Are Uterine, Urinary Bladder and Pelvic Floor Prolapse Affected by Nutrition and Lifestyle Changes? Can it be fixed? Can it be prevented?
Although the frequency of pelvic floor disorders is still unclear, it is estimated that urinary incontinence affects an average of 200 million people in the world. In developing countries, uterine prolapse affects 19.7% of women, 28.7% of urinary incontinence and 6.9% of fecal incontinence. In fact, urinary incontinence is a result of the underlying cause, and the main causes are muscle or nerve damage, diseases of the pelvic floor and loss of storage capacity.
Risk factors are known as increasing age and number of births, poor nutrition and poor working conditions. Many of these risk factors associated with urinary and fecal incontinence can be changed. These risk factors:
Studies have investigated whether urinary incontinence can be prevented by using behavioral change programs that include lifestyle changes (weight loss, pelvic floor muscle training, nutritional changes) in risk groups including diabetic, obese, elderly and women of childbearing age.
The results support that although urinary incontinence is a common chronic condition, it can be prevented by primary prevention by identifying modifiable risk factors.
Causes of Uterine Prolapse
One of the modifiable factors in pelvic floor disorder is It is cigarette. In a study including women with and without urinary incontinence, an increase in both pelvic floor disorders, stress urinary incontinence and sudden urinary incontinence was found in past smokers and current smokers. In an epidemiological study investigating modifiable lifestyle factors associated with urinary incontinence, heavy smoking (past-current) was found to be the most important factor in the development of urinary incontinence. It is work.
Eating foods and drinks containing caffeine is a risk factor that causes stress-related urinary incontinence and sudden urinary incontinence. Consuming bladder-friendly foods and drinks and/or reducing foods and drinks that irritate the bladder may protect the bladder.
Birth and similar traumas to the pelvic floor can cause muscle and nerve damage. Vitamin D receptors are present in the cell nuclei of these striated skeletal muscles. The muscles of the pelvic floor may therefore be affected by vitamin D levels. In a study, the relationship between overactive bladder and dietary compounds was investigated, and it was shown that the onset of overactive bladder was delayed in high intake of Vitamin D.
Excess weight creates stress in the pelvic floor by chronically increasing intra-abdominal pressure, causing pelvic floor muscle, It causes weakening of nerves and vessels. Therefore, a body mass index > 30 is a risk factor for urinary incontinence. It has been shown that with an average weight loss of 5-10% in overweight women, the frequency of urinary incontinence decreases by 50-60% and continues for 12 months.
The most common problem in women with diabetes is urinary incontinence. Diabetes affects bladder nerve functions and causes urinary incontinence through microvascular inflammation. Preventing and treating diabetes reduces the risk of urinary incontinence.
Pregnancy itself is a risk factor for urinary incontinence. It has been observed that urinary incontinence can be prevented when intense pelvic floor muscle exercises are performed during the pre-pregnancy period.
Uterine prolapse does not always have to be accompanied by urinary incontinence. Therefore, preventing uterine prolapse does not mean preventing urinary incontinence. Uterine prolapse also occurs due to the weakening of the structures that support the pelvic floor.
In summary, urinary incontinence due to pelvic floor disorder is a common chronic condition, but primary protection can be provided by identifying modifiable risk factors. Quitting smoking, preventing diabetes, avoiding obesity, consuming 25-30 ml/kg of fluid per day, avoiding foods and drinks that irritate the bladder, taking vitamin D supplements even though there is not enough scientific evidence, supporting the pelvic floor by performing pelvic floor muscle exercises, c Paying attention to hygiene after sexual intercourse and avoiding constipation are factors that should be taken into consideration in primary prevention.
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