scholarly journals A Incontinência Urinária em Mulheres Praticantes de Exercício Recreativo: Um Estudo Transversal

2021 ◽  
Vol 34 (11) ◽  
pp. 724
Author(s):  
Maria Francisca Silva ◽  
Rui Prado Costa ◽  
Carla Maria Oliveira ◽  
Susana Moreira
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Cross Sectional Study ◽  
Strenuous Exercise ◽  
Initial Assessment ◽  
Therapeutic Effects ◽  
Cross Sectional ◽  
Recreational Exercise ◽  
Type Of Exercise

Introduction: Urinary incontinence affects up to one third of women in Portugal. Exercise can be a precipitating/aggravating factor but also protective, if appropriate. The aim of this study was to determine the prevalence of urinary incontinence in women who practice recreational exercise, to assess its relationship with the type of exercise and other coexisting risk factors, and assess whether the topic is addressed in gyms.Material and Methods: Cross-sectional study using self-reported questionnaires in gyms in Porto and Vila Nova de Gaia, Portugal.Results: Two hundred and ninety women completed the questionnaires. From these, 67.6% were under 40 years old, 25.2% reported incontinence, and 53.4% had at least one risk factor unrelated to exercise. There was a statistically significant association (p < 0.05) between incontinence, obesity and constipation. High impact exercises were included in the training of 62.1% continent and 50.9% incontinent women. The topic of incontinence and strengthening of the pelvic floor muscles was addressed in only 5.5% in the initial assessment, 9.7% in collective training, and in 13.5% of the 37 women with individualized training.Discussion: The higher proportion of continent women - compared to incontinent - who practiced strenuous exercise suggests that this might be a provocative factor for some, although there was no statistically significant association between incontinence and type of exercise.Conclusion: Urinary incontinence affects women who practice recreational exercise, regardless of age and exercise characteristics. It is rarely addressed in gyms, and it is necessary to raise the awareness of professionals to enhance the preventive/therapeutic effects of exercise on the function of the pelvic floor and in the control of modifiable risk factors.

scholarly journals Urinary Incontinence in Competitive Women Powerlifters: A Cross-Sectional Survey

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Lolita Wikander ◽  
Marilynne N. Kirshbaum ◽  
Nasreena Waheed ◽  
Daniel E. Gahreman
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Online Survey ◽  
Severity Index ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pelvic Floor Exercises ◽  
Body Mass Index Score

Abstract Background Urinary incontinence (UI) can negatively affect a woman’s quality of life, participation in sport and athletic performance. The objectives of this study were to determine the prevalence of UI in competitive women powerlifters; identify possible risk factors and activities likely to provoke UI; and establish self-care practices. Methods This international cross-sectional study was conducted using an online survey completed by 480 competitive women powerlifters aged between 20 and 71 years. The Incontinence Severity Index (ISI) was used to determine the severity of UI. Results We found that 43.9% of women had experienced UI within the three months prior to this study. The deadlift was the most likely, and the bench-press the least likely exercise to provoke UI. ISI scores were positively correlated with parity (τ = 0.227, p < 0.001), age (τ = 0.179, p < 0.001), competition total (τ = 0.105, p = 0.002) and body mass index score (τ = 0.089, p = 0.009). There was no significant correlation between ISI and years strength training (τ = − 0.052, p = 0.147) or years powerlifting (τ = 0.041, p = 0.275). There was a negative correlation between ISI score with having a pelvic floor assessment (η = 0.197), and the ability to correctly perform pelvic floor exercises (η = 0.172). Conclusion The prevalence of UI in this cohort was at the upper limit experienced by women in the general population. Women who had undergone a pelvic floor examination or were confident in correctly performing pelvic floor exercises experienced less severe UI.

Urinary incontinence status and risk factors in women aged 50–70 years: a cross-sectional study in Hunan, China

2020 ◽  
Vol 32 (1) ◽  
pp. 95-102 ◽  
Author(s):  
Chen Xu ◽  
Mingzhu Chen ◽  
Jingxia Fu ◽  
Yanting Meng ◽  
Si Qin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Do Women have Adequate Knowledge about Pelvic Floor Dysfunctions? A Systematic Review

2019 ◽  
Vol 41 (08) ◽  
pp. 508-519 ◽  
Author(s):  
Júlia Ferreira Fante ◽  
Thais Daniel Silva ◽  
Elaine Cristine Lemes Mateus-Vasconcelos ◽  
Cristine Homsi Jorge Ferreira ◽  
Luiz Gustavo Oliveira Brito
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Data Extraction ◽  
Meta Analysis ◽  
Treatment Options ◽  
Cross Sectional ◽  
Adequate Knowledge

