Physical Activity and Urinary Incontinence Among Healthy, Older Women

Danforth, Kim N.; Shah, Aparna D.; Townsend, Mary K.; Lifford, Karen L.; Curhan, Gary C.; Resnick, Neil M.; Grodstein, Francine

doi:10.1097/01.aog.0000255973.92450.24

Cited by 99 publications

(74 citation statements)

References 16 publications

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“…Some strategies can minimize the effects of UI during the aging process. Physical activity acts positively on the continence mechanism because it helps maintain body weight and prevent obesity, since fat can cause chronic elevation of intraabdominal pressure and weaken pelvic support structures 7,8 . Ree, Nygaard and Bø 9 observed that strength training can increase the volume of the pelvic floor muscles, enabling contraction at certain times when there is increased intra-abdominal pressure.…”

Section: Introductionmentioning

confidence: 99%

Urinary incontinence and perineal muscle function in physically active and sedentary elderly women

Virtuoso¹,

Mazo²,

Menezes³

2011

Rev. bras. fisioter.

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Objective: To identify the presence of urinary incontinence and compare perineal muscle function among physically active and sedentary older women. Methods: The sample consisted of 39 elderly women, 28 of whom got regular physical activity (AG) and 11 did not (SG). We collected data on risk factors for pelvic floor weakness and the presence of urinary incontinence (UI). The evaluation of perineal function was performed using PERFECT and perineometry. The data were processed with descriptive (simple frequencies, percentages, measures of position and dispersion) and inferential statistics (Chi-square or Fisher Exact Test, when necessary, and Mann-Whitney) with a significance level of 5%. Results: There was a higher mean age (p=0.04) in AG. The occurrence of UI in the sample was 56.4%. Urge UI was associated with SG (p=0.022). All PERFECT variables were higher in AG than SG, with significant differences for the variables "repetitions" (p=0.008) and "fast" (p=0.022). Perineometry revealed that fast twitch fibers (p=0.008) and slow twitch fibers (p=0.05) were higher in the AG. Conclusion: AG had better pelvic floor muscle function. However, the prevalence of UI was higher in this group, which suggested the influence of age on the urinary continence mechanism.Keywords: pelvic floor; perineum; muscle strength; urinary incontinence; physical activity; elderly. ResumoObjetivo: Identificar a presença de incontinência urinária (IU) e comparar a função muscular perineal entre idosas praticantes e não-praticantes de atividade física regular. Métodos: Participaram deste estudo 39 idosas, sendo 28 praticantes (GP) e 11 não-praticantes de atividade física regular (GNP). Foram coletados dados referentes aos fatores de risco para enfraquecimento do assoalho pélvico e presença de IU. A avaliação da função perineal foi feita por meio do esquema PERFECT e da perineometria. Utilizou-se estatística descritiva (frequência simples, porcentagem, medidas de posição e dispersão) e inferencial (teste do qui-quadrado ou Exato de Fisher, quando necessário, e teste de Mann-Whitney). O nível de significância adotado foi de 5%. Resultados: A variável idade (p=0,04) apresentou média superior no GP. A ocorrência de IU na amostra foi de 56,4%. A IU de urgência associou-se com o GNP (p=0,022).Todas as variáveis do esquema PERFECT foram superiores entre as idosas do GP em relação ao GNP, com diferença significativa para a variável repetições (p=0,008) e rapidez (p=0,022). Na perineometria, as funções das fibras de contração rápida (p=0,008) e das fibras de contração lenta (p=0,05) foram superiores no GP. Conclusão: As idosas do GP apresentam melhor função muscular do assoalho pélvico. Entretanto, a prevalência de IU

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Section: Introductionmentioning

confidence: 99%

Urinary incontinence and perineal muscle function in physically active and sedentary elderly women

Virtuoso¹,

Mazo²,

Menezes³

2011

Rev. bras. fisioter.

