Symptoms of lower urinary tract in women who practice physical exercise regularly.
Introduction: The practice of regular physical exercise provides benefits to health and quality of life. However, these are seen as promoters of dysfunctions of the pelvic floor muscles (PFMs). Objective: Evaluate the level of physical activity and the presence of urinary symptoms in women who perform exercise regularly and check the relation between then. Method: Forty-seven women who practice regularly physical exercise were evaluated in two gyms in the State of São Paulo/Brazil. The participants were characterized in accordance with the age, number of pregnancies, parity, body mass index, waist circumference, duration of physical exercise, weekly frequency of exercise and time spent in physical exercise. The level of physical activity was assessed by the "International Physical Activity Questionnaire" (IPAQ) long, and the presence of urinary symptoms and their severity were assessed by the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF). Results: Approximately 51.9% of women were considered active (greater than 600 METs value) and 49.1% were considered highly active (more than 1500's MET value). It was observed the presence UI in 72.3% of study participants. Approximately 52% of women showed a moderate UI according to the ICIQ-SF. Conclusion: Women were considered active or very active according to the recommendations of the IPAQ. It was observed a high prevalence of urinary symptoms in women on efforts in women who perform any physical activity regulary. The severity of the incontinence was classified as moderate according the ICIQ-SF. No significant relation it was observed between the severity of the UI and the level of physical activity.
1. Carroll S, Dudfield M. What is the relationship betweenexercise and metabolic abnormalities? A review of the metabolic syndrome. Sports Med. 2004; 34(6):371-418. http://dx.doi.org/10.2165/00007256-200434060-00004. PMid:15157122.
2. Alling Møller L, Lose G, Jørgensen T. Risk factors for lower urinary tract symptoms in women 40 to 60 years of age. Obstet Gynecol. 2000 Sep;96(3):446-51. http://dx.doi.org/10.1016/S0029-7844(00)00915-7. PMid:10960640.
3. Ashton-Miller JA, DeLancey JOL. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci. 2007 Apr;1101(1):266-96. http://dx.doi.org/10.1196/annals.1389.034. PMid:17416924.
4. Bump RC, Norton PA. Epidemiology and natural history of pelvic floor dysfunction. Obstet Gynecol Clin North Am. 1998 Dec;25(4):723-46. http://dx.doi.org/10.1016/ S0889-8545(05)70039-5. PMid:9921553.
5. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardization of terminology tract function: report from the standardization of terminology subcommittee of the International continence Society. Urology. 2003 Jan;61(1):37-49. http://dx.doi.org/10.1016/S0090-4295(02)02243-4. PMid:12559262.
6. Hannestad YS, Rortveit G, Sandvik H, Hunskaar S. A community-based epidemiological survey of female urinary incontinence: The Norwegian EPICONT Study. J Clin Epidemiol. 2000; 53(11):1150-7. http://dx.doi. org/10.1016/S0895-4356(00)00232-8. PMid:11106889.
7. Goldstick O, Constantini N. Urinary incontinence in physically active women and female athletes. Br J Sports Med. 2014 Feb;48(4):296-8. http://dx.doi. org/10.1136/bjsports-2012-091880. PMid:23687004.
8. Bø K. Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Med. 2004; 34(7):451-64. http://dx.doi.org/10.2165/00007256-200434070-00004. PMid:15233598.
9. Virtuoso JF, Mazo GZ, Menezes EC. Prevalência, tipologia e sintomas de gravidade da incontinência urinária em mulheres idosas segundo a prática de atividade física. Fisioter Mov. 2012; 25(3):571-82. http://dx.doi. org/10.1590/S0103-51502012000300013.
10. Matsudo SM, Araújo T, Matsudo VR, Andrade D, Andrade E, Oliveira LC, et al. Questionário Internacional de Atividade Física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ Fís Saúde. 2001; 6:5-18.
