دورية أكاديمية
أعرض في EDS

Gestational diabetes is associated with alteration on pelvic floor muscle activation pattern during pregnancy and postpartum: Prospective cohort using electromyography assessment.

التفاصيل البيبلوغرافية
العنوان: Gestational diabetes is associated with alteration on pelvic floor muscle activation pattern during pregnancy and postpartum: Prospective cohort using electromyography assessment.
المؤلفون: Prudencio CB; São Paulo State University (Unesp), Postgraduate Program on Tocogynecology, Botucatu Medical School, Botucatu, Brazil., Nunes SK; São Paulo State University (Unesp), Postgraduate Program on Tocogynecology, Botucatu Medical School, Botucatu, Brazil., Pinheiro FA; São Paulo State University (Unesp), Postgraduate Program on Tocogynecology, Botucatu Medical School, Botucatu, Brazil., Sartorão Filho CI; São Paulo State University (Unesp), Postgraduate Program on Tocogynecology, Botucatu Medical School, Botucatu, Brazil., Nava GTA; Human Development and Technologies, Institute of Biosciences, São Paulo State University (UNESP), Rio Claro, Brazil., Salomoni SE; Independent Researcher, Hobart, TAS, Australia., Pedroni CR; São Paulo State University (Unesp), School of Philosophy and Sciences, Marilia, Brazil., Rudge MVC; São Paulo State University (Unesp), Postgraduate Program on Tocogynecology, Botucatu Medical School, Botucatu, Brazil., Barbosa AMP; São Paulo State University (Unesp), Postgraduate Program on Tocogynecology, Botucatu Medical School, Botucatu, Brazil.; São Paulo State University (Unesp), School of Philosophy and Sciences, Marilia, Brazil.
مؤلفون مشاركون: Diamater Study Group
المصدر: Frontiers in endocrinology [Front Endocrinol (Lausanne)] 2022 Oct 06; Vol. 13, pp. 958909. Date of Electronic Publication: 2022 Oct 06 (Print Publication: 2022).
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Frontiers Research Foundation] Country of Publication: Switzerland NLM ID: 101555782 Publication Model: eCollection Cited Medium: Print ISSN: 1664-2392 (Print) Linking ISSN: 16642392 NLM ISO Abbreviation: Front Endocrinol (Lausanne) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Lausanne : Frontiers Research Foundation]
مواضيع طبية MeSH: Diabetes, Gestational* , Muscular Diseases*, Female ; Humans ; Pregnancy ; Cohort Studies ; Electromyography ; Muscle Contraction/physiology ; Pelvic Floor/physiology ; Postpartum Period ; Prospective Studies
مستخلص: Background and Objective: Gestational diabetes mellitus (GDM) is a comorbidity which may cause acute and lifelong disorders to mother and child. Alterations in muscular and connective tissues have been associated with GDM in translation studies, characterizing gestational diabetic myopathy. Pregnancy-specific urinary incontinence and sexual disabilities, disorders that depend on the pelvic floor muscle (PFM) integrity, are also associated with GDM both during and after pregnancy. The aim was to compare PFM activation patterns between GDM and non-GDM women from 24-30 gestational weeks to 18-24 months postpartum during a standard clinical test during gestation and postpartum.
Methods: We conducted a prospective three-time-point cohort study from gestation (24-30 weeks-T1, and 36-38 weeks-T2) to 18-24 months postpartum (T3). PFM electromyography was recorded in primigravida or primiparous women with one previous elective c-section with or without the diagnosis of GDM according to the American Diabetes Association criteria. A careful explanation of the muscle anatomy and functionality of the PFM was given to participants before EMG assessment. The outcome measures were PFM activation patterns assessed during pregnancy and postpartum, comparing intra and between groups. PFM activation patterns were assessed by normalized electromyography signal at rest and during 1-second (sec) phasic, 10-sec hold, and 60-sec sustained contractions.
Results: Demographic and obstetric data showed homogeneity between groups. The GDM group achieved peak PFM EMG amplitudes similarly to the non-GDM group, but they took longer to return to baseline levels during the ~1-sec contraction (flicks). During 10-sec hold contractions, the GDM group sustained lower levels of PFM activation than the non-GDM group at both 36-38 weeks of gestation and 18-24 months postpartum when compared to the non-GDM group.
Conclusion: The results suggest that GDM impaired PFM control mainly on 1-sec flicks and 10-sec hold contraction, which appears to develop during late pregnancy and extends long-term postpartum. This motor behavior may play a role on pelvic floor dysfunctions.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2022 Prudencio, Nunes, Pinheiro, Sartorão Filho, Nava, Salomoni, Pedroni, Rudge, Barbosa and Diamater Study Group.)
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فهرسة مساهمة: Investigator: MVC Rudge; AMP Barbosa; IMP Calderon; FP Souza; B Berghmans; L Thabane; B Junginger; CFO Graeff; CG Magalhães; RA Costa; SAM Lima; MR Kron-Rodrigues; S Felisbino; W Barbosa; FJ Campos; G Bossolan; JE Corrente; J Nunes Hrc Abbade; PS Rossignoli; CR Pedroni; AN Atallah; ZIKJ Di Bella; SMM Uchoa; MA Hungaro; EA Mareco; ME Sakalem; N Martinho; LSR Hallur; DRA Reyes; FCB Alves; JPC Marcondes; CB Prudencio; FA Pinheiro; CI Sartorão Filho; SBCV Quiroz; T Pascon; SK Nunes; BB Catinelli; FVDS Reis; RG Oliveira; S Barneze; EMA Enriquez; L Takano; AM Carr; ABM Magyori; LF Iamundo; CNF Carvalho; M Jacomin; RE Avramidis; AJB Silva; MIG Orlandi; TD Dangi Xf; HCM Bassin; JVF Melo; MLS Takemoto; MD Menezes; TD Caldeirão; NJ Santos; IO Lourenço; J Marostica de S Xe; IP Caruso; LT Rasmussen; GA Garcia; GTA Nava; C Pascon; DG Bussaneli; VKC Nogueira; CVC Rudge; F Piculo; GM Prata; VP Barbosa
Keywords: electromyography; gestational diabetes; pelvic floor; postpartum; pregnant
تواريخ الأحداث: Date Created: 20221024 Date Completed: 20221026 Latest Revision: 20231106
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9582526
DOI: 10.3389/fendo.2022.958909
PMID: 36277705
قاعدة البيانات: MEDLINE
الوصف
تدمد:1664-2392
DOI:10.3389/fendo.2022.958909