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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

ICIQ-UI Short Form summary score at 3 and 6 weeks postoperatively, separated by preoperative physical activity category (moderate vs high physical activity level (PAL), using Armband data from week before surgery) and surgical group (mean + SE).
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Figure 6: ICIQ-UI Short Form summary score at 3 and 6 weeks postoperatively, separated by preoperative physical activity category (moderate vs high physical activity level (PAL), using Armband data from week before surgery) and surgical group (mean + SE).

Mentions: Figures 5 and 6 show PPUI outcomes (24HPT and ICIQ) at 3 and 6 weeks postoperatively, separated by preoperative physical activity category and surgical group. There was a significant decrease in PPUI for all participants from 3 to 6 weeks postoperatively (ICIQ: p = 0.001; 24HPT: p = 0.032). There was no significant interaction effect between time and preoperative physical activity category on PPUI (24HPT: p = 0.726; ICIQ: p = 0.608), i.e. preoperative physical activity category did not affect the postoperative time-course of PPUI. Nor were there any significant correlations between absolute preoperative physical activity level (Armband data, week before surgery) and PPUI at 3 weeks (24HPT: r = 0.046, p = 0.805; ICIQ: r = 0.006, p = 0.974) or 6 weeks postoperatively (24HPT: r = −0.073, p = 0.691; ICIQ: r = −0.129, p = 0.483).


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)

ICIQ-UI Short Form summary score at 3 and 6 weeks postoperatively, separated by preoperative physical activity category (moderate vs high physical activity level (PAL), using Armband data from week before surgery) and 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 6: ICIQ-UI Short Form summary score at 3 and 6 weeks postoperatively, separated by preoperative physical activity category (moderate vs high physical activity level (PAL), using Armband data from week before surgery) and surgical group (mean + SE).
Mentions: Figures 5 and 6 show PPUI outcomes (24HPT and ICIQ) at 3 and 6 weeks postoperatively, separated by preoperative physical activity category and surgical group. There was a significant decrease in PPUI for all participants from 3 to 6 weeks postoperatively (ICIQ: p = 0.001; 24HPT: p = 0.032). There was no significant interaction effect between time and preoperative physical activity category on PPUI (24HPT: p = 0.726; ICIQ: p = 0.608), i.e. preoperative physical activity category did not affect the postoperative time-course of PPUI. Nor were there any significant correlations between absolute preoperative physical activity level (Armband data, week before surgery) and PPUI at 3 weeks (24HPT: r = 0.046, p = 0.805; ICIQ: r = 0.006, p = 0.974) or 6 weeks postoperatively (24HPT: r = −0.073, p = 0.691; ICIQ: r = −0.129, p = 0.483).

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