Qual o índice de massa corporal de mulheres com disfunções dos músculos do assoalho pélvico que procuram tratamento fisioterapêutico?

Abstract

. Dessas mulheres, cerca de 70% apresentavam sobrepeso ou obesidade, resultado maior do que o índice nacional de 59%. A base fisiopatológica da relação entre obesidade e disfunções do AP está na correlação entre o IMC e a pressão intra-abdominal. A identificação do sobrepeso e da obesidade deve fazer parte dos programas de reabilitação do AP, uma vez que a redução do peso corporal pode contribuir para redução da severidade da disfunção. Com o presente estudo observa-se que as mulheres que procuram tratamento fisioterapêutico para disfunções do AP apresentam índice de obesidade maior do que a população feminina nacional.Descritores | índice de massa corporal; obesidade; assoalho pélvico.ABSTRACT | Overweight and obesity are reported as important risk factors for developing of female pelvic floor (PF) dysfunction. Thus, the objective was to verify the body mass index (BMI) of women with PF dysfunctions who sought physiotherapy treatment, and comparing it with national statistics. This is an observational study. There were evaluated the records of women with PF dysfunctions served by the Physiotherapy Service from 2004 to 2010, and included all women with the presence of any symptom of PF dysfunction. It was calculated the BMI of 312 women with PF dysfunction. The BMI mean was 28.1 kg/m 2 . Approximately 70% of these women were overweight or obese, a value higher than the national rate of 59%. The pathophysiological basis of the relationship between obesity and PF dysfunction is the correlation between BMI and intra-abdominal pressure. The identification of overweight and obesity should be part of the rehabilitation programs of the PF, since the reduction in body weight can contribute by reducing the severity of the disorder. With the present study it was observed that women seeking physiotherapy treatment for PF dysfunction have higher rates of obesity than the national female population.Keywords | body mass index; obesity; pelvic floor.Qual o índice de massa corporal de mulheres com disfunções dos músculos do assoalho pélvico que procuram tratamento fisioterapêutico?What is the body mass index of women with pelvic floor muscles dysfunctions that seek for physiotherapy treatment?

Symptoms of lower urinary tract in women who practice physical exercise regularly.

“…(19) Another risk factor for UI is the Body Mass Index (BMI) and abdominal obesity because it is assumed that the UI association with obesity is a result of the high intra-abdominal pressure, mainly by the increase of weight in the region waist-hip ratio and, consequently, increased intra-bladder pressure, overloading the organs of the pelvic region. (2,20) In this study, the average women's BMI is within normal levels (24.8 kg/m2) and waist circumference showed up high by the World Health Organization. This may be due to the fact that some participants performed physical activity for only three months.…”

Impact of overweight and obesity on women with urinary incontinence: pilot study

“…As stated above, various studies [3][4][5][6][7] have shown the relationship of obesity with the presence of PFMD, especially UI 3,4,6,7 . However, there are few studies in the literature evaluating whether overweight women have the same characteristics in PFM function and UI severity as obese women.…”

“…The pathophysiological explanation for UI development in women with obesity is due to the increase in intra-abdominal pressure (IAP) caused by an elevated BMI which can chronically overload the pelvic oor muscles (PFM) 6,7 . In addition, obesity can cause neurogenic diseases such as disc herniation, contributing to developing PFMD and increasing the risk of UI in women 8 .…”

Análise das Características Clínicas em Mulheres com Disfunções do Assoalho Pélvico Atendidas em um Ambulatório no Interior da Bahia / Analysis of Clinical Characteristics in Women with Pelvic Floor Disorders Attended in an Ambulatory of the Interior of Bahia

“…Nos países em desenvolvimento, onde a taxa total de fertilidade é alta e o parto vaginal é quase universal, é esperada a ocorrência frequente dessa patologia. Notavelmente, a alta ocorrência desta implica uma carga multifacetada de doenças para as mulheres nos países em desenvolvimento (FITZ et al, 2012).…”

“…Quanto aos sintomas de esvaziamento vesical pode-se destacar a disúria que representa dor ou desconforto para urinar; hesitação: dificuldade para iniciar a micção; sensação de esvaziamento incompleto: sensação que resta urina na bexiga após a micção; gotejamento pósmiccional ou terminal: perda urinária em pequena quantidade que ocorre após o final da micção; esforço para urinar: necessidade de manobra de esforço para iniciar a micção (FITZ et al,2012).…”