity levels and post-prostatectomy urinary incontinence, although participants had high overall preoperative physical activity levels and low overall urinary incontinence.

Show MeSH
Related in: MedlinePlus