Individual Factors in Young Female Athletes' Bladder Health (the Y-FAB Study)

Area of Science:

• Urology
• Sports Medicine
• Women's Health

Background:

• Bladder health in young females, including high school and collegiate students, is not well understood.
• Understanding toileting behaviors, lower urinary tract symptoms (LUTSs), and fluid intake is crucial for this demographic.

Purpose of the Study:

• To compare toileting behaviors, LUTSs, and fluid intake between female athletes and nonathletes.
• To identify potential differences that may inform bladder health interventions.

Main Methods:

• A study involving 198 nulliparous females aged 13-23 years (100 athletes, 98 nonathletes).
• Participants completed validated questionnaires on toileting behaviors, LUTSs, and beverage intake.
• Statistical analyses included univariable and multivariable comparisons, adjusting for age and fluid intake.

Main Results:

• Problematic toileting behaviors and LUTSs were prevalent in both groups, irrespective of athletic status.
• Athletes reported higher rates of stress urinary incontinence and urgency, with lower total fluid intake.
• Nonathletes were more likely to delay urination and void away from home without urge.

Conclusions:

• High prevalence of problematic toileting behaviors and LUTSs in high school and collegiate females.
• Athletes exhibit distinct patterns including increased incontinence and urgency, alongside reduced fluid consumption.
• Findings underscore the necessity for early bladder health interventions, including screening and education, for young females.