Ethnic differences in pelvic floor muscle strength and endurance in South African women

Int Urogynecol J. 2014 Jun;25(6):799-805. doi: 10.1007/s00192-013-2290-9. Epub 2014 Jan 25.

Abstract

Introduction and hypothesis: Limited knowledge exists about pelvic floor muscle (PFM) function in ethnic groups. The aim of this study was to compare PFM strength and endurance in a group of black, white and mixed-race women.

Methods: This was a cross-sectional study. Maximum voluntary contraction (MVC) and endurance were measured with a perineometer and vaginal balloon sensor. Two sets of three MVC of the PFM were recorded; resting phase was 5 min. Demographic variables and factors associated with PFM strength were assessed.

Results: A total of 122 nulliparous black (n = 44), white (n = 44) and mixed-race (n = 34) students participated. PFM of black women were stronger than that of white (p = 0.02) or mixed-race (p < 0.01) women. The MVC of PFM in black women decreased (p = 0.02) between the first and second set of contractions.

Conclusions: Ethnic differences were found. Further clinical studies are needed to confirm an association between PFM function and pelvic floor disorders.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Black People*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Muscle Contraction / physiology
  • Muscle Strength / physiology*
  • Pelvic Floor / physiology*
  • South Africa
  • White People*
  • Young Adult