Evaluation of the relationship between the pelvic floor muscles and insulin resistance

Maria Thereza Micussi,1 Rodrigo Pegado Freitas,1 Priscylla Helouyse Angelo,2 Elvira Maria Soares,3 Telma Maria Lemos,4 Técia Maria Maranhão51Physical Therapy Department, 2Postgraduate Program in Physical Therapy, 3Januário Cicco Maternity School, 4Clinical Analysis D...

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Autores principales:	Micussi MT, Freitas RP, Angelo PH, Soares EM, Lemos TM, Maranhão TM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/60fc0f9254934c2abd2ac6ce05e8c510
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spelling	oai:doaj.org-article:60fc0f9254934c2abd2ac6ce05e8c5102021-12-02T01:43:46ZEvaluation of the relationship between the pelvic floor muscles and insulin resistance1178-7007https://doaj.org/article/60fc0f9254934c2abd2ac6ce05e8c5102015-08-01T00:00:00Zhttp://www.dovepress.com/evaluation-of-the-relationship-between-the-pelvic-floor-muscles-and-in-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Maria Thereza Micussi,1 Rodrigo Pegado Freitas,1 Priscylla Helouyse Angelo,2 Elvira Maria Soares,3 Telma Maria Lemos,4 Técia Maria Maranhão51Physical Therapy Department, 2Postgraduate Program in Physical Therapy, 3Januário Cicco Maternity School, 4Clinical Analysis Department, 5Tocogynecology Department, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, BrazilPurpose: The aim of this study was to evaluate the pelvic floor muscles (PFMs) in women with insulin resistance (IR) using surface electromyography and to associate the results with insulin levels.Patients and methods: Through an analytical, cross-sectional study, 86 women were evaluated and divided into two groups: a control group (n=35) and an IR group (n=51). Data were collected through detailed history-taking, physical examination, and biochemical analysis. Fasting insulin levels were used for diagnosing IR. Electromyography of the PFMs was used for analyzing the tone and maximal voluntary contraction (MVC). The measures of central tendency and linear regression models were used.Results: The average age was 25.3±4.5 years in the IR group and 27.2±4.4 years in the control group. The mean weight was 75.6±17.6 kg and 51.8±4.9 kg in the IR and control groups, respectively. Fasting insulin levels were 19.7±6.6 µIU/mL in the IR group and 5.4±1.8 µIU/mL in the control group (P<0.010). There were significant differences between the groups with regard to PFM tone (IR: 13.4±3.4 µV; control: 25.1±3.3 µV; P<0.001) and MVC (IR: 47.6±4.5 µV; control: 64.3±5.0 µV; P<0.001). Multiple linear regression analysis using the insulin levels as dependent variable showed a significant association for MVC (P=0.047), weight (P=0.017), and waist circumference (P=0.000).Conclusion: Compared with the control group, the IR group showed lower electromyographic activity of the PFMs, and there was an association between insulin levels and electromyographic activity.Keywords: tone, maximal voluntary contraction, woman, electromyography, menstrual cycleMicussi MTFreitas RPAngelo PHSoares EMLemos TMMaranhão TMDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2015, Iss default, Pp 409-413 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Specialties of internal medicine RC581-951
spellingShingle	Specialties of internal medicine RC581-951 Micussi MT Freitas RP Angelo PH Soares EM Lemos TM Maranhão TM Evaluation of the relationship between the pelvic floor muscles and insulin resistance
description	Maria Thereza Micussi,1 Rodrigo Pegado Freitas,1 Priscylla Helouyse Angelo,2 Elvira Maria Soares,3 Telma Maria Lemos,4 Técia Maria Maranhão51Physical Therapy Department, 2Postgraduate Program in Physical Therapy, 3Januário Cicco Maternity School, 4Clinical Analysis Department, 5Tocogynecology Department, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, BrazilPurpose: The aim of this study was to evaluate the pelvic floor muscles (PFMs) in women with insulin resistance (IR) using surface electromyography and to associate the results with insulin levels.Patients and methods: Through an analytical, cross-sectional study, 86 women were evaluated and divided into two groups: a control group (n=35) and an IR group (n=51). Data were collected through detailed history-taking, physical examination, and biochemical analysis. Fasting insulin levels were used for diagnosing IR. Electromyography of the PFMs was used for analyzing the tone and maximal voluntary contraction (MVC). The measures of central tendency and linear regression models were used.Results: The average age was 25.3±4.5 years in the IR group and 27.2±4.4 years in the control group. The mean weight was 75.6±17.6 kg and 51.8±4.9 kg in the IR and control groups, respectively. Fasting insulin levels were 19.7±6.6 µIU/mL in the IR group and 5.4±1.8 µIU/mL in the control group (P<0.010). There were significant differences between the groups with regard to PFM tone (IR: 13.4±3.4 µV; control: 25.1±3.3 µV; P<0.001) and MVC (IR: 47.6±4.5 µV; control: 64.3±5.0 µV; P<0.001). Multiple linear regression analysis using the insulin levels as dependent variable showed a significant association for MVC (P=0.047), weight (P=0.017), and waist circumference (P=0.000).Conclusion: Compared with the control group, the IR group showed lower electromyographic activity of the PFMs, and there was an association between insulin levels and electromyographic activity.Keywords: tone, maximal voluntary contraction, woman, electromyography, menstrual cycle
format	article
author	Micussi MT Freitas RP Angelo PH Soares EM Lemos TM Maranhão TM
author_facet	Micussi MT Freitas RP Angelo PH Soares EM Lemos TM Maranhão TM
author_sort	Micussi MT
title	Evaluation of the relationship between the pelvic floor muscles and insulin resistance
title_short	Evaluation of the relationship between the pelvic floor muscles and insulin resistance
title_full	Evaluation of the relationship between the pelvic floor muscles and insulin resistance
title_fullStr	Evaluation of the relationship between the pelvic floor muscles and insulin resistance
title_full_unstemmed	Evaluation of the relationship between the pelvic floor muscles and insulin resistance
title_sort	evaluation of the relationship between the pelvic floor muscles and insulin resistance
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/60fc0f9254934c2abd2ac6ce05e8c510
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Evaluation of the relationship between the pelvic floor muscles and insulin resistance

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