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国际体力活动问卷测量的体力活动对年轻女性压力性尿失禁患病率的影响。

The impact of physical activity measured by the International Physical Activity questionnaire on the prevalence of stress urinary incontinence in young women.

机构信息

Department of Physiatry, Balneology, and Medical Rehabilitation, Faculty of Medicine, PJ Safarik University, Kosice, Slovak Republic.

Department of Urology, Jessenius Faculty of Medicine, Martin, Comenius University Bratislava, Slovak Republic.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2018 Sep;228:308-312. doi: 10.1016/j.ejogrb.2018.07.011. Epub 2018 Jul 23.

Abstract

OBJECTIVE

The aim of this study was to determine the prevalence of SUI symptoms in sportswomen (with a high intensity of physical activity) and non-sportswomen (with a low intensity of physical activity), according to the estimated intensity of physical activity in metabolic equivalents using the IPAQ questionnaire. Another goal was to identify relationships between SUI symptoms, intensity of physical activity, and quality of life.

STUDY DESIGN

A total of 1005 participants were enrolled into the study. We used the International Consultation on Incontinence Questionnaire (ICIQ-UI SF), the Overactive Bladder Questionnaire (OAB-q), the Urinary Incontinence Quality of Life scale (I-QoL) and the International Physical Activity Questionnaire (IPAQ).

RESULTS

Out of the 1005 participants, the final sample of 557 women is the result of the adoption of exclusion criteria. The sample consisted of 557 women (270 sportswomen and 287 non-sportswomen) with an average age of 20.9 ± 2.8 years. The ICIQ-UI SF confirmed slight urinary leakage in 33 (6.14%) sportswomen and 11 (2.04%) non-sportswomen. The risk of reporting SUI was higher in the sportswomen group (odds ratio: 3.49; 95% CI: 1.727-7.064, p < 0.001). Significant positive correlation was observed between SUI (assessed by ICIQ-UI SF) and high intensity physical activity (in metabolic equivalents (r = 0.242, p < 0.01). Significant negative correlation was observed between SUI and quality of life (I-QoL) (r = -0.648, p < 0.001). OAB symptoms were not present in the monitored groups. (OAB - q - SS in sportwomen were 4.3 ± 5.4, in non-sportwomen 4.5 ± 4.9, p = 0.265).

CONCLUSIONS

Sportswomen with high-intensity physical activities in metabolic equivalents measured by the IPAQ have a greater chance of reporting SUI than non-sportswomen, resulting in a negative impact on quality of life.

摘要

目的

本研究旨在根据 IPAQ 问卷中代谢当量估计的体力活动强度,确定高强度体力活动的运动员(运动员)和低强度体力活动的非运动员(非运动员)中尿失禁症状的患病率。另一个目标是确定尿失禁症状、体力活动强度和生活质量之间的关系。

研究设计

共有 1005 名参与者被纳入研究。我们使用国际尿失禁咨询问卷(ICIQ-UI SF)、膀胱过度活动症问卷(OAB-q)、尿失禁生活质量量表(I-QoL)和国际体力活动问卷(IPAQ)。

结果

在 1005 名参与者中,采用排除标准后,最终样本为 557 名女性。样本包括 557 名女性(270 名运动员和 287 名非运动员),平均年龄为 20.9±2.8 岁。ICIQ-UI SF 证实 33 名(6.14%)运动员和 11 名(2.04%)非运动员有轻微尿漏。运动员组报告尿失禁的风险更高(优势比:3.49;95%置信区间:1.727-7.064,p<0.001)。尿失禁(通过 ICIQ-UI SF 评估)与高强度体力活动(代谢当量)呈显著正相关(r=0.242,p<0.01)。尿失禁与生活质量(I-QoL)呈显著负相关(r=-0.648,p<0.001)。监测组中没有出现膀胱过度活动症症状(OAB-q-SS 运动员为 4.3±5.4,非运动员为 4.5±4.9,p=0.265)。

结论

通过 IPAQ 测量的代谢当量中高强度体力活动的运动员比非运动员更有可能报告尿失禁,从而对生活质量产生负面影响。

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