Efficacy of a Food Supplement Based on Collagen and Magnesium Combined with Pelvic Floor Muscle Training Exercises in Women with Urinary Incontinence: A Double-Blind, Randomized, Pilot Clinical Trial

Background/Objectives: Urinary incontinence (UI) is a common condition affecting women worldwide, with pelvic floor muscle training exercises (PFMT) recognized as the first-line treatment for UI. Supplementation with bioactive compounds, such as collagen and magnesium, may enhance the effectiveness...

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Main Authors: Vincenzo Nobile, Roberta Villa, Mariella Micieli, Fabio Amone, Erminia D’Ambrosio, Giuseppe Pulitano, Camilla Schinzari, Eleonora Di Campi, Davide Carati
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Language:English
Published: MDPI AG 2025-04-01
Series:Uro
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Online Access:https://www.mdpi.com/2673-4397/5/2/7
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author Vincenzo Nobile
Roberta Villa
Mariella Micieli
Fabio Amone
Erminia D’Ambrosio
Giuseppe Pulitano
Camilla Schinzari
Eleonora Di Campi
Davide Carati
author_facet Vincenzo Nobile
Roberta Villa
Mariella Micieli
Fabio Amone
Erminia D’Ambrosio
Giuseppe Pulitano
Camilla Schinzari
Eleonora Di Campi
Davide Carati
author_sort Vincenzo Nobile
collection DOAJ
description Background/Objectives: Urinary incontinence (UI) is a common condition affecting women worldwide, with pelvic floor muscle training exercises (PFMT) recognized as the first-line treatment for UI. Supplementation with bioactive compounds, such as collagen and magnesium, may enhance the effectiveness of PFMT. This study aimed to evaluate the efficacy of combining a food supplement containing collagen and magnesium with PFMT in women experiencing stress (SUI), urge (UUI), or mixed (MUI) urinary incontinence. Methods: A pilot clinical trial was carried out on 44 women with stress, urge, or mixed urinary incontinence. The improvement in urinary incontinence was assessed, before and after 6 weeks (W6) of product use, by the Questionnaire for Urinary Incontinence Diagnosis (QUID) and the clinical assessment of the gynecologist. Quality of life (QoL) was assessed as a secondary endpoint. Results: At Week 6, the baseline median QUID score in the active group was significantly reduced by 64% (<i>p</i> < 0.001), with 76% finishing the study with a negative diagnosis for UI. In contrast, the placebo group showed a reduction in QUID score by only 10% (<i>p</i> < 0.001), with just 25% of participants achieving a negative diagnosis for UI. QoL statistically significantly (<i>p</i> < 0.001) improved by 76% in the active group, while no changes were observed in the placebo group. Conclusions: Supplementation with the (Dermoxen<sup>®</sup> PelviPlus™/Dermoxen<sup>®</sup> Gynable<sup>®</sup> Urocollagen™) tested product significantly improved urinary symptoms and quality of life, demonstrating a greater effect than pelvic floor muscle training (PFMT) exercises alone. Dermoxen<sup>®</sup> PelviPlus™/Dermoxen<sup>®</sup> Gynable<sup>®</sup> Urocollagen™ demonstrated efficacy across all three subtypes of UI.
