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Effects of a Walking Program as Physical Therapy for Individuals Experiencing Urinary Incontinence after Pregnancy or Childbirth

Research Project

Project/Area Number 16K15929
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Lifelong developmental nursing
Research InstitutionKochi University

Principal Investigator

KOMATSU TERUKO  高知大学, 教育研究部医療学系看護学部門, 講師 (20584410)

Co-Investigator(Kenkyū-buntansha) 前田 長正  高知大学, 教育研究部医療学系臨床医学部門, 教授 (60229309)
池上 信夫  高知大学, 教育研究部医療学系臨床医学部門, 准教授 (90335935)
浜田 佳代子  高知大学, 教育研究部医療学系看護学部門, 准教授 (90457383)
池内 和代  高知大学, 教育研究部医療学系看護学部門, 教授 (50584413)
赤松 恵美  高知大学, 教育研究部医療学系看護学部門, 准教授 (30351943)
二宮 仁志  東洋大学, 理工学部, 准教授 (10764144)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2018: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords妊娠 / 出産 / 尿失禁 / 骨盤形態 / ウォーキング運動 / 女性 / 骨盤 / 妊婦 / 助産学 / ウォーキング
Outline of Final Research Achievements

The study enrolled subjects experiencing urinary incontinence due to pregnancy or childbirth and conducted a questionnaire and external pelvic measurements to investigate whether a 4-month program of walking exercise from 3 months after childbirth improved urinary incontinence. Twenty women who experienced urinary incontinence between the first trimester of pregnancy and 1 month postpartum and who gave consent were randomly allocated to no walking or walking groups (3 women dropped). No statistically significant difference in the pelvic measurements for urinary incontinence was observed between the walking and no walking groups.No statistically significant difference in the ICIQ-SF scores for urinary incontinence was observed between the walking and no walking groups. Urinary incontinence symptoms worsened in 3 of the 10 subjects in the non-exercise group, but improved or resolved in all subjects in the walking exercise group.

Academic Significance and Societal Importance of the Research Achievements

本研究の成果は、妊娠・出産・産褥期にある20歳~30歳代の女性に対して自らの健康や骨盤への関心を高め、調整方法としてウォーキング運動の有用性を紹介する機会となる。女性自らがエンパワメントされ生活の中に積極的にウォーキング運動の取り組みが進み骨盤ケアが行われることは、妊娠・出産前後の女性の身体づくりとなり早産予防や産後の尿失禁予防に繋がる。高齢化社会が進む中、女性の健康寿命を延ばすことは医療費の抑制や労働力確保につながる重要な意味を持つものである。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (9 results)

All 2020 2019 2018

All Presentation (9 results) (of which Int'l Joint Research: 1 results)

  • [Presentation] Effects of a Walking Program as Physical Therapy for Individuals Experiencing Urinary Incontinence after Pregnancy or Childbirth2020

    • Author(s)
      Teruko Komatsu,Kazuyo Ikeuchi, Naoki Kunimi,Toshinori Fukunaga , Masafusa Asai,Yuki Simotake,Marina Minami,Nagamasa Maeda
    • Organizer
      The 6st International Nursing Research Conference of World Academy of Nursing Science (WANS) Osaka Japan
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 妊娠・出産による尿失禁経験者の妊娠12週から産後6か月までの骨盤形態の変化―初産婦・経産婦の特徴―2020

    • Author(s)
      小松輝子,池内和代
    • Organizer
      第34回日本助産学会学術集会,新潟県
    • Related Report
      2019 Annual Research Report
  • [Presentation] 妊娠・出産による尿失禁経験者に対する産後ウォーキング運動介入効果―産後6か月の骨盤形態の変化に着目して―2020

    • Author(s)
      小松輝子,池内和代
    • Organizer
      第34回日本助産学会学術集会,新潟県
    • Related Report
      2019 Annual Research Report
  • [Presentation] 妊娠初期の尿失禁と影響要因2019

    • Author(s)
      小松輝子,池内和代
    • Organizer
      第33回日本助産学会学術集会,福岡県 福岡国際会議場
    • Related Report
      2019 Annual Research Report
  • [Presentation] 妊娠後期の尿失禁と骨盤形態の変化2019

    • Author(s)
      小松輝子,池内和代
    • Organizer
      第33回日本助産学会学術集会,福岡県 福岡国際会議場
    • Related Report
      2019 Annual Research Report
  • [Presentation] 産後1か月の尿失禁と影響要因2019

    • Author(s)
      小松輝子,池内和代
    • Organizer
      第60回日本母性衛生学会総会・学術集会,千葉県 ヒルトン東京ベイ
    • Related Report
      2019 Annual Research Report
  • [Presentation] 妊娠初期の尿失禁と影響要因2019

    • Author(s)
      小松輝子、池内和代
    • Organizer
      第33回日本助産学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 妊娠後期の尿失禁と骨盤形態の変化2019

    • Author(s)
      小松輝子、池内和代
    • Organizer
      第33回日本助産学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 妊娠初期の尿失禁と骨盤形態との関連2018

    • Author(s)
      小松輝子、池内和代
    • Organizer
      第32回日本助産学会学術集会
    • Related Report
      2017 Research-status Report

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Published: 2016-04-21   Modified: 2021-02-19  

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