Brown W J, Miller Y D
School of Human Movement Studies, University of Queensland, Australia.
J Sci Med Sport. 2001 Dec;4(4):373-8. doi: 10.1016/s1440-2440(01)80046-3.
Leaking urine is frequently mentioned (anecdotally) by women as a barrier to physical activity. The aim of this paper was to use results from the Australian Longitudinal Study on Women's Health (ALSWH) to explore the prevalence of leaking urine in Australian women, and to ascertain whether leaking urine might be a barrier to participation for women. More than 41,000 women participated in the baseline surveys of the ALSWH in 1996. More than one third of the mid-age (45-50 years) and older (70-75) women and 13% of the young women (18-23) reported leaking urine. There was a cross-sectional association between leaking urine and physical activity, such that women with more frequent urinary leakage were also more likely to report low levels of physical activity. More than one thousand of those who reported leaking urine at baseline participated in a follow-up study in 1999. Of these, more than 40% of the mid-age women (who were aged 48-53 in 1999), and one in seven of the younger (21-26 years) and older (73-79 years) women reported leaking urine during sport or exercise. More than one third of the mid-age women and more than one quarter of the older women, but only 7% of the younger women said they avoided sporting activities because of leaking urine. The data are highly suggestive that leaking urine may be a barrier to physical activity, especially among mid-age women. As current estimates suggest that fewer than half of all Australian women are adequately active for health benefit, health professionals could be more proactive in raising this issue with women and offering help through non-invasive strategies such as pelvic floor muscle exercises.
女性经常（据传闻）提到漏尿是进行体育活动的障碍。本文的目的是利用澳大利亚女性健康纵向研究（ALSWH）的结果，探讨澳大利亚女性漏尿的患病率，并确定漏尿是否可能成为女性参与体育活动的障碍。超过41,000名女性参加了1996年ALSWH的基线调查。超过三分之一的中年（45 - 50岁）和老年（70 - 75岁）女性以及13%的年轻女性（18 - 23岁）报告有漏尿情况。漏尿与体育活动之间存在横断面关联，即漏尿更频繁的女性也更有可能报告体育活动水平较低。在基线时报告有漏尿的人中，超过一千人参加了1999年的一项随访研究。其中，超过40%的中年女性（1999年年龄在48 - 53岁之间），以及七分之一的年轻女性（21 - 26岁）和老年女性（73 - 79岁）报告在运动或锻炼时有漏尿情况。超过三分之一的中年女性和超过四分之一的老年女性，但只有7%的年轻女性表示她们因为漏尿而避免参加体育活动。这些数据强烈表明漏尿可能是体育活动的障碍，尤其是在中年女性中。由于目前的估计表明，不到一半的澳大利亚女性进行了足够的体育活动以获得健康益处，健康专业人员可以更积极主动地向女性提出这个问题，并通过盆底肌肉锻炼等非侵入性策略提供帮助。
