Body mass index, recreational physical activity and female urinary incontinence in Gansu, China

Qiu, Jie; Lv, Ling; Lin, Xiaojuan; Long, Lixia; Zhu, Dan; Xu, Ruifeng; Deng, Xiaohui; Li, Zhiyuan; Zhu, Lan; Kim, Christopher; Liu, Qing; Zhang, Yawei

doi:10.1016/j.ejogrb.2011.07.016

Cited by 19 publications

(21 citation statements)

References 22 publications

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“…30–32 After adjusting for confounders, habitual walking decreases the odds of SUI by roughly one-half in older women from various ethnic backgrounds. 33,34 …”

Section: Physical Activity and Urinary Incontinencementioning

confidence: 99%

Physical activity and the pelvic floor

Nygaard

Shaw

2016

American Journal of Obstetrics and Gynecology

148

124

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Pelvic floor disorders (PFDs) are common, with one in four U.S. women reporting moderate to severe symptoms of urinary incontinence, pelvic organ prolapse or fecal incontinence. Given the high societal burden of these disorders, identifying potentially modifiable risk factors is crucial. Physical activity is one such potentially modifiable risk factor; the large number of girls and women participating in sport and strenuous training regimens increases the need to understand associated risks and benefits of these exposures. The aim of this review is to summarize studies reporting the association between physical activity and PFDs. Most studies are cross-sectional and most include small numbers of participants. The primary findings of this review include: Urinary incontinence during exercise is common and is more prevalent in women during high-impact sports. Mild to moderate physical activity, such as brisk walking, decreases both the odds of having and the risk of developing urinary incontinence. In older women, mild to moderate activity also decreases the odds of having fecal incontinence; however, young women participating in high intensity activity are more likely to report anal incontinence than less active women. Scant data suggest that in middle-aged women, lifetime physical activity increases the odds of stress urinary incontinence slightly and does not increase the odds of pelvic organ prolapse. Women undergoing surgery for pelvic organ prolapse are more likely to report a history of heavy work than controls; however, women recruited from the community with pelvic organ prolapse on examination report similar lifetime levels of strenuous activity as women without this exam finding. Data are insufficient to determine whether strenuous activity while young predisposes to pelvic floor disorders later in life. The existing literature suggests that most physical activity does not harm the pelvic floor and does provide numerous health benefits for women. However, future research is needed to fill the many gaps in our knowledge. Prospective studies are needed in all populations, including potentially vulnerable women, such as those with high genetic risk, levator ani muscle injury, or asymptomatic pelvic organ prolapse, and on women during potentially vulnerable life periods, such as the early postpartum or postoperative periods.

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“…30–32 After adjusting for confounders, habitual walking decreases the odds of SUI by roughly one-half in older women from various ethnic backgrounds. 33,34 …”

Section: Physical Activity and Urinary Incontinencementioning

confidence: 99%

Physical activity and the pelvic floor

Nygaard

Shaw

2016

American Journal of Obstetrics and Gynecology

148

124

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“…Mientras un estudio, con mujeres ancianas, identificó asociación del IMC y de la CC apenas con la IU de urgencia y mixta, otros estudios que incluyeron mujeres jóvenes (20/30 años o más) encontraron, también asociación de tales medidas con la IU de esfuerzo (7,9,22,23,24).…”

Section: Tabla II Comparación De La Edad Y Medidas Antropométricas Enunclassified

“…La hipótesis explicativa para esto, es que el exceso de peso causa aumento de la presión intraabdominal con el consecuente aumento de la presión y movilidad vesical (3)(4)(5)(6)(7)(8)(9).…”

Section: Introductionunclassified

“…Además, otro estudio, comparó la función del piso pélvico de mujeres ancianas practicantes de actividad física con ancianas sedentarias, verificando que, las activas física-mente, tuvieron contracción muscular de las fibras lentas y rápidas más eficiente. Sin embargo, son necesarios más estudios sobre ese tópico (7,20). Se observó en este estudio que las mujeres con IU tenían valores de masa corporal, IMC, CC, RCC, IAC e Índice C significativamente mayor que las mujeres que no presentaban episodios de pér-didas de orina.…”

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Propuesta de puntos de corte para diferentes indicadores antropométricos en la predicción de la incontinencia urinaria en mujeres

Sacomori

Vinter

Sperandio

et al. 2015

Rev. chil. obstet. ginecol.

