Factors associated with persistent urinary incontinence

Objective To estimate whether moderate/severe stress urinary incontinence (SUI) in middle-aged women is associated with overall lifetime physical activity (including leisure, household, outdoor, and occupational), as well as lifetime leisure (recreational), lifetime strenuous and strenuous activity during the teen years. Study design Recruitment for this case-control study was conducted in primary care level family medicine and gynecology clinics. 1538 enrolled women ages 39–65 years underwent a Pelvic Organ Prolapse Quantification examination to assess vaginal support. Based on Incontinence Severity Index scores, cases had moderate/severe and controls no/mild SUI. We excluded 349 with vaginal descent at/below the hymen (pelvic organ prolapse), 194 who did not return questionnaires, and 110 with insufficient activity data for analysis. 213 cases were frequency-matched 1:1 by age group to controls. Physical activity was measured using the Lifetime Physical Activity Questionnaire, in which women recall activity from menarche to present. We created separate multivariable logistic regression models for activity measures. Results SUI odds increased slightly with overall lifetime activity (OR 1.20 per 70 additional MET-hrs/wk; 95% CI 1.02, 1.41), and were not associated with lifetime strenuous activity (OR 1.11; 95% CI 0.99, 1.25). In quintile analysis of lifetime leisure activity, which demonstrated a non-linear pattern, all quintiles incurred about half the odds of SUI compared to reference (2nd quintile; p=0.009). Greater strenuous activity in teen years modestly increased SUI odds (OR 1.37 per 7 additional hours/week; 95% CI 1.09, 1.71); OR 1.75; 95% CI 1.15, 2.66 in sensitivity analysis adjusting for measurement error. The predicted probability of SUI rose linearly in women exceeding 7.5 hours of strenuous activity/week during teen years. Teen strenuous activity had a similar effect on SUI odds when adjusted for subsequent strenuous activity during ages 21–65 years. Conclusion In middle-aged women, a slight increased odds of SUI was noted only after substantially increased overall lifetime physical activity. Increased lifetime leisure activity decreased and lifetime strenuous activity appeared unrelated to SUI odds. Greater strenuous activity during teen years modestly increased SUI odds.

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“…Indeed, in middle-aged women, regular low intensity activity is associated with lower odds of new and persistent SUI. 6–9 …”

Section: Introductionmentioning

confidence: 99%

Lifetime physical activity and female stress urinary incontinence

Nygaard

Shaw

Bardsley

et al. 2015

American Journal of Obstetrics and Gynecology

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“…In this respect, waist circumference has been shown to be an important risk factor for the development of UI [8,16]. Intervention studies have demonstrated a decrease of up to 47% in episodes of urine loss with a reduction in body weight [17].…”

Section: Discussionmentioning

confidence: 99%

Acute effect of resistance exercise performed at different intensities on urine loss in older women

Menezes¹,

Virtuoso²,

Gurjão³

et al. 2018

Physiother Quart.

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Introduction. To evaluate the acute effect of resistance exercise performed at different intensities (moderate and vigorous) on urine loss in older women with mixed and stress urinary incontinence.Methods. The total of 16 older women with urinary incontinence underwent 2 sessions of resistance exercises involving different muscle groups. In a balanced crossover design, 1 of the 2 exercise intensities (12 or 6 repetitions maximum, RM) was applied in each session. The pad test was used to assess urine loss in the 2 sessions, with a weight increase of 2 g as the criterion. Differences in the pad test results between the sessions were compared with the use of the Wilcoxon test.Results. The mean pad weight was 0.69 ± 0.94 g at the intensity of 12RM and 0.50 ± 0.53 g at 6RM. In accordance with the cut-off adopted (2 g), only 2 of the 16 women lost urine. No significant difference in the pad test results (p = 0.975) was observed between the 2 resistance exercise intensities. Conclusions.Resistance exercise performed at different intensities (moderate and vigorous) did not cause urine loss in older women with urinary incontinence.

