Credit: CC0 Public Domain
JYVÄSKYLÄ, June 19, 2025 – A recent study from teh University of Jyväskylä in finland has uncovered a notable link between body composition and pelvic floor disorders in middle-aged women. The research found that a higher fat mass, particularly in the waist area, increases the risk of stress urinary incontinence.
Body composition can be a modifiable factor in assessing a woman’s risk for pelvic floor disorders, influencing lifestyle choices.
- Larger fat mass, especially in the waist area and around visceral organs, increases the risk of stress urinary incontinence.
- Increased waist circumference and body mass index are also associated with higher risk.
- Over half of the women in the study showed symptoms of pelvic floor disorders.
Are you at risk for pelvic floor disorders? According to this Finnish study, larger fat mass, especially around the waist, correlates with a higher risk of stress urinary incontinence, a common pelvic floor disorder.
Understanding the Connection
Pelvic floor disorders become more prevalent as women approach menopause. Factors like estrogen deprivation, aging tissues, reproductive history, and increased abdominal pressure contribute to these conditions. Additionally, lifestyle choices like eating habits and physical activity also have an impact.
Did you know?-Pelvic floor exercises, also known as Kegel exercises, can definitely help strengthen the muscles that support the bladder, uterus, and bowel. Regular practice may reduce the risk of developing pelvic floor disorders.
dr. mari Kuutti, a Doctoral Researcher at the University of Jyväskylä, explained that previous studies often focused on body mass index (BMI) or waist circumference.The goal of this study was to explore the connection between precise body composition measurements and symptoms over a four-year period.
The study looked at stress urinary incontinence, urgency urinary incontinence, fecal incontinence, and pelvic organ prolapse. The findings have been published in the journal Menopause.
Study Findings
At the study’s start, over half of the participating women reported symptoms of pelvic floor disorders, with stress urinary incontinence being the moast common. The study revealed a clear association between body composition and the presence of these symptoms.
Reader question:-If you’ve experienced pelvic floor issues, what lifestyle changes or treatments have you found most helpful in managing your symptoms?
Researchers assessed body fat distribution, waist circumference, and BMI to analyze their relationship to pelvic floor disorder symptoms. The results indicated that total fat mass, android fat mass, gynoid fat mass, and trunk fat mass, along with visceral fat area, were linked to stress urinary incontinence.
Similarly, a larger BMI and waist circumference were also associated with stress urinary incontinence. though, changes in body composition during the four-year follow-up did not correlate with changes in symptoms.
“The association of body composition with the symptoms of pelvic floor disorders was found in cross-sectional analysis. In other words, we showed that the present body composition is associated with the present symptoms,” Kuutti said.
The study involved 376 women in the Jyväskylä region, aged 47 to 55 at the start. Body composition was measured using advanced methods, and factors like age, education, physical activity, and gynecological history were considered through questionnaires.
Did you know? Pelvic floor disorders can significantly impact quality of life, causing issues with bladder control, bowel function, and pelvic organ support.
More information:
Mari A. Kuutti et al, Association of body composition with the symptoms of pelvic floor disorders in middle-aged women: a longitudinal study, Menopause (2025).DOI: 10.1097/GME.0000000000002572
Taking Control: Lifestyle Strategies for Pelvic Floor Health
Building on teh Finnish study’s findings, it’s clear that body composition plays a significant role in pelvic floor health. But what can women do with this knowledge? fortunately, there are lifestyle adjustments that can make a difference. Thes changes can help manage symptoms, improve overall well-being, and potentially reduce the risk of developing pelvic floor disorders. The focus should be on holistic wellness, emphasizing a multi-faceted approach.
Focusing on pelvic floor health is crucial, especially given the prevalence of disorders as women age. Making informed choices about diet, exercise, and other habits can be truly empowering.Beyond managing symptoms, these proactive steps promote a better quality of life.
Dietary Adjustments and Weight Management
As the study indicates, excess fat mass, especially around the waist, is a key factor. Managing weight through balanced nutrition is paramount.
- Prioritize a balanced diet: Focus on whole, unprocessed foods.This includes fruits, vegetables, lean protein, and whole grains. Limit processed foods, sugary drinks, and excessive saturated fats.
- Portion control: Being mindful of portion sizes helps with weight management and overall health.
- Hydration: Drinking adequate water is essential for bladder and bowel health. It can also help prevent constipation, which can strain the pelvic floor.
- Fiber intake: Increase your fiber intake to promote regular bowel movements and reduce constipation. Fiber-rich foods include fruits, vegetables, and whole grains.
Exercise and physical Activity
Regular physical activity contributes to weight management and overall health. Specific exercises target and strengthen the pelvic floor muscles directly.
- Pelvic floor exercises (Kegels): These exercises strengthen the muscles that support the bladder,uterus,and bowel. You can perform them anywhere, anytime!
- Core strengthening exercises: A strong core provides support for the pelvic floor. Include exercises like planks, bridges, and abdominal exercises in your routine.
- weight management: Regular exercise can, of course, help with weight management. Choose activities you enjoy,such as walking,swimming,or dancing.
- Avoid high-impact activities: If you have symptoms, consider avoiding high-impact exercises that can put additional strain on the pelvic floor. Instead, opt for lower-impact alternatives.
Lifestyle Habits and Considerations
Beyond diet and exercise, several lifestyle choices can influence pelvic floor health.
- Quit smoking: Smoking can worsen coughs, which can put stress on the pelvic floor.
- Manage chronic coughs: If you have a persistent cough, seek medical attention.
- Proper lifting techniques: use proper lifting techniques to avoid straining the pelvic floor.
- Bowel and bladder habits: Avoid straining during bowel movements. Respond to the urge to urinate promptly.
- Regular checkups: Schedule regular checkups with your doctor to discuss any concerns about pelvic floor health.
Understanding the connection between body composition and pelvic floor disorders is the first step! Modifying lifestyle choices can definitely help women proactively manage their health.
Can lifestyle changes improve pelvic floor health? Yes! Diet, exercise, and other lifestyle adjustments can improve pelvic floor disorders, reducing symptoms and promoting a better quality of life.
Frequently Asked Questions
How often should I perform Kegel exercises?
Aim for 3 sets of 10-15 repetitions of Kegel exercises daily. Consistency is key for optimal results; you’ll strengthen those muscles with regular practice.
Can I prevent pelvic floor disorders?
While complete prevention isn’t always possible, you can considerably reduce your risk. Healthy weight, pelvic floor exercises, and good habits give you the best chance.
Are there specific exercises I can do to strengthen my core?
Yes! Focus on exercises like planks,bridges,and abdominal exercises. A strong core supports the pelvic floor and reduces strain.
When should I see a doctor about pelvic floor issues?
If you experience symptoms like urinary incontinence, fecal incontinence, or pelvic pain, consult your doctor. They can provide a diagnosis and discuss a treatment plan tailored to your needs.
Table of Contents
