A prática de exercícios físicos é um fator modificável da incontinência urinária de urgência em mulheres idosas

Abstract

Introduction: The literature suggests that some risk factors for urinary incontinence can be modified by a healthy lifestyle; however, little is known about the factors associated with urge urinary incontinence (UUI), whose prevalence increases with age. Objective: To examine the modifiable risk factors of UUI in older women. Method: The sample consisted of 200 elderly (60 years or older) with a mean age of 69.06 ± 6.26 years. We identified the presence of UUI and behavioral risk factors (consumption of coffee, alcohol consumption, smoking and presence of constipation). Was also applied to the Domain 4 for International Physical Activity Questionnaire (IPAQ) to identify the level of physical activity and measured body mass index and waist circumference. The data were processed using descriptive and inferential statistics with a significance level of 5%. Results: The prevalence of UUI in the sample was 15,5%. Among the modifiable factors, only the level of physical activity was associated with the occurrence of UUI, and the physical exercise appeared as a protective factor among very active women (OR = 0.288) and less active (OR = 0.356). Conclusion: The symptoms of urgency can be softened by regular physical exercise. Through a healthy lifestyle can minimize a number of modifiable factors in the genesis of urge urinary incontinence.

Perfil de idosas fisicamente ativas com incontinência urinária

“…Regarding the type of UI, the UIU had a higher prevalence (50.9%). This value corroborates other studies with elderly women 1,21 . In a study conducted with 20.000…”

“…Smoking is a habit of life associated with UI, since the greater amount of tobacco in the body leads to estrogen deficiency, in addition to increasing coughing events -which favors the recurrent increase of intra-abdominal pressure -, conditions that can lead to UI 7 . Despite this, smoking and alcohol consumption were not presented as a risk factor in research conducted with active elderly women 21 .…”

“…Chinese women, it was found that age greater than 60 years increases the chance of developing UIU 22 twice. It is believed that the higher incidence of UIU in the elderly is justified by the structural alterations in the detrusor muscle from physiological aging 21 .…”

“…In Japan 25 and that urinary urgency symptoms can be minimized regular physical exercise 21 . It is believed, therefore, that the regular practice of physical activities is a modifiable factor, since, besides favoring the reduction of episodes of urine loss, it influences the improvement of risk factors related to UI, such as hypertension, diabetes and polypharmacy 21 .…”

Funcionalidade dos músculos do assoalho pélvico de idosas fisicamente ativas

“…Virtuozo e Mazo [26] encontraram em seu estudo uma prevalência menor de IU entre idosos quanto maior era seu nível de atividade física, sugerindo que a atividade física orientada pode prevenir a ocorrência de perdas urinárias. Os resultados dos componentes da funcionalidade do assoalho pélvico encontrados nesta amostra podem ser relacionados às morbidades presentes na amostra, bem como às cirurgias ginecológicas e infecções urinárias recorrentes, assim como a multiparidade, o que já está bem descrito na literatura como fatores que interferem sobre a funcionalidade de assoalho pélvico [27].…”