Is Urinary Incontinence a Barrier to Exercise in Women?

Nygaard, Ingrid; Girts, Tammy K.; Fultz, Nancy H.; Kinchen, Kraig; Pohl, Gerhardt; Sternfeld, Barbara

doi:10.1097/01.aog.0000168455.39156.0f

Cited by 123 publications

(119 citation statements)

References 12 publications

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“…Em algumas pesquisas verificou-se que mulheres mais velhas tendem a aceitar a IU como normal (3,(10)(11) . Sobre a relação escolaridade e atividade ocupacional, não se encontrou diferença significativa em estudo entre mulheres com IU (19)(20) . Por informes da literatura atual, de 14 a 46% das mulheres com idade entre 20 e 89 anos já apresentaram um episódio de IU (2,7) , principalmente relacionado ao ciclo gravídico puerperal, cirurgias obstétricas e ginecológicas e ao climatério, quando ocorrem alterações hormonais e diminuição das fibras de colágenos e musculares.…”

Section: Resultsunclassified

“…Apresentam-se na Tabela Entre os fatores que podem estar associados à incontinência urinária por esforço é a deficiência esfincteriana uretral intrínseca, aumento da pressão intraabdominal, período gestacional, elevado número de partos, trauma obstétrico, obesidade, tabagismo, doenças neurológicas, doenças respiratórias crônicas e tratamentos cirúrgicos ginecológicos (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) . A mulher incontinente, principalmente as casadas ou com vida sexual ativa, sofrem grande impacto na sua qualidade de vida, porque estão sempre com medo ou com receio de perder urina em certas situações como durante a relação sexual, quando sentem receio de As infecções urinárias de repetição provocam a urgeincontinência (3) .…”

Section: Resultsunclassified

“…Em estudo realizado sobre IU com 35 mulheres com queixas de perdas de urina, 16 delas relataram não buscar nenhum tipo de tratamento para IU por achar normal, e 13 foram tratadas com terapia cirúrgica (19) . Muitas mulheres na pós-menopausa acreditam que a incontinência urinária é inerente à idade, não sendo passível de tratamento.…”

Section: Resultsunclassified

“…Outro estudo revelou que 15,2% referiram que a IU interferia no desempenho ocupacional porque necessitavam interromper várias vezes o trabalho para ir ao banheiro. Também ficou revelado nesse estudo que a IU causou prejuízos financeiros porque 1,2% das mulheres foi demitida e 0,6% teve que pedir demissão (19) .…”

Section: Resultsunclassified

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Qualidade de vida de mulheres com incontinência urinária

Pedro

Ribeiro

Soler

et al. 2011

SMAD, Rev. Eletrônica Saúde Mental Álcool Drog. (Ed. port.)

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A incontinência urinária (IU) representa problema comum entre mulheres, comprometendo sua qualidade de vida. Teve-se, aqui, o objetivo de investigar a qualidade de vida de mulheres com queixa de incontinência urinária que buscaram atendimento médico em ambulatório de urologia, de um hospital de ensino. Foram entrevistadas 43 mulheres com queixa de IU, preservando-se os aspetos éticos de pesquisa em seres humanos. Obteve-se, como resultados, que a idade média foi de 50,7 anos, 62,8% referiram perda de urina entre 5 e 9 anos. Houve muitos relatos de danos físicos e psicológicos decorrentes da IU: 33,5% na interação psicossocial, 23,3% na vida sexual, 41,9% depressão e isolamento social, 27,9% alterações do sono, 76,7% relataram constrangimento por perda de urina. Concluise que os dados obtidos permitem o desenvolvimento de ações amplas no atendimento e orientação a mulheres com IU.

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Section: Resultsunclassified

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Qualidade de vida de mulheres com incontinência urinária

Pedro

Ribeiro

Soler

et al. 2011

SMAD, Rev. Eletrônica Saúde Mental Álcool Drog. (Ed. port.)

