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Bidirectional Relationships between Sarcopenia and Pelvic Floor Disorders.

Yacov Grosman1,2, Leonid Kalichman1

  • 1Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, Beer Sheva 84105, Israel.

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Sarcopenia and pelvic floor disorders (PFDs) have a cyclical relationship, each worsening the other. Addressing both concurrently is key for better aging health outcomes.

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bidirectional relationshipmultidisciplinary carepelvic floor disorderssarcopeniashared risk factors

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Area of Science:

  • Gerontology
  • Musculoskeletal Health
  • Pelvic Health

Background:

  • Sarcopenia (age-related muscle loss) and pelvic floor disorders (PFDs) frequently coexist in older adults.
  • The intricate bidirectional link and underlying mechanisms between sarcopenia and PFDs are not well understood.

Purpose of the Study:

  • To explore the relationship between sarcopenia and PFDs.
  • To investigate potential causative interplays, shared pathophysiological mechanisms, and common risk factors.
  • To inform integrated patient care strategies.

Main Methods:

  • A narrative review approach was employed.
  • A comprehensive literature search identified studies on epidemiological associations, interaction mechanisms, and clinical implications.
  • Synthesis of findings to elucidate the sarcopenia-PFD relationship.

Main Results:

  • Epidemiological data show a correlation between sarcopenia and PFDs.
  • A cyclical relationship exists: sarcopenia can worsen PFDs (reduced strength/mobility), and PFDs can exacerbate sarcopenia (reduced activity).
  • Shared risk factors include inactivity, poor nutrition, metabolic syndrome, and hormonal changes.

Conclusions:

  • Concurrent management of sarcopenia and PFDs is crucial for the aging population.
  • Integrated care involving screening, factor recognition, and tailored exercise is recommended.
  • Further longitudinal research is needed to evaluate multidisciplinary care models.