11. Tamanini JT, Dambros M, D’Ancona CA, Palma PC, Rodrigues Netto N Jr. Validação para o português do “International Consultation on Incontinence Questionnaire -- Short Form” (ICIQ-SF). Rev Saude Publica. 2004 Jun;38(3):438-44. http://dx.doi.org/10.1590/S0034-89102004000300015. PMid:15243675.
12. Richman J, Mackrides L, Prince B. Research methodology and statistics. Part 3: measurement procedures in research. Physiother Can. 1980; 32:253-7.
13. Hallal PC, Victora CG, Wells JCK, Lima RC. Physical inactivity: prevalence and associated variables in Brazilian adults. Med Sci Sports Exerc. 2003 Nov;35(11):1894-900. http://dx.doi.org/10.1249/01. MSS.0000093615.33774.0E. PMid:14600556.
14. Hay Smith J, Nygaard I, Wyman J, Yamanishi T, Berghmans. B, Hagen S, et al. Adult conservative management. In: Abrams P, Cardozo L, Khoury S, Wein A. Incontinence: 4th International Consultation on Incontinence. Paris: Health Publication; 2009. p.1025-12.
15. Crist T, Singleton HM, Koch GG. Stress incontinence and the nulliparous patient. Obstet Gynecol. 1972 Jul;40(1):13-7. PMid:5044932.
16. Wolin LH. Stress incontinence in young, healthy nulliparous female subjects. J Urol. 1969 Apr;101(4):545-9. PMid:5776039.
17. Davis G, Sherman R, Wong MF, McClure G, Perez R, Hibbert M. Urinary incontinence among female soldiers. Mil Med. 1999 Mar;164(3):182-7. PMid:10091490.
18. Thyssen HH, Clevin L, Olesen S, Lose G. Urinary incontinence in elite female athletes and dancers. Int Urogynecol J Pelvic Floor Dysfunct. 2002; 13(1):15-7. http://dx.doi.org/10.1007/s001920200003. PMid:11999199.
19. Bo K, Hagen R, Kvastein B, Larsen FF. Famele stress urinary incontinence and participation in different sport and social activities. Scand J Sports Sci. 2000; 18:398-9.
20. Fitz FF, Costa TF, Feitosa SM, Yuaso RD, Alves GA, Sartori MGF, et al. Qual o índice de massa corporal de mulheres com disfunções dos músculos do assoalho pélvico que procuram tratamento fisioterapêutico? Fisioter Pesq. 2012; 19(4):309-13. http://dx.doi.org/10.1590/S1809-29502012000400003.
21. Nygaard I, Girts T, Fultz NH, Kinchen K, Pohl G, Sternfeld B. Is urinary incontinence a barrier to exercise in women? Obstet Gynecol. 2005 Aug;106(2):307-14. http://dx.doi.org/10.1097/01.AOG.0000168455.39156.0f. PMid:16055580.
22. Fultz NH, Herzog AR. Self-reported social and emotional impact of urinary incontinence. J Am Geriatr Soc. 2001 Jul;49(7):892-9. http://dx.doi.org/10.1046/j.1532-5415.2001.49179.x. PMid:11527480.
23. Araújo MP, Oliveira E, Zucchi EVM, Trevisani VFM, Girão MJBC, Sartori MGF. Relação entre incontinência urinária em mulheres atletas corredoras de longa distância e distúrbio alimentar. Rev Assoc Med Bras. 2008 Mar-Apr;54(2):146-9. http://dx.doi.org/10.1590/ S0104-42302008000200018. PMid:18506324.
24. Brown WJ, Miller YD. Too wet to exercise? Leaking urine as a barrier to physical activity in women. J Sci Med Sport. 2001 Dec;4(4):373-8. http://dx.doi. org/10.1016/S1440-2440(01)80046-3. PMid:11905931.
25. Stach-Lempinen B, Nygård CH, Laippala P, Metsänoja R, Kujansuu E. Is physical activity influenced by urinary incontinence? BJOG. 2004 May;111(5):475-80. http://dx.doi.org/10.1111/j.1471-0528.2004.00105.x. PMid:15104613.