Health Science Center, Federal University of Rio Grande do Norte, Rio Grande do Norte, Brazil.
Graduate Program in Rehabilitation Science, Federal University of Rio Grande do Norte, Rio Grande do Norte, Brazil.
Arch Gynecol Obstet. 2019 Nov;300(5):1343-1351. doi: 10.1007/s00404-019-05319-1. Epub 2019 Oct 1.
To analyze whether pelvic floor muscle training (PFMT) associated with weight loss (WL) is better than isolated PFMT to provide additional beneficial effects to urinary symptoms in women with MUI.
A randomized, simple-blind parallel controlled trial was performed and included women with MUI aged between 40 and 65 years and body mass index between 25 and 40 kg/m. The sample was randomized into two groups: 11 PFMT + WL and 11 PFMT. Data collection was performed in baseline and after interventions. The primary outcome was to investigate the loss of urine. Secondary aim includes PFM pressure and quality of life. PFMT was performed with two sets of eight repetitions in the first 4 weeks, and with three sets of eight repetitions in the final 4 weeks. The weight loss program was based on the calculation of total energy value needs. Data analysis was performed by SPSS 20.0 software and one-way ANCOVA.
22 volunteers participated in the study. There was no intergroup significant difference in post-intervention ICIQ-SF F(1, 19) = 7.115, p = 0.87, partial η = 0.001; manometry F(1, 19) = 0.608, p = 0.44, partial η = 0.003; pad test 1 h F(1, 19) = 0.185, p = 0.67, partial η = 0.01; QoL F(1, 19) = 1.018, p = 0.32, partial η = 0.05; and weight F(1, 19) = 0.251, p = 0.62, partial η = 0.01.
Weight loss did not provide additional beneficial effects to PFMT in women with overweight or obesity grade I with MUI symptoms.
分析盆底肌训练（PFMT）联合减肥（WL）是否优于单纯 PFMT，以给超重或肥胖 I 级合并 MUI 症状的女性患者的尿失禁症状带来额外的有益效果。
进行了一项随机、简单盲法平行对照试验，纳入年龄 40-65 岁、体质量指数 25-40kg/m²的合并 MUI 的女性。将样本随机分为两组：11 例接受 PFMT+WL，11 例接受 PFMT。在基线和干预后进行数据采集。主要结局为尿失禁丢失量。次要结局包括 PFM 压力和生活质量。前 4 周，2 组均进行 2 组，每组 8 次重复的 PFMT；后 4 周，均进行 3 组，每组 8 次重复的 PFMT。减肥方案基于总能量值需求的计算。数据分析采用 SPSS 20.0 软件进行单因素方差分析。
22 名志愿者参与了研究。干预后，2 组间 ICIQ-SF 评分差异无统计学意义（F（1，19）=7.115，p=0.87，部分 η²=0.001）；压力测定（F（1，19）=0.608，p=0.44，部分 η²=0.003）；垫试验 1h（F（1，19）=0.185，p=0.67，部分 η²=0.01）；生活质量（F（1，19）=1.018，p=0.32，部分 η²=0.05）；体重（F（1，19）=0.251，p=0.62，部分 η²=0.01）差异均无统计学意义。
对于超重或肥胖 I 级合并 MUI 症状的女性，减肥未给 PFMT 带来额外的有益效果。
