Can high-intensity training cause rectus abdominis diastasis in women? A pilot study

Aneta Dąbek

Aneta Dąbek – Can high-intensity training cause rectus abdominis diastasis in women? A pilot study –  Fizjoterapia Polska 2026; 26(1); 57-64

DOI: DOI: https://doi.org/10.56984/8ZG2EFACM19

Abstract
Introduction. Although physical activity provides numerous health benefits, increased intra-abdominal pressure (IAP), generated during physical exertion, may also have negative consequences.
The aim of the study was to assess the relationship between the type of undertaken training and the extent of rectus abdominis diastasis.
Material and methods. The study included 88 healthy and physically active women aged 18–30 years. The participants completed an author-designed questionnaire. The following were assessed: rectus abdominis diastasis (curl-up test), level of physical activity (IPAQ-SF), joint hypermobility (Beighton scale), and WHR (measured using a measuring tape). Due to the intensity of undertaken training, the participants were assigned to one of four groups.
Results. Rectus abdominis diastasis (RAD) was diagnosed in 39% of the participants. A significant relationship was demonstrated between RAD and the intensity and frequency of undertaken training (p < 0.001), as well as the overall level of physical activity (p = 0.001). A significant correlation was found between RAD and BMI (p = 0.036), waist circumference (p = 0.041), and joint hypermobility (p = 0.009).
Conclusions. The results of this pilot study indicate the need for individual assessment of joint hypermobility in women undertaking high-intensity training and require further prospective studies.
Key words
exercise safety, intra-abdominal pressure, rectus abdominis diastasis
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