RESUMO
OBJECTIVE: The aim of the study was to establish a correlation between Overactive Bladder (OAB) symptoms and Body Mass Index (BMI) in women aged 20-45. METHODS: We interviewed 1.050 women aged 20-45 in the area of Campinas, Brazil, to investigate the prevalence of overactive bladder symptoms. In this study, we used the ICIQ-OAB questionnaire (ICS standard), in its validated portuguese version and a specific questionnaire for the demographics, which includes information about BMI. RESULTS: Overall, women with BMI ≥30 presented a significantly higher score than women with a lower BMI (18.5 - 24.9) (p=0.0066). In the analysis of individual symptoms, no significant differences were found regarding urinary frequency (p=0.5469). Women with BMI ≥30 presented more nocturia than women with BMI ranging between 18.5 and 24.9 (p=0.0154). Women in the group of BMI 25 - 29.9 presented more urgency than women with BMI 18.5 - 24.9 (p=0.0278). Significant difference was also found regarding urge-incontinence; women with BMI 25 - 29.9 presented a higher score than women in the group 18.5 - 24.9 (p= 0.0017). Analysis was also performed on the visual analogue scale regarding how much each symptom bothers the women (quality of life). There were no significant differences regarding frequency, nocturia or urgency but urgency incontinence bother was significant. Women with BMI 25 - 29.9 were more bothered by incontinence than women with BMI 18.5 - 24.9 (p=0.002). CONCLUSION: In conclusion, this study reinforces the correlation between BMI and OAB symptoms. Obese women present more OAB symptoms than non-obese women.
Assuntos
Índice de Massa Corporal , Pré-Menopausa/fisiologia , Bexiga Urinária Hiperativa/epidemiologia , Adulto , Brasil/epidemiologia , Feminino , Humanos , Pessoa de Meia-Idade , Noctúria/epidemiologia , Obesidade/epidemiologia , Prevalência , Qualidade de Vida , Inquéritos e Questionários , Incontinência Urinária de Urgência/epidemiologia , Adulto JovemRESUMO
AIM: The aim of the study was to verify the presence of overactive bladder syndrome (OAB) symptoms in premenopausal women and relate them with child-bearing data. MATERIAL AND METHODS: We interviewed 1050 women aged 20-45 years in the area of Campinas, Brazil, to investigate the prevalence of OAB symptoms. In this study we used the International Consultation on Incontinence Questionnaire - Overactive Bladder (ICIQ-OAB) questionnaire (International Continence Society standard), in its validated Portuguese version and a specific questionnaire for the demographics. RESULTS: Overall, multiparous and primiparous women showed significantly higher scores in the ICIQ-OAB questionnaire than nulliparous women. Multiparous women also presented more frequency than nulliparous women (P < 0.0001). Nulliparous women presented less nocturia than primiparous or multiparous women (P < 0.0001). No significant differences were found in urgency (P = 0.0682), and multiparous women presented more urgency incontinence than nulliparous ones (P = 0.0313). CONCLUSIONS: Nulliparous women presented fewer OAB symptoms than primiparous women. Multiparous women presented more symptoms than the other two groups. There were no significant differences between cesarean and vaginal delivery, but the scores of women who had vaginal delivery were higher than those who had cesareans. Both types of delivery were related to higher ICIQ-OAB scores (more severe symptoms) than those of nulliparous women.
Assuntos
Bexiga Urinária Hiperativa/epidemiologia , Adulto , Brasil/epidemiologia , Feminino , Humanos , Noctúria/etiologia , Paridade , Prevalência , Estudos Prospectivos , Índice de Gravidade de Doença , Bexiga Urinária Hiperativa/fisiopatologia , Adulto JovemRESUMO
INTRODUCTION: Stress urinary incontinence is a frequent complaint in medical offices and studies have shown that women who practice high impact sports develop its symptoms. OBJECTIVE: To evaluate the prevalence of stress urinary incontinence in women who attend gyms and perform high impact exercises and correlate it with women who do not attend gyms. METHOD: Prospective comparative study in which 488 nulliparous women of normal weight were divided into a Study Group, composed of women who attended gyms, and a Comparative Group, composed of women who did not attend gyms. Three questionnaires were used for the evaluation of stress urinary incontinence and the results of the ICIQ-SF questionnaire were used to compare the groups. RESULTS: There was a significant difference between groups on the ICIQ-SF. The average in the Study Group was 1.68 (+ 3.46) and in the Comparative Group the average was 1.02 (+ 2.69) (p = 0.006). CONCLUSION: Women who attend gym and perform high impact exercises have a higher prevalence of urinary incontinence symptoms, independent of the exercise modality, than women who do not perform any high impact exercise.
Assuntos
Exercício Físico , Incontinência Urinária por Estresse/etiologia , Adulto , Índice de Massa Corporal , Feminino , HumanosRESUMO
OBJECTIVE: The aim of this study was to evaluate the impact of Global Postural Re-education (GPR) on stress urinary incontinence symptoms and to compare it to Pelvic Floor Muscle Training (PFMT). STUDY DESIGN: Fifty-two women with stress urinary incontinence were distributed into two groups: Group 1 (G1) was submitted to weekly sessions of GPR for three months and Group 2 (G2) performed Pelvic Floor Muscle Training four times a week for three months. Patients were evaluated through the King's Health Questionnaire, a three-day voiding diary including daily pad use and a Functional Evaluation of the Pelvic Floor (FEPF), before treatment (T0), at the end of treatment (T1) and six months after treatment (T2). RESULTS: The number of leaking episodes dropped significantly in both groups at the end of treatment and at six months follow-up, with a significantly greater decrease in G1. Daily pad use dropped significantly in both groups. At the end of treatment, 72% of the patients in G1 and 41% of the patients in G2 needed no pads and at six-month follow-up, 84% and 50%, respectively. FEPF improved significantly in both groups, with no significant difference between the groups (P=0.628). The King's Health Questionnaire demonstrated significant improvement in both groups and in all domains. The GPR group presented higher adherence to treatment, with no dropouts. CONCLUSIONS: GPR could represent an alternative method to treat stress urinary incontinence in women, should the results be long lasting.