Reprodutividade da avaliação funcional do assoalho pélvico em mulheres multíparas continentes

Sartori, Dulcegleika Villas Boas

doi:10.5016/dt000612674

Cited by 4 publications

(5 citation statements)

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“…Despite these findings being later confirmed by other authors, the effect of physiological aging on the PFM weakening in continent women is still unclear . Although we have shown, in previous series, that the physiological aging by itself does not cause PFM weakness, other authors have reported a damaging effect of aging on PFMS, suggesting that there is an annual decrease of 0.6% in the muscle mass after menopause, with interstitial infiltration of adipose tissue. This process could also contribute to PFM weakness …”

Section: Introductionsupporting

confidence: 60%

“…Different studies reported the effect of the number and type of deliveries on PFM. 6 In contrast, Trowbridge et al reported no correlation between age and PFMS evaluating nulliparous women aged between 21 and 70 years. 2 Despite these findings being later confirmed by other authors, the effect of physiological aging on the PFM weakening in continent women is still unclear.…”

Section: Introductionmentioning

confidence: 95%

“…It is important to note that there are additional factors that might interfere with this complex process. Different studies reported the effect of the number and type of deliveries on PFM . In contrast, Trowbridge et al .…”

Section: Introductionmentioning

confidence: 99%

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Impact of vulvovaginal atrophy on pelvic floor muscle strength in healthy continent women

et al. 2018

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Objectives To assess the correlation between hormonal status and pelvic floor muscle strength. Methods A total of 140 continent women were prospectively evaluated, and divided into four groups according to age: group 1 (n = 34) aged 30–40 years; group 2 (n = 38) aged 41–50 years; group 3 (n = 35) aged 51–60; and group 4 (n = 33) aged >60 years. The following parameters were evaluated: demographic data using clinical questionnaire; hypermobility of the bladder neck using swab test; vaginal trophism by gynecological examination; hormonal status of the vagina by cytology; and pelvic floor muscle strength using a perineometer and electromyography. Results There were no statistical differences between pelvic floor muscle strength, demographic characteristics, vaginal trophism and hypermobility of the bladder neck between groups (P > 0.05). There was a larger number of women with vaginal atrophy among those aged >60 years. Vaginal trophism assessed by pelvic examination was highly consistent with the findings of colpocytology (kappa test = 0.888). Electromyography showed that women with hypermobility had lower muscle resistance (endurance) when compared with those without hypermobility. Conclusions Although vaginal atrophy is more intense in women aged >60 years, no difference can be found in the pelvic floor muscle strength during the physiological aging process in continent women. As a consequence, trophism is not the only factor related to pelvic floor muscle strength, and it should not preclude the selection of patients who are referred to prophylaxis.

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Section: Introductionsupporting

confidence: 60%

Section: Introductionmentioning

confidence: 95%

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Impact of vulvovaginal atrophy on pelvic floor muscle strength in healthy continent women

et al. 2018

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“…The incidence of overweight and obesity as well as markers of Chronic Noncommunicable Diseases (NCDs) has grown in recent decades. Obesity is not a singular disease, it is a public health problem, since it is considered a risk factor for other morbidities such as diabetes and cardiovascular diseases, important causes of mortality in adults, which increase proportionally with weight gain (SARTORI; DE SOUZA; CARNEIRO, 2011;OLIVEIRA et al, 2010;VIECELLI et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of urinary incontinence and association with obesity in women enrolled in a teaching assistance unit in Maceió-AL

