Matsumoto Seiji
Clinical Research Support Center, Asahikawa Medical University Hospital, Japan.
J Phys Ther Sci. 2017 Jul;29(7):1167-1170. doi: 10.1589/jpts.29.1167. Epub 2017 Jul 15.
[Purpose] The aim of this study was to examine the relationship between physical activity (PA) in elderly people as preventive exercise for lower urinary tract symptoms (LUTS) or overactive bladder (OAB), and how PA in primary preventive care can impact change upon LUTS. [Subjects and Methods] An interview sheet featuring LUTS domains (IPSS/QOL and OABSS questionnaire) was distributed to all participants (104 males and 494 females) who attended the public elderly people's physical exercise class "" in Asahikawa city. [Results] The interview sheet was collected from 65 males (75.4 ± 5.79 years of age) and 304 females (72.7 ± 5.23 years of age). In all cases, there was a statistically significant difference of QOL. In 77 LUTS cases, there was a statistically significant difference in the change of the following LUTS domains: incomplete bladder emptying, frequency, nocturia, QOL, urgency, and OABSS total score. In 61 OAB cases, there was a statistically significant difference in the change of the following LUTS domains: QOL, urgency, and OABSS total score. [Conclusion] PA, as a preventative exercise for elderly people, led to improvements in LUTS, especially storage symptoms and QOL. Our data show that gross movement and education was beneficial. From the point of preventive medicine, various exercise classes, organized by the local government and others, also indicated that these classes increase the possibility of improvement to LUTS.
[目的] 本研究旨在探讨老年人的身体活动(PA)作为下尿路症状(LUTS)或膀胱过度活动症(OAB)的预防性运动之间的关系,以及初级预防保健中的PA如何影响LUTS的变化。[对象与方法] 向参加旭川市公共老年人体育锻炼班的所有参与者(104名男性和494名女性)发放了一份包含LUTS领域的访谈表(IPSS/QOL和OABSS问卷)。[结果] 收集到65名男性(年龄75.4±5.79岁)和304名女性(年龄72.7±5.23岁)的访谈表。在所有情况下,生活质量(QOL)均存在统计学显著差异。在77例LUTS病例中,以下LUTS领域的变化存在统计学显著差异:膀胱排空不全、尿频、夜尿、QOL、尿急和OABSS总分。在61例OAB病例中,以下LUTS领域的变化存在统计学显著差异:QOL、尿急和OABSS总分。[结论] PA作为老年人的预防性运动,可改善LUTS,尤其是储尿期症状和QOL。我们的数据表明,全身运动和教育是有益的。从预防医学的角度来看,由地方政府和其他机构组织的各种运动课程也表明,这些课程增加了改善LUTS的可能性。