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“…Another aspect related to UI is that regular physical activity helps to reduce body weight, which is an important risk factor in the genesis of UI 12 and minimizes the decline in muscle strength, including pelvic floor muscles (PFM) in older women 11 . Lee and Hirayama 19 assessed the relationship of physical activity with UI and found that the practice of walking an average of 5 hours a week is a protective factor for UI (OR = 0:43; CI 95% = 0.20-0.96) and Kikuchi et al 16 analyzed the relationship of physical activity in the leisure domain with UI and found that moderate (OR = 0.63; CI 95% = 0.42-0.94) and high levels (OR = 0 43; CI 95% = 0.26-0.68) of physical activity are protective factors for UI.…”

Section: Discussionmentioning

confidence: 99%

“…Study participants were intentionally and voluntarily recruited. Inclusion criteria were: being female, because urinary incontinence presents risk factors and is more prevalent in females [2][3][4] , being 60 years or older, due to the higher prevalence of this disease with increasing age 4,12 and physical inactivity 6,7 ; presence of stress or mixed urinary incontinence; frequency of urinary incontinence of at least once a month; and living in the region of Florianópolis, SC. Those showing only urge urinary incontinence were excluded.…”

Section: Study Type and Samplementioning

confidence: 99%

“…Other studies claim that the practice of moderate physical activity can minimize the reduction in the strength of pelvic floor muscles 11 or even reduce the occurrence of UI with increasing age 12 . Thus, it was observed that the level of scientific evidence on the influence of physical activity on urinary incontinence is still undefined and bidirectional 13 , as it may be a risk factor (OR = 1.37; CI 95% = 1.09-0.71) 15 or a protection factor for urinary incontinence (OR = 0.62; CI 95% = 0.44-0.89) 14 .…”

Section: Introductionmentioning

confidence: 99%

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Mulheres idosas com incontinência urinária apresentam menor nível de atividade física habitual

Menezes

Virtuoso

Mazo

2015

Rev. Bras. Cineantropom. Desempenho Hum.

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-Urinary Incontinence (UI) is defined as any involuntary urinary loss. The relationship between physical activity and UI is undefined and bidirectional, where UI can cause physical inactivity and vice versa. The aim of this study was to verify and compare the level of physical activity with frequency and severity of urinary incontinence in older women. The study included 19 older women with stress or mixed UI. Data on the frequency and severity of UI were collected through the ICIQ-SF and the level of physical activity through triaxial accelerometer GT3-X brand ActiGrafh, used for seven consecutive days. Descriptive (mean, standard deviation, frequency and percentage) and inferential statistics (Mann-Whitney or way ANOVA with Bonferroni post hoc) was used. The majority of patients (n = 17; 89.5%) reported losing a small amount of urine. There was no difference between level of habitual physical activity and severity of UI (U = 6.000, p = 0.144). Regarding the frequency of urinary loss, 42.1% (n = 8) reported losing urine two or three times a week, 31.6% (n = 6) once a day or more and 26.3% (n = 5) once a week or less. Patients with more frequent urinary losses had lower levels of physical activity (F = 6.050; p = 0.011). In relation to the effect size, 43.1% of the variability of levels of PA can be explained by the frequency of urinary loss. It was concluded that the frequency of daily urinary loss is related to low levels of physical activity in older women. Key words: Accelerometer; Physical activity; Elderly; Urinary incontinence. Resumo -O objetivo do estudo foi verificar e comparar o nível de AF habitual com a frequência e a gravidade da perda urinária em idosas. Participaram deste estudo, 19 idosas com

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Factors associated with persistent urinary incontinence

Cited by 36 publications

References 19 publications

Lifetime physical activity and female stress urinary incontinence

Lifetime physical activity and female stress urinary incontinence

Acute effect of resistance exercise performed at different intensities on urine loss in older women

Mulheres idosas com incontinência urinária apresentam menor nível de atividade física habitual

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