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RESUMENIntroducción: Los episodios de pérdidas urinarias son causas de vergüenza social, disfunción sexual y bajo desempeño profesional. Objetivos: Identificar la sensibilidad y especificidad, y proponer puntos de corte de diferentes indicadores antropométricos para la predicción en mujeres de la incontinencia urinaria (IU). Métodos: Fueron evaluadas 500 mujeres de la Gran Florianópolis, SC, Brasil, de un amplio rango etario, a partir del cuestionario ICIQ -SF para incontinencia urinaria. Fueron analizados los siguientes indicadores antropométricos: Circunferencia de Cintura (CC), Índice de Masa Corporal (IMC), Índice Cintura/Cadera (ICC), Razón Cintura/Estatura (RCE), Índice de Adiposidad Corporal (IAC) e Índice de Conicidad (Índice C). Para el análisis estadístico de los datos, fueron utilizadas pruebas de asociación y cálculos de sensibilidad y especificidad por medio de curvas ROC. Resultados: La prevalencia de IU fue 35%. Se observaron correlaciones significativas entre los indicadores antropométricos y frecuencia e intensidad de pérdidas urinarias. La RCE fue el indicador antropométrico con mayor área sobre la curva ROC (0,618). La CC fue el indicador antropométrico con mayor sensibilidad y el Índice C, aquel con la mayor especificidad para la predicción de la IU. Mujeres con CC con 78,5 cm o más presentaron 1,24 vez más prevalencia de IU (p<0,05). Mujeres con Índice C de 1,23 puntos o más presentaron 1,23 vez más prevalencia de IU (p<0,05). Conclusiones: Los indicadores antropométricos, especialmente aquellos que llevan en consideración la CC, presentaron asociaciones significativas y pueden ser usados como indicativos de IU.PALABRAS CLAVE: Sobrepeso, antropometría, incontinencia urinaria, actividad física SUMMARY Background:The episodes of urinary incontinence may cause social embarrassment, sexual dysfunction and diminished work performance. Objectives: To identify the sensitivity, specificity and to propose cutoff points of different anthropometric indicators for the prediction of urinary incontinence (UI) in women. Methods: 500 women from Florianópolis, SC, Brazil, from a wide age range, were assessed using the Internatinal Consultation on Incontinence Questionnaire (ICIQ -SF). The anthropometric indexes analyzed were: Waist Circumference (WC), Body Mass Index (BMI), Waist / Hip Ratio (WHR), Waist / Height Ratio (WHeR), Body Adiposity Index (IAC) and Conicity Index (Index C). For statistical analysis, association tests and calculations of sensitivity and specificity by ROC curves were used. Results: The prevalence of UI was 35%. There were significant correlations between anthropometric indicators and frequency and intensity of UI. The WHeR was the index with the largest area under the ROC curve (0.618). The WC was the most sensitive index and the index C had the highest specificity. Women with WC with 78.50 cm or more exhibited 1.24 increased prevalence of UI (p < 0.05). Those women with index C of 1.23 or more showed 1.23 greater prevalence of UI (p < 0.05). Conclusions: Anthropometric indicators, e...

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“…Estudos de base populacional têm identificado alguns fatores associados à incontinência urinária: sociodemográficos (idade 3,4,5 , residência em cidades em relação ao campo 6 , casamento mais jovem 3 , suporte social fraco 7 ), biológicos (menopausa, fatores hereditários 8 ), obstétricos (número de partos e partos vaginais 5,6,8 ) e comportamentais (presença de diabetes 6 , índice de massa corporal elevado 5,7,9 e estado de saúde precário 7 ). No contexto de Brasil, são poucos os estudos epidemiológicos sobre os fatores associados à incontinência urinária.…”

Section: Introductionunclassified

Incontinência urinária em mulheres que buscam exame preventivo de câncer de colo uterino: fatores sociodemográficos e comportamentais

2013

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This cross-sectional study aimed to investigate the association between socio-demographic and behavioral factors and the presence of self-reported urinary incontinence in 784 women undergoing cervical cancer screening in Greater Florianópolis, Santa Catarina State, Brazil. Socio-demographic data, health status, physical activity, constipation, and body mass index were obtained, and the International Consultation on Incontinence Questionnaire-SF was used. Prevalence of urinary incontinence was 30.7% (16.5% reported leakage once a week or less and 23.8% losses in small volumes). Poisson univariate regression showed the following factors associated with urinary incontinence: lower education, lower income, non-white skin color, overweight, worse health status, constipation, and older age. After adjustment, according to a hierarchical model, schooling, ethnicity, health status, and age remained significantly associated. The high prevalence of urinary incontinence in women seeking Pap smear tests justifies preventive approaches in these areas of intervention.

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Body mass index, recreational physical activity and female urinary incontinence in Gansu, China

Cited by 19 publications

References 22 publications

Physical activity and the pelvic floor

Physical activity and the pelvic floor

Propuesta de puntos de corte para diferentes indicadores antropométricos en la predicción de la incontinencia urinaria en mujeres

Incontinência urinária em mulheres que buscam exame preventivo de câncer de colo uterino: fatores sociodemográficos e comportamentais

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