Brennand Erin, Ruiz-Mirazo Eider, Tang Selphee, Kim-Fine Shunaha
Department of Obstetrics & Gynecology, University of Calgary, 4th floor, North Tower, Foothills Hospital. 1403-29 Street NW, Calgary, AB, T2N 2T9, Canada.
Int Urogynecol J. 2018 Apr;29(4):497-503. doi: 10.1007/s00192-017-3409-1. Epub 2017 Jul 6.
Urine loss during recreational exercise is problematic. We aimed to characterize which activities are most frequently reported as causing leakage for women, adaptive management mechanisms, and awareness and interest in treatment in a cohort of physically active women.
We administered an anonymous questionnaire to 59 physically active women in Canada. Surveys were completed electronically or on paper. Demographic information was obtained. Questions about which specific activities caused leakage, adaptive behaviors to deal with urinary loss, and degree of bother were addressed, and knowledge and interest in therapies for leakage were queried.
Activities most likely to cause leakage were skipping, trampoline, jumping jacks, and running/jogging. To decrease leakage, 93.2% voided immediately before exercise, 62.7% reported voiding breaks, and some reported fluid restriction (37.3%). Leakage impacted activity level for 50% of women. Most often, activity intensity was decreased (90.3%) or specific activities avoided (80.7%). Pad use during exercise was common (49.2%). Interest in receiving treatment for urinary incontinence (UI) was high (88.1%) despite a large proportion (35.6%) not knowing of available treatments. Interest was highest for pelvic floor physiotherapy (84.6%), although interest in both pessary and surgical management (63.5% each) was significant.
Women experiencing UI during exercise report high-impact activities as most frequently causing loss. Adaptive behaviors are common. Physically active women are interested in treatment, and the high interest in pelvic physiotherapy presents a unique opportunity to link pelvic exercise with recreational exercise to meet both cardiovascular and continence needs in the physically active patient population.
休闲运动期间的尿液泄漏是个问题。我们旨在明确在一群经常运动的女性中，哪些活动最常被报告导致尿液泄漏、适应性管理机制以及对治疗的认知和兴趣。
我们对加拿大59名经常运动的女性进行了匿名问卷调查。调查通过电子方式或纸质方式完成。获取了人口统计学信息。询问了哪些特定活动导致尿液泄漏、应对尿液泄漏的适应性行为、困扰程度，并查询了对尿液泄漏治疗方法的认知和兴趣。
最有可能导致尿液泄漏的活动是跳绳、蹦床、开合跳以及跑步/慢跑。为减少尿液泄漏，93.2%的女性在运动前立即排尿，62.7%的女性报告有排尿间隙，还有一些女性报告限制液体摄入（37.3%）。尿液泄漏影响了50%女性的活动水平。大多数情况下，活动强度降低（90.3%）或避免特定活动（80.7%）。运动期间使用护垫很常见（49.2%）。尽管很大一部分女性（35.6%）不知道有可用的治疗方法，但对接受尿失禁（UI）治疗的兴趣很高（88.1%）。对盆底物理治疗的兴趣最高（84.6%），不过对子宫托和手术治疗的兴趣也很显著（均为63.5%）。
在运动期间经历尿失禁的女性报告称，高冲击力活动最常导致尿液泄漏。适应性行为很常见。经常运动的女性对治疗感兴趣，并且对盆底物理治疗的高兴趣为将盆底运动与休闲运动联系起来提供了独特机会，以满足经常运动的患者群体的心血管和控尿需求。