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spelling doaj-art-3ff80d73a1194eec92e88e07ef59fd3d2025-08-20T03:26:56ZengMDPI AGUro2673-43972025-04-0152710.3390/uro5020007Efficacy of a Food Supplement Based on Collagen and Magnesium Combined with Pelvic Floor Muscle Training Exercises in Women with Urinary Incontinence: A Double-Blind, Randomized, Pilot Clinical TrialVincenzo Nobile0Roberta Villa1Mariella Micieli2Fabio Amone3Erminia D’Ambrosio4Giuseppe Pulitano5Camilla Schinzari6Eleonora Di Campi7Davide Carati8R&D Department, Complife Italia S.r.l., 27028 San Martino Siccomario, ItalyR&D Department, Complife Italia S.r.l., 27028 San Martino Siccomario, ItalyUnit of Obstetrics and Gynecology, “SS. Annunziata” Hospital, 87100 Cosenza, ItalyNutratech S.r.l., Spin-Off of University of Calabria, 87036 Rende, ItalyNutratech S.r.l., Spin-Off of University of Calabria, 87036 Rende, ItalyNutratech S.r.l., Spin-Off of University of Calabria, 87036 Rende, ItalyR&D Department, Ekuberg Pharma, 73020 Carpignano Salentino, ItalyR&D Department, Ekuberg Pharma, 73020 Carpignano Salentino, ItalyR&D Department, Ekuberg Pharma, 73020 Carpignano Salentino, ItalyBackground/Objectives: Urinary incontinence (UI) is a common condition affecting women worldwide, with pelvic floor muscle training exercises (PFMT) recognized as the first-line treatment for UI. Supplementation with bioactive compounds, such as collagen and magnesium, may enhance the effectiveness of PFMT. This study aimed to evaluate the efficacy of combining a food supplement containing collagen and magnesium with PFMT in women experiencing stress (SUI), urge (UUI), or mixed (MUI) urinary incontinence. Methods: A pilot clinical trial was carried out on 44 women with stress, urge, or mixed urinary incontinence. The improvement in urinary incontinence was assessed, before and after 6 weeks (W6) of product use, by the Questionnaire for Urinary Incontinence Diagnosis (QUID) and the clinical assessment of the gynecologist. Quality of life (QoL) was assessed as a secondary endpoint. Results: At Week 6, the baseline median QUID score in the active group was significantly reduced by 64% (<i>p</i> < 0.001), with 76% finishing the study with a negative diagnosis for UI. In contrast, the placebo group showed a reduction in QUID score by only 10% (<i>p</i> < 0.001), with just 25% of participants achieving a negative diagnosis for UI. QoL statistically significantly (<i>p</i> < 0.001) improved by 76% in the active group, while no changes were observed in the placebo group. Conclusions: Supplementation with the (Dermoxen<sup>®</sup> PelviPlus™/Dermoxen<sup>®</sup> Gynable<sup>®</sup> Urocollagen™) tested product significantly improved urinary symptoms and quality of life, demonstrating a greater effect than pelvic floor muscle training (PFMT) exercises alone. Dermoxen<sup>®</sup> PelviPlus™/Dermoxen<sup>®</sup> Gynable<sup>®</sup> Urocollagen™ demonstrated efficacy across all three subtypes of UI.https://www.mdpi.com/2673-4397/5/2/7collagenmagnesiumsupplementationurinary incontinenceclinical trial
spellingShingle Vincenzo Nobile
Roberta Villa
Mariella Micieli
Fabio Amone
Erminia D’Ambrosio
Giuseppe Pulitano
Camilla Schinzari
Eleonora Di Campi
Davide Carati
Efficacy of a Food Supplement Based on Collagen and Magnesium Combined with Pelvic Floor Muscle Training Exercises in Women with Urinary Incontinence: A Double-Blind, Randomized, Pilot Clinical Trial
Uro
collagen
magnesium
supplementation
urinary incontinence
clinical trial
title Efficacy of a Food Supplement Based on Collagen and Magnesium Combined with Pelvic Floor Muscle Training Exercises in Women with Urinary Incontinence: A Double-Blind, Randomized, Pilot Clinical Trial
title_full Efficacy of a Food Supplement Based on Collagen and Magnesium Combined with Pelvic Floor Muscle Training Exercises in Women with Urinary Incontinence: A Double-Blind, Randomized, Pilot Clinical Trial
title_fullStr Efficacy of a Food Supplement Based on Collagen and Magnesium Combined with Pelvic Floor Muscle Training Exercises in Women with Urinary Incontinence: A Double-Blind, Randomized, Pilot Clinical Trial
title_full_unstemmed Efficacy of a Food Supplement Based on Collagen and Magnesium Combined with Pelvic Floor Muscle Training Exercises in Women with Urinary Incontinence: A Double-Blind, Randomized, Pilot Clinical Trial
title_short Efficacy of a Food Supplement Based on Collagen and Magnesium Combined with Pelvic Floor Muscle Training Exercises in Women with Urinary Incontinence: A Double-Blind, Randomized, Pilot Clinical Trial
title_sort efficacy of a food supplement based on collagen and magnesium combined with pelvic floor muscle training exercises in women with urinary incontinence a double blind randomized pilot clinical trial
topic collagen
magnesium
supplementation
urinary incontinence
clinical trial
url https://www.mdpi.com/2673-4397/5/2/7
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