Bezerra¹,

Lima²,

Soutinho³

2020

Revista Científica Multidisciplinar Núcleo do Conhecimento

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The incidence of overweight and obesity as well as markers of Chronic Noncommunicable Diseases (NCDs) has grown in recent decades. Obesity, in addition to being associated with non-communicable chronic diseases such as diabetes and hypertension, can be considered a risk factor for the development of disorders in the supporting structures of the abdomino-pelvic viscera, which can lead to complications such as Urinary Incontinence (UI) and genital prolapses. The association between incontinence and obesity is still poorly studied. Due to the relevance of the theme, this study was proposed, which aimed to investigate the prevalence of urinary incontinence in women enrolled in a care unit in the city of Maceió and to verify the association with obesity. This is an observational, analytical, cross-sectional study, with women between 18 and 60 years old, enrolled in a Teaching Care Unit in the City of Maceió, from July to September 2017. Women with suspected or confirmed pregnancies were excluded, or who had a neurological disease that resulted in difficulty understanding, hearing or speaking, making it impossible to respond to the questionnaire 109 women participated in the research, with a mean age of 38.1±12.3, ranging between a minimum age of 18 and a maximum of 59 years. The prevalence of self-reported UI in this population was 17.43%, with no association with obesity being found. It was possible to conclude that the prevalence of UI is within the percentage described in the literature and that even though no statistically significant association was found between UI and obesity, the number of incontinent, obese or overweight women is high. In addition, UI is increasingly present in young women, as well as obesity, as confirmed in this study.

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“…La incidencia del sobrepeso y la obesidad, así como los marcadores de Enfermedades Crónicas No Transmisibles (ENT), ha crecido en las últimas décadas. La obesidad no es una enfermedad singular, es un problema de salud pública, ya que es considerada un factor de riesgo para otras morbilidades como la diabetes y las enfermedades cardiovasculares, importantes causas de mortalidad en adultos, que aumentan proporcionalmente con la ganancia de peso (SARTORI; DE SOUZA; CARNEIRO, 2011;OLIVEIRA et al, 2010;VIECELLI et al, 2009).…”

Section: Introductionunclassified

Prevalencia de incontinencia urinaria y asociación con la obesidad en mujeres matriculadas en una unidad docente asistencial de Maceió-AL

Bezerra¹,

Lima²,

Soutinho³

2020

Revista Científica Multidisciplinar Núcleo do Conhecimento

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La incidencia del sobrepeso y la obesidad, así como los marcadores de Enfermedades Crónicas No Transmisibles (ENT), ha crecido en las últimas décadas. La obesidad, además de estar asociada a enfermedades crónicas no transmisibles como la diabetes y la hipertensión, puede ser considerada un factor de riesgo para el desarrollo de trastornos en las estructuras de soporte de las vísceras abdomino-pélvicas, lo que puede derivar en complicaciones como la Incontinencia Urinaria (IU) y prolapsos genitales. La asociación entre la incontinencia y la obesidad aún está poco estudiada. Debido a la relevancia del tema, se propuso este estudio, que tuvo como objetivo investigar la prevalencia de incontinencia urinaria en mujeres inscritas en una unidad de atención en la ciudad de Maceió y verificar la asociación con la obesidad. Se trata de un estudio observacional, analítico, transversal, con mujeres entre 18 y 60 años, matriculadas en una Unidad de Atención Docente del Municipio de Maceió, de julio a septiembre de 2017. Fueron excluidas mujeres con embarazos sospechados o confirmados que padecía alguna enfermedad neurológica que le impidiera comprender, oír o hablar, imposibilitando la respuesta al cuestionario. Participaron de la investigación 109 mujeres, con una edad media de 38,1±12,3, variando entre una edad mínima de 18 y una máxima de 59 años. La prevalencia de IU autorreferida en esta población fue del 17,43%, no encontrándose asociación con la obesidad. Se pudo concluir que la prevalencia de IU se encuentra dentro del porcentaje descrito en la literatura y que, aunque no se encontró una asociación estadísticamente significativa entre IU y obesidad, el número de mujeres con incontinencia, obesidad o sobrepeso es elevado. Además, la IU está cada vez más presente en mujeres jóvenes, así como la obesidad, como se confirma en este estudio.

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Reprodutividade da avaliação funcional do assoalho pélvico em mulheres multíparas continentes

Cited by 4 publications

References 4 publications

Impact of vulvovaginal atrophy on pelvic floor muscle strength in healthy continent women

Impact of vulvovaginal atrophy on pelvic floor muscle strength in healthy continent women

Prevalence of urinary incontinence and association with obesity in women enrolled in a teaching assistance unit in Maceió-AL

Prevalencia de incontinencia urinaria y asociación con la obesidad en mujeres matriculadas en una unidad docente asistencial de Maceió-AL

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