Background: Urinary incontinence (UI) is described as the involuntary leakage of urine and is a global problem. The younger age groups have the lowest prevalence (12.0%), while the oldest have the greatest (40.0%); however, there is a surge around the middle age. Osteoporosis (OP) is a medical and socioeconomic hazard characterized by the decrease of bone mass, strength throughout the body resulting in lower bone density and a higher risk of fractures. Females become more vulnerable to these conditions as they grow older. The aim of the study: To assess the available research and find links between coexistence of decreased bone health and urinary incontinence in females. Materials and methods: Electronic databases like, CINAHL, Embase, Trip Medical Database, Cochrane Library and Pub Med were the ones searched for relevant articles from January 2011 to January 2022. The PRISMA Statement for Systematic Reviews and Meta-Analysis was used to conduct this systematic review. Results: There were 416 results found in the databases after eliminating the duplicates and studies that were unrelated to the topic. The review included total of five studies and quality assessment was done by four reviewers. Most studies found a strongly significant link between osteoporosis and urinary incontinence, whereas one study found no association. Conclusion: In this study, the five most common associated risk factors were revealed to be menopause, obesity, smoking, physical inactivity, and hyperlipidemia. Based on recent studies a strong significant link was found between the two health conditions (OP and UI) and coexistence of both conditions was seen in females.
Background: Obesity is considered to impact physical and cardio-respiratory fitness in children. There is scarce data on indices of physical fitness in Indian children with simple obesity even as they are at an increased risk for metabolic complications at lower body mass index (BMI) than their Western counterparts. We aimed to determine the effects of weight status on indices of physical fitness in North Indian children with simple obesity.
Methods: Vital parameters such as blood pressure, pulse rate, respiratory rate, and rate of perceived exertion were measured before and after the six-minute walk test (6MWT) in obese children (BMI ≥95th percentile) (Group 2, n=70) aged 5-15 years and were compared to non-obese children (BMI 25th to 75th percentile) (Group 1, n=70). President's Challenge Fitness test was used to measure the physical fitness of each subject.
Results: The mean age, weight and BMI of children in Group 1 and Group 2 were 9.07±2.88 and 8.93±3.13, 27.42±12.08 and 48.87±17.89 and 16.54±4.26 and 27.30±5.2, respectively. The mean blood pressure recorded before 6MWT was similar in the two groups but pulse rate, respiratory rate, and rate of perceived exertion were higher in Group 2. Children in Group 2 also showed significant elevation of vital parameters compared to Group 1 after the 6MWT. Additionally, children in Group 2 performed poorly in all the physical fitness parameters compared to those in Group 1 following the President’s Challenge Fitness test.
Conclusions: Children with obesity showed several alterations in vital parameters and indices of physical fitness. Further studies are required to access the effect of interventions aimed at improving the physical fitness in children with obesity.
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