Urinary Incontinence in Women Who Practice Recreational Exercise: A Cross-Sectional Study

Introduction: Urinary incontinence affects up to one third of women in Portugal. Exercise can be a precipitating/aggravating factor but also protective, if appropriate. The aim of this study was to determine the prevalence of urinary incontinence in women who practice recreational exercise, to asses...

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Autores principales: Maria Francisca Silva, Rui Prado Costa, Carla Maria Oliveira, Susana Moreira
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PT
Publicado: Ordem dos Médicos 2021
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Acceso en línea:https://doaj.org/article/25043b8a7f814758896f2a3c34186e94
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spelling oai:doaj.org-article:25043b8a7f814758896f2a3c34186e942021-12-01T21:03:58ZUrinary Incontinence in Women Who Practice Recreational Exercise: A Cross-Sectional Study0870-399X1646-075810.20344/amp.14004https://doaj.org/article/25043b8a7f814758896f2a3c34186e942021-11-01T00:00:00Zhttps://actamedicaportuguesa.com/revista/index.php/amp/article/view/14004https://doaj.org/toc/0870-399Xhttps://doaj.org/toc/1646-0758Introduction: Urinary incontinence affects up to one third of women in Portugal. Exercise can be a precipitating/aggravating factor but also protective, if appropriate. The aim of this study was to determine the prevalence of urinary incontinence in women who practice recreational exercise, to assess its relationship with the type of exercise and other coexisting risk factors, and assess whether the topic is addressed in gyms. Material and Methods: Cross-sectional study using self-reported questionnaires in gyms in Porto and Vila Nova de Gaia, Portugal. Results: Two hundred and ninety women completed the questionnaires. From these, 67.6% were under 40 years old, 25.2% reported incontinence, and 53.4% had at least one risk factor unrelated to exercise. There was a statistically significant association (p < 0.05) between incontinence, obesity and constipation. High impact exercises were included in the training of 62.1% continent and 50.9% incontinent women. The topic of incontinence and strengthening of the pelvic floor muscles was addressed in only 5.5% in the initial assessment, 9.7% in collective training, and in 13.5% of the 37 women with individualized training. Discussion: The higher proportion of continent women - compared to incontinent - who practiced strenuous exercise suggests that this might be a provocative factor for some, although there was no statistically significant association between incontinence and type of exercise. Conclusion: Urinary incontinence affects women who practice recreational exercise, regardless of age and exercise characteristics. It is rarely addressed in gyms, and it is necessary to raise the awareness of professionals to enhance the preventive/therapeutic effects of exercise on the function of the pelvic floor and in the control of modifiable risk factors.Maria Francisca SilvaRui Prado CostaCarla Maria OliveiraSusana MoreiraOrdem dos Médicosarticledesportoexercícioincontinência urináriaMedicineRMedicine (General)R5-920ENPTActa Médica Portuguesa, Vol 34, Iss 11, Pp 724-732 (2021)
institution DOAJ
collection DOAJ
language EN
PT
topic desporto
exercício
incontinência urinária
Medicine
R
Medicine (General)
R5-920
spellingShingle desporto
exercício
incontinência urinária
Medicine
R
Medicine (General)
R5-920
Maria Francisca Silva
Rui Prado Costa
Carla Maria Oliveira
Susana Moreira
Urinary Incontinence in Women Who Practice Recreational Exercise: A Cross-Sectional Study
description Introduction: Urinary incontinence affects up to one third of women in Portugal. Exercise can be a precipitating/aggravating factor but also protective, if appropriate. The aim of this study was to determine the prevalence of urinary incontinence in women who practice recreational exercise, to assess its relationship with the type of exercise and other coexisting risk factors, and assess whether the topic is addressed in gyms. Material and Methods: Cross-sectional study using self-reported questionnaires in gyms in Porto and Vila Nova de Gaia, Portugal. Results: Two hundred and ninety women completed the questionnaires. From these, 67.6% were under 40 years old, 25.2% reported incontinence, and 53.4% had at least one risk factor unrelated to exercise. There was a statistically significant association (p < 0.05) between incontinence, obesity and constipation. High impact exercises were included in the training of 62.1% continent and 50.9% incontinent women. The topic of incontinence and strengthening of the pelvic floor muscles was addressed in only 5.5% in the initial assessment, 9.7% in collective training, and in 13.5% of the 37 women with individualized training. Discussion: The higher proportion of continent women - compared to incontinent - who practiced strenuous exercise suggests that this might be a provocative factor for some, although there was no statistically significant association between incontinence and type of exercise. Conclusion: Urinary incontinence affects women who practice recreational exercise, regardless of age and exercise characteristics. It is rarely addressed in gyms, and it is necessary to raise the awareness of professionals to enhance the preventive/therapeutic effects of exercise on the function of the pelvic floor and in the control of modifiable risk factors.
format article
author Maria Francisca Silva
Rui Prado Costa
Carla Maria Oliveira
Susana Moreira
author_facet Maria Francisca Silva
Rui Prado Costa
Carla Maria Oliveira
Susana Moreira
author_sort Maria Francisca Silva
title Urinary Incontinence in Women Who Practice Recreational Exercise: A Cross-Sectional Study
title_short Urinary Incontinence in Women Who Practice Recreational Exercise: A Cross-Sectional Study
title_full Urinary Incontinence in Women Who Practice Recreational Exercise: A Cross-Sectional Study
title_fullStr Urinary Incontinence in Women Who Practice Recreational Exercise: A Cross-Sectional Study
title_full_unstemmed Urinary Incontinence in Women Who Practice Recreational Exercise: A Cross-Sectional Study
title_sort urinary incontinence in women who practice recreational exercise: a cross-sectional study
publisher Ordem dos Médicos
publishDate 2021
url https://doaj.org/article/25043b8a7f814758896f2a3c34186e94
work_keys_str_mv AT mariafranciscasilva urinaryincontinenceinwomenwhopracticerecreationalexerciseacrosssectionalstudy
AT ruipradocosta urinaryincontinenceinwomenwhopracticerecreationalexerciseacrosssectionalstudy
AT carlamariaoliveira urinaryincontinenceinwomenwhopracticerecreationalexerciseacrosssectionalstudy
AT susanamoreira urinaryincontinenceinwomenwhopracticerecreationalexerciseacrosssectionalstudy
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