Objective We sought to investigate whether women present adequate knowledge of the main pelvic floor disorders (PFDs) (urinary incontinence – UI, fecal incontinence – FI, and pelvic organ prolapse – POP). Data sources A systematic review was performed in the MEDLINE, PEDro, CENTRAL, and Cochrane databases for publications from inception to April 2018. Selection of studies A total of 3,125 studies were reviewed. Meta-analysis was not possible due to the heterogeneity of primary outcomes and the diversity of instruments for measuring knowledge. The quality of the articles included in the analysis was evaluated with the Newcastle-Ottawa Scale (NOS) adapted for cross-sectional studies. Data collection Two authors performed data extraction into a standardized spreadsheet. Data synthesis Nineteen studies were included, comprising 11,512 women. About the methodological quality (NOS), most of the studies (n = 11) presented a total score of 6 out of 10. Validated questionnaires and designed pilot-tested forms were the most frequently used ways of assessing knowledge. Some studies were stratified by race, age, or group minorities. The most used questionnaire was the prolapse and incontinence knowledge questionnaire (PIKQ) (n = 5). Knowledge and/or awareness regarding PFD was low to moderate among the studies. Urinary incontinence was the most prevalent PFD investigated, and the most important risk factors associated with the lack of knowledge of the pelvic floor were: African-American ethnicity (n = 3), low educational level (n = 4), low access to information (n = 5) and socioeconomic status (n = 3). Conclusion Most women have a gap in the knowledge of pelvic floor muscle dysfunctions, do not understand their treatment options, and are not able to identify risk factors for these disorders.

scholarly journals Female Urinary Incontinence: Prevalence and Impact on the Quality of Life of Gynaecological Clinic Attendees in Lagos, Nigeria

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
FM Akinlusi ◽  
TA Ottun ◽  
YA Oshodi
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Urinary Incontinence ◽  
Cross Sectional Study ◽  
University Teaching ◽  
State University ◽  
Health Seeking ◽  
Cross Sectional ◽  
History Of

Aims: To determine the prevalence of urinary incontinence (UI); risk factors; impact on quality of life and symptom specific health seeking behaviour. Methods: A cross-sectional study of 395 women attending gynaecological clinic of the Lagos State University Teaching Hospital. UI was defined as the complaint of any involuntary leakage of urine in the previous six months. Socio-demographic characteristics, obstetrics, gynaecological, medical and surgical risk factors, impact on daily activities and treatment history were assessed. Univariate, bivariate and multivariable analyses were performed. Results: Participants age ranged from 25-67 years with a mean of 38.81 ± 10.1. Prevalence of UI was 32.9%.  Urge UI occurred in 18.0% of all respondents while the prevalence of stress and mixed incontinence was 7.3% and 7.6% respectively. Independent risk factors for urinary incontinence were age (OR= 0.49, 95%;CI = 0.26-0.92), higher body mass index (OR = 1.92; 95% CI =1.53-3.00) and history of constipation(OR = 2.11; 95% CI =1.30 - 3.43). About47%of those with UI admitted to having negative feelings such as despair, anxiety and depression while 45% had a cumulative moderate to severe affectation of their quality of life in all domains. Despite these, only 27.7% sought help. Conclusions: Despite thesubstantial impact of UI on the quality of life, majority do not seek help. Addressing modifiable risks factors, improving treatment seeking behaviour by correction of misconceptions and elimination of stigma will go a long way in reducing the prevalence of UI.

scholarly journals An analysis of the risk factors for falls, recurrent falls, and fall-related injuries among the elderly in senior Chinese apartments: a cross-sectional study

2021 ◽  
Author(s):  
Qingqing Su ◽  
Mi Song ◽  
Jie Zhang ◽  
Yazhan Mao ◽  
Jie Song ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Recurrent Falls ◽  
Unsteady Gait ◽  
Fall Risks ◽  
Risk Factors For Falls

Abstract Objective Falls, recurrent falls, and fall-related injuries among the elderly are severe problems that seriously threaten the quality of life and health in old age. However, there are few studies on fall risks among the elderly living in senior apartments in China. Our study aims to investigate the factors and differences in falls, recurrent falls, and fall-related injuries among these elderly residents, providing a reference for screening those with high fall risks. Method Face-to-face structured interviews were conducted on 331 older adults over 65 years of age living in four senior apartments. We performed comparative analyses on the results of fall events with two separate criteria (falls vs. no falls; number of falls ≤ 1 and without injury vs. fall-related injuries or number of falls ≥ 2). Several significant variables were involved in a logistic model for regression analysis. Results Falls, recurrent falls, and fall-related injuries among the elderly in senior apartments were independently associated with gender (female), urinary incontinence/frequency, and conscious unsteady gait. Furthermore, fall risks increased with age and the number of risk factors. The AUC, sensitivity, and specificity of the fall risk prediction model were 0.749, 82.4%, and 57.1%, respectively. Conclusions Falls among the elderly in senior apartments are affected by several factors. Female elderly with urinary incontinence/frequency and conscious unsteady gait should be prioritized for fall prevention interventions.

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