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“…Further, surgery for colorectal, prostate, bladder and gynaecologic cancers can affect digestive functioning, and faecal and urinary continence, and this may result in exercising being uncomfortable, difficult or embarrassing (Dunberger et al, 2011;Erekson et al, 2009;Hilton & Henderson, 2003;Miller et al, 2005;Nikoletti et al, 2008). Incontinence has been reported as a significant barrier to physical activity, both for cancer survivors and in the general population (Blaney et al, 2010;Farage et al, 2008;Nygaard et al, 2005). Courneya et al (2008a) note that some physical barriers can be managed behaviourally; for example, survivors suffering from fatigue are advised to engage in shorter activity sessions and/or to be active when feelings of fatigue are at their lowest.…”

Section: Barriers To Physical Activitymentioning

confidence: 99%

Physical Activity and Cancer

Bk¹,

Ih²,

Rohde³

2013

Encyclopedia of Behavioral Medicine

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It is widely accepted that physical activity is important for physical functioning and well-being, and as such the promotion of active lifestyles is becoming increasingly significant in public health policy both in the UK and worldwide. Sedentary lifestyles have been associated with increased risk of obesity and preventable disease including diabetes, coronary heart disease and some cancers. With regards cancer specifically, this chapter will provide a brief overview on current opinions on the link between physical activity and cancer prevention.The published evidence focuses both on primary and secondary prevention. More recent evidence has investigated the use of physical activity in secondary prevention for those who have been diagnosed with cancer and proposed a link between physical activity, morbidity and mortality in those with cancer. The evidence-base for secondary prevention is more limited. Nevertheless, studies to date have indicated that physical activity can improve both physical functioning and psychological outcomes in cancer survivors, and significantly improve quality of life.The exact nature of those interventions which confer the most positive effects is less well-established, and there is a current lack of consensus on the most appropriate type, intensity and duration of activity for people with cancer. It has not yet been wellestablished as to which stage of the treatment programme physical activity should be encouraged (during or following treatment) or the most appropriate length of time during which structured physical activity interventions should be delivered to achieve beneficial results.These factors will be discussed in this chapter, and barriers to engaging in physical activity for those with a diagnosis of cancer will be considered. The chapter will conclude with a summary of key findings and the potential for further research.

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Lifestyle interventions for the treatment of urinary incontinence in adults

Imamura

Williams

Wells³

et al. 2015

Cochrane Database of Systematic Reviews

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BackgroundLow cost, non-invasive alterations in lifestyle are frequently recommended by healthcare professionals or those presenting with incontinence. However, such recommendations are rarely based on good evidence. ObjectivesThe objective of the review was to determine the effectiveness of specific lifestyle interventions (i.e. weight loss; dietary changes; fluid intake; reduction in caffeinated, carbonated and alcoholic drinks; avoidance of constipation; stopping smoking; and physical activity) in the management of adult urinary incontinence. Search methodsWe searched the Cochrane Incontinence Group Specialised Register, which contains trials identified from the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and MEDLINE in process, and handsearching of journals and conference proceedings (searched 3 July 2013), and the reference lists of relevant articles. We incorporated the results of these searches fully in the review. We undertook an updated search of the Specialised Register, which now includes searches of ClinicalTrials.gov and WHO ICTRP, on 27 October 2014; potentially eligible studies from this search are currently awaiting classification. Selection criteriaRandomised and quasi-randomised studies of community-based lifestyle interventions compared with no treatment, other conservative therapies, or pharmacological interventions for the treatment of urinary incontinence in adults. Data collection and analysisTwo authors independently assessed study quality and extracted data. We collected information on adverse effects from the trials. Data were combined in a meta-analysis when appropriate. We assessed the quality of the evidence using the GRADE approach. 1 Lifestyle interventions for the treatment of urinary incontinence in adults (Review)

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Is Urinary Incontinence a Barrier to Exercise in Women?

Abstract: Urinary incontinence is perceived as a barrier to exercise, particularly by women with more severe leakage.

Cited by 123 publications

References 12 publications

Qualidade de vida de mulheres com incontinência urinária

Qualidade de vida de mulheres com incontinência urinária

Physical Activity and Cancer

Lifestyle interventions for the treatment of urinary incontinence in adults

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