Cross-sectional studyindependent cross-checkabstract checked I-GUT-113 in-depth review

Normal belly pressure in healthy people

Normal intraabdominal pressure in healthy adults.

Overview

Cobb WS et al.. J Surg Res 2005 · PMID 16140336 · DOI 10.1016/j.jss.2005.06.015

Coughing and jumping briefly raise pressure inside the abdomen to over 100 mmHg in healthy young adults without harm.

Does the study support the specific claim? No · Methodological quality: low

Original publication

Plain-language summary

Study explained simply
What did the researchers want to find out?

Measure normal abdominal pressure.

How was the study done?

Bladder catheter measurements.

How many people, animals or samples were studied?

20 healthy young adults.

What was actually found?

Sitting 17, standing 20, coughing 108, jumping 171 mmHg.

How large was the observed effect?

Not applicable.

What do the results mean in everyday life?

Short pressure rises are part of normal life.

What are the study's limitations?

Tiny study; upright values.

What does it say about Elawady's specific claim?

Undermines the idea that bloating pressure cuts blood flow.

Do the results apply to Germany and Europe?

Universal.

What can explicitly not be concluded from this study?

Did not measure pressure after meals.

Scientific in-depth review

1. Full reference

Authors
Cobb WS et al.
Journal
J Surg Res
Year
2005
Identifier
PMID 16140336 DOI 10.1016/j.jss.2005.06.015
Verification
verified – PubMed efetch 2026-10-26 + Crossref 2026-10-26
Retracted
no
Corrections
none
Extent checked
abstract only
Conflicts of interest and funding

Not stated in abstract

2. Research question

What is normal intra-abdominal pressure in healthy adults during daily activities?

3. Study design and population

Study design
Cross-sectional study – Physiological measurement study (bladder pressure) in healthy volunteers
Population

20 healthy non-obese adults aged 18-30 without prior abdominal surgery

Country

USA

Period

Published 2005

Sample size

20

Inclusion and exclusion criteria

Healthy, <=30 years

4. Methods and endpoints

Exposure / intervention

13 activities (sitting, standing, coughing, jumping, lifting)

Comparator

Within-subject

Endpoints

IAP via transurethral bladder catheter

Statistical methods

t-tests, correlations

5. Actual results

Results

Mean IAP sitting 16.7 and standing 20 mmHg; coughing 107.6 and jumping 171 mmHg; IAP correlated with BMI in 5 of 13 exercises.

Absolute risks

Not applicable

Authors' conclusion

Normal IAP correlates with BMI; coughing and jumping generate the highest pressures.

6. Strengths

  • Direct measurement in healthy people

7. Weaknesses

  • Very small
  • Upright measurements not comparable with supine ICU standard
  • No meal condition

8. Risk of bias

Orienting tool
none applicable
Type of assessment
simplified assessment (abstract only)
Full formal assessment
no
Overall risk of bias
some concerns
Rationale

Small physiological study.

9. Assessment of the statistical interpretation

Brief peaks reach 9-14 times the IAH threshold without harm (stats/C-GUT-04_07_08_misc.py).

10. Relevance to the specific claim

Shows that short-lived pressure rises are normal and harmless; compartment syndrome thresholds refer to sustained supine pressure with organ failure.

11. Independent contrary findings

No meal or bloating condition tested.

12. Transferability to Germany and Europe

Universal physiology.

13. Overall methodological judgement

Indirect but relevant: momentary pressure is not organ-threatening.

Multidimensional assessment
Multidimensional assessment
Authenticity of the sourceverified
Methodological qualitylow
Risk of biassome concerns
Precision of resultslow
Directnessindirect
Reproducibilityunknown
Consistency with the overall evidenceconsistent
Regional transferabilityhigh
Adequacy of the interpretation (by the archive)not applicable

14. Open questions

IAP during post-meal bloating.

15. Linked fact checks