Saturday, April 26, 2014

An ancient form of meditation and exercise could help women who suffer from urinary incontinence, according to a new study

Researchers discovered that a yoga training program, designed to improve pelvic health, can help women gain more control over their urination and avoid accidental urine leakage. Men were not included in this study because urinary incontinence in men is often related to problems related to the prostate, which may be less likely to improve with yoga. "Yoga is often directed at mindful awareness, increasing relaxation, and relieving anxiety and stress," said Alison Huang, MD, assistant professor in the UC San Francisco School of Medicine. "For these reasons, yoga has been directed at a variety of other conditions - metabolic syndrome or pain syndromes - but there's also a reason to think that it could help for incontinence as well." Huang and her colleagues recruited 20 women from the Bay Area who were 40 years and older and who suffered from urinary incontinence on a daily basis. Half were randomly assigned to take part in a six-week yoga therapy program and the other half were not. The women who took part in the yoga program experienced an overall 70% improvement - or reduction - in the frequency of their urine leakage compared to the baseline. The control group - or the group that did not start yoga therapy - only had 13% improvement. Most of the observed improvement in incontinence was in stress incontinence, or urine leakage brought on by activities that increase abdominal pressure such as coughing, sneezing, and bending over. Huang and her colleagues believe that yoga can improve urinary incontinence through more than one mechanism. Because incontinence is associated with anxiety and depression, women suffering from incontinence may benefit from yoga's emphasis on mindful meditation and relaxation. But regular practice of yoga may also help women strengthen the muscles of the pelvic floor that support the bladder and protect against incontinence. Approximately 25 million adults in America suffer from some form of urinary incontinence, according to the National Association for Continence. Up to 80% of them are women. Urinary incontinence becomes more common as women age, although many younger women also suffer from it.

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