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“…4,5 Once incontinence is present, decreased physical activity may further exacerbate it, as lack of physical activity and greater weight may also lead to increased stress incontinence. 6,7 In addition, although the prevalence of stress incontinence increases with age, 8 it is not uncommon in women of reproductive age. The rate of stress incontinence in women aged 30-39 years was approximately 10% in one survey.…”

Section: Introduction Gmentioning

confidence: 99%

Stress Urinary Incontinence in Women with a History of Gestational Diabetes Mellitus

Kim

McEwen

Sarma

et al. 2008

Journal of Women's Health

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Objective: Stress urinary incontinence may serve as a barrier to lifestyle modification among women at high risk for diabetes, but the prevalence of stress urinary incontinence among women with histories of gestational diabetes mellitus (hGDM) is unknown. The purpose of this study was to examine the prevalence of stress incontinence among women with hGDM and to examine its association with their current physical activity.Methods: We surveyed women with hGDM within the past 5 years who were currently enrolled in a managed care plan (n ‫؍‬ 228). In a cross-sectional analysis, self-reported weekly or more frequent stress incontinence was the primary independent variable and measures of physical activity and body mass index (BMI) were the outcomes of interest. We constructed multivariable models that adjusted for participant characteristics associated with the measure of incontinence or outcomes in bivariate analyses.Results: Of the 228 women with hGDM, 49% reported weekly or more frequent incontinence during pregnancy, and 28% reported that incontinence affected their activities during pregnancy. Fifty percent reported weekly or more frequent incontinence after delivery, with 27% reporting interference of incontinence with activity. Less than a third of women reported optimal physical activity, and 42% were obese. After adjustment for characteristics associated with measures of activity and incontinence, there was minimal association between levels of activity and stress urinary incontinence; similarly, there was no association between BMI and measures of stress incontinence.Conclusions: Stress urinary incontinence is common among women with hGDM but does not appear to be associated with physical activity levels or BMI. 783

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“…Para esses autores, a menor incidência pode ser atribuída aos benefícios da atividade física no mecanismo de continência 29,30 .…”

Section: Discussionunclassified

Efeito do treinamento resistido sobre o ganho de força muscular nos membros inferiores em mulheres com incontinência urinária de esforço

2014

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29Efeito do treinamento resistido sobre o ganho de força muscular nos membros inferiores em mulheres com incontinência urinária de esforço Effect of strength training on the gain of muscle strength in the lower limbs of women with stress urinary incontinence Efecto del entrenamiento resistido sobre la ganancia de fuerza muscular en los miembros inferiores en mujeres con incontinencia urinaria de esfuerzo Guilherme Augusto Martines RESUMOO objetivo deste estudo foi avaliar o efeito de um protocolo de treinamento composto por cinco exercícios resistidos sobre o ganho de força muscular nos membros inferiores em mulheres com incontinência urinária de esforço (IUE) e seu impacto na qualidade de vida. A amostra foi composta por 30 mulheres com diagnóstico clínico de IUE. O estudo teve a duração de seis meses e a metodologia adotada foi a de comparação de dados pré e pós-intervenção, durante o qual, nos três primeiros meses, a amostra foi caracterizada como sendo o grupo controle; e, nos três meses subsequentes, as pacientes foram denominadas de grupo intervenção e submetidas ao protocolo de estudo estabelecido, composto pelos exercícios leg press 45°, extensor e flexor de joelho, assim como adutor e abdutor realizado em cadeira específica para ganho de força muscular nos membros inferiores. A avaliação subjetiva da IUE foi feita pelo International Consultation on Incontinence Questionnarie -Short Form (ICIQ-SF) e objetiva pelo Pad test. Ao final do estudo, após 12 semanas de intervenção, as mulheres apresentaram um aumento estatisticamente significativo de força muscular de pelo menos 30% em todos os exercícios realizados, exceto no abdutor, onde os ganhos foram de aproximadamente 20%, comparados ao momento pré-intervenção. Paralelamente, observou-se redução estatisticamente significante das perdas urinárias avaliadas pelo Pad test e pelo escore final do ICIQ-SF. O protocolo estabelecido provocou fortalecimento da musculatura nos membros inferiores, redução subjetiva e objetiva da IUE, bem como melhora da qualidade de vida.

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Physical Activity and Urinary Incontinence Among Healthy, Older Women

Abstract: II.

Cited by 99 publications

References 16 publications

Urinary incontinence and perineal muscle function in physically active and sedentary elderly women

Urinary incontinence and perineal muscle function in physically active and sedentary elderly women

Stress Urinary Incontinence in Women with a History of Gestational Diabetes Mellitus

Efeito do treinamento resistido sobre o ganho de força muscular nos membros inferiores em mulheres com incontinência urinária de esforço

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