Alves Jessica Oliveira, Luz Soraia Tonon Da, Brandão Sofia, Da Luz Clarissa Medeiros, Jorge Renato Natal, Da Roza Thuane
Department of Physiotherapy, College of Health and Sport Science, Santa Catarina State University (CEFID/UDESC), Florianópolis, Brazil.
Department of Radiology, Centro Hospitalar de São João - EPE, Porto, Portugal.
Int J Sports Med. 2017 Nov;38(12):937-941. doi: 10.1055/s-0043-115736. Epub 2017 Sep 26.
This cross-sectional survey aims to (1) verify the prevalence of urinary incontinence and its impact on the quality of life among nulliparous fit women, and to (2) analyze whether urinary incontinence is influenced by the intensity of the sport (high- vs. low-impact) or by the volume of physical activity (minutes per week) performed. Two hundred forty-five nulliparous women (18-40 years) completed the International Consultation on Incontinence Questionnaire-Short Form, the Kings Health Questionnaire and a questionnaire regarding demographic and training variables. Overall 22.9% of the participants self-reported urinary incontinence, and among them, 60.7% had stress urinary incontinence. Incontinent women demonstrated worse quality of life than continent females (p=0.000). Women practicing high-impact sports presented higher frequency in loss of urine than those practicing low-impact sports (p=0.004). Regardless the intensity of the sport, the volume of exercise showed positive association with the frequency of loss of urine (p=0.005, r=0.475). In conclusion, almost one fourth of the women enrolled in this study reported symptoms of urinary incontinence and worse quality of life than those who were continent. Women who practice high-impact sports or who have higher volume of training should be aware of the symptoms associated with pelvic floor dysfunction, since they seem to predispose to urine leakage.
（1）核实未生育健康女性尿失禁的患病率及其对生活质量的影响；（2）分析尿失禁是否受运动强度（高冲击性与低冲击性）或所进行的体育活动量（每周分钟数）的影响。245名未生育女性（18 - 40岁）完成了国际尿失禁咨询问卷简表、国王健康问卷以及一份关于人口统计学和训练变量的问卷。总体而言，22.9%的参与者自述有尿失禁，其中60.7%为压力性尿失禁。尿失禁女性的生活质量比无尿失禁女性更差（p = 0.000）。进行高冲击性运动的女性尿液流失频率高于进行低冲击性运动的女性（p = 0.004）。无论运动强度如何，运动量与尿液流失频率呈正相关（p = 0.005，r = 0.475）。总之，参与本研究的女性中近四分之一报告有尿失禁症状，且生活质量比无尿失禁者更差。进行高冲击性运动或训练量较大的女性应留意与盆底功能障碍相关的症状，因为她们似乎易发生漏尿。
