This cross-sectional survey aims to (1) verify the prevalence of urinary incontinence and its impact on the quality of life among nulliparous fit women, and to (2) analyze whether urinary incontinence is influenced by the intensity of the sport (high- vs. low-impact) or by the volume of physical activity (minutes per week) performed. Two hundred forty-five nulliparous women (18-40 years) completed the International Consultation on Incontinence Questionnaire-Short Form, the Kings Health Questionnaire and a questionnaire regarding demographic and training variables. Overall 22.9% of the participants self-reported urinary incontinence, and among them, 60.7% had stress urinary incontinence. Incontinent women demonstrated worse quality of life than continent females (p=0.000). Women practicing high-impact sports presented higher frequency in loss of urine than those practicing low-impact sports (p=0.004). Regardless the intensity of the sport, the volume of exercise showed positive association with the frequency of loss of urine (p=0.005, r=0.475). In conclusion, almost one fourth of the women enrolled in this study reported symptoms of urinary incontinence and worse quality of life than those who were continent. Women who practice high-impact sports or who have higher volume of training should be aware of the symptoms associated with pelvic floor dysfunction, since they seem to predispose to urine leakage.

Brazilian Registry of Clinical Trials, RBR-32sctf.

Keywords► mastectomy ► range of motion ► quality of life ► upper limb functionality AbstractObjective To evaluate the correlation between upper limb functionality and quality of life in women with five-year survival following breast cancer surgical treatment. The secondary objective was to evaluate the function of the ipsilateral upper limb and the quality of life in relation to the type of surgery and the presence of pain. Methods The Disabilities of Arm, Shoulder and Hand (DASH), and the Functional Assessment of Cancer Therapy -Breast plus Arm Morbidity (FACTB þ 4) questionnaires were used to evaluate upper limb function and quality of life respectively. Data distribution was verified by the Shapiro-Wilk test. Pearson's correlation coefficient was used for the parametric variables, and Spearman's rank correlation coefficient was used for the distribution of non-parametric variables. The statistical significance was set at 5% (p < 0.05). Results The study included 30 patients, with a mean age of 51.23 (AE8.72) years. The most common complications were: pain (50%), adherence (33.3%), and nerve lesion (20.0%). There was a moderate negative correlation between the instruments DASH and FACTB þ 4 (total score), r ¼ -0.634, and a strong negative correlation between the DASH and the FACTB þ 4 arm subscale, r ¼ -0.829. The scores of both questionnaires showed significant difference on the manifestation of pain. However, there was no significant difference found when comparing the scores considering the type of surgery performed.Conclusions Five years after surgery, the patients showed regular functionality levels on the ipsilateral upper limb and decreased quality of life, especially in the group manifesting pain.

A doença venosa crônica é um problema de saúde pública importante, podendo promover inaptidão para o trabalho, tendo também uma repercussão indireta sobre a qualidade da produção e conseqüente perda de eficiência operacional. Embora ainda não haja evidência da relação direta causa-efeito de doença venosa com o trabalho, existe consenso científico de que o trabalho pode agravar o desenvolvimento da mesma. O presente estudo relata os fatores que podem influenciar o aparecimento ou agravamento de doenças venosas de membros inferiores em operadores de Unidades Produtoras de Refeições, ressaltando a importância e a possibilidade de aprofundamento do tema, o que poderia evoluir para o estabelecimento de um protocolo de prevenção e tratamento de doenças venosas em função do posto de trabalho executado. Reflete-se sobre o início de um processo de identificação deste distúrbio como uma doença de caráter ocupacional, o que contribuiria, portanto, para a reformulação conceitual dos encargos decorrentes dessa atividade profissional.

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