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Incidence of Pelvic Floor Disorders in US Army Female Soldiers. | LitMetric

Incidence of Pelvic Floor Disorders in US Army Female Soldiers.

Urology

Department of Medicine, Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA.

Published: April 2021

AI Article Synopsis

Article Abstract

Objective: To determine the incidence of pelvic floor disorders (PFD) among active-duty US Army female soldiers.

Materials And Methods: We studied 102,015 women for incident PFD using the Stanford Military Data Repository, which comprises medical, demographic and service-related information on all soldiers on active duty in the US Army during 2011-2014. Cox proportional hazards estimated adjusted associations with PFD diagnoses. In the adjusted models, military-specific characteristics and fitness were evaluated alongside known PFD predictors.

Results: Among 102,015 subjects at risk there was a cumulative incidence of 6.4% over a mean of 27 months (median 29, range 1-42). In adjusted models, obese soldiers were more likely to have a PFD compared to those of normal weight (hazard ratio [HR] 1.23, confidence interval [CI] 1.14-1.34, P <0.001) and those with recent weight gain were more likely to have a PFD compared to those without (HR 1.32, CI 1.24-1.40, P <0.05). Women with the lowest physical fitness scores were more likely to have a PFD (HR 1.14, CI 1.04-1.25) compared to those with the highest scores.

Conclusion: Over a median follow-up time of 29 months, 1 in 15 women in this active-duty cohort was diagnosed with a PFD. Optimizing risk factors including body mass index and physical fitness may benefit the pelvic health of female soldiers, independent of age, children, and years of service.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2020.05.085DOI Listing

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