The objective of this study is to determine to effect of additional oral glutamine to Kegel exercises on pelvic floor strength and clinical parameters of urinary incontinence in females with either urinary incontinence (stress and/or urgency) and pelvic prolapse.
Urinary incontinence is a prevalent and costly condition that affects approximately 38% of older community-dwelling women (age\>60 years). Incontinence predisposes patients to other health problems, contributes to depression and social isolation, is a significant source of dependency among the elderly, and is widely cited as a factor in nursing home admissions. Sarcopenia is age-related and is characterized by loss of muscle mass, strength and endurance. There is not only a decrease in the number of muscle fibers, but also atrophy in the remaining ones. Several studies indicate glutamine supplementations lead to better muscle performance by stimulate muscle producing in extremities. Similarly, we assume glutamine supplementation could increase pelvic muscle mass and improve the pelvic floor strength. From this point, using glutamine supplementation may effect positively on stress, urge or mixed incontinence, and pelvic prolapse.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
50
30 g/day glutamine supplementation for three months
30 g/day fantomalt supplementation for three months
Istanbul University Istanbul Faculty of Medicine
Istanbul, Turkey (Türkiye)
Pelvic floor muscle strength with dynamometer
vaginal dynamometer
Time frame: 3 months
Pelvic floor muscle strength with digital palpation
digital vaginal palpation method
Time frame: 3 months
body composition
muscle mass assessed by bioimpedance analysis
Time frame: 3 months
quality of life related prolapse
Prolapse quality of life (PQOL) questionnaire
Time frame: 3 months
general quality of life
King's Health Questionnaire (KHQ)
Time frame: 3 months
24 hour pad test
assessment of the severity of urinary incontinence as determined by the 24-hour pad weight
Time frame: 3 months
hand grip strength
Jamar hand dynamometer
Time frame: 3 months
urinary incontinence dairy
urinary incontinence dairy
Time frame: 3 months
degree of prolapse
systematic pelvic examination
Time frame: 3 months
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