Archives of Gynecology and Obstetrics

, Volume 300, Issue 5, pp 1343–1351 | Cite as

Comparison of pelvic floor muscle training isolated and associated with weight loss: a randomized controlled trial

  • Maria Clara Eugênia de Oliveira
  • Vanessa Cristina de Oliveira de Lima
  • Rodrigo Pegado
  • Edson Meneses Silva-FilhoEmail author
  • Ana Paula Trussardi Fayh
  • Maria Thereza Micussi
General Gynecology



To analyze whether pelvic floor muscle training (PFMT) associated with weight loss (WL) is better than isolated PFMT to provide additional beneficial effects to urinary symptoms in women with MUI.


A randomized, simple-blind parallel controlled trial was performed and included women with MUI aged between 40 and 65 years and body mass index between 25 and 40 kg/m2. The sample was randomized into two groups: 11 PFMT + WL and 11 PFMT. Data collection was performed in baseline and after interventions. The primary outcome was to investigate the loss of urine. Secondary aim includes PFM pressure and quality of life. PFMT was performed with two sets of eight repetitions in the first 4 weeks, and with three sets of eight repetitions in the final 4 weeks. The weight loss program was based on the calculation of total energy value needs. Data analysis was performed by SPSS 20.0 software and one-way ANCOVA.


22 volunteers participated in the study. There was no intergroup significant difference in post-intervention ICIQ-SF F(1, 19) = 7.115, p = 0.87, partial η2 = 0.001; manometry F(1, 19) = 0.608, p = 0.44, partial η2 = 0.003; pad test 1 h F(1, 19) = 0.185, p = 0.67, partial η2 = 0.01; QoL F(1, 19) = 1.018, p = 0.32, partial η2 = 0.05; and weight F(1, 19) = 0.251, p = 0.62, partial η2 = 0.01.


Weight loss did not provide additional beneficial effects to PFMT in women with overweight or obesity grade I with MUI symptoms.


Urinary incontinence Overweight Physical therapy Exercise 


Author contributions

MO: protocol/project development, data collection, and writing of the manuscript. VL: data planning and collection. RP: protocol/project development, data analysis, and writing of the manuscript. ESF: writing of the manuscript, supporting data analysis and proofreading. AF: protocol/project development, data analysis, and writing of the manuscript. MM: protocol/project development, data analysis, and writing of the manuscript.


No funding.

Compliance with ethical standards

Conflict of interest

We declare that we have no conflict of interest.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Health Science CenterFederal University of Rio Grande do NorteRio Grande do NorteBrazil
  2. 2.Graduate Program in Rehabilitation ScienceFederal University of Rio Grande do NorteRio Grande do NorteBrazil
  3. 3.Faculdade de Ciências da Saúde do Trairi, Teodorico BezerraSanta CruzBrazil

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