Department of Urology, Massachusetts General Hospital, Boston, MA.
Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA.
Urology. 2022 Jan;159:72-77. doi: 10.1016/j.urology.2021.09.022. Epub 2021 Oct 10.
To evaluate the relationships between physical activity, both work and recreational, and urinary incontinence among women.
We assessed women aged 20 years and older in 2008-2018 NHANES (National Health and Nutrition Examination Survey) cycles who answered self-reported urinary incontinence and physical activity questions. Weighted, multivariate logistic regression model was used to determine the association between incontinence and physical activity levels after adjusting for age, body mass index, diabetes, race, parity, menopause and smoking.
A total of 30,213 women were included in analysis, of whom 23.15% had stress incontinence, 23.16% had urge incontinence, and 8.42% had mixed incontinence (answered "yes" to both stress and urge incontinence). Women who engaged in moderate recreational activity were less likely to report stress and urge incontinence (OR 0.79, 95% CI 0.62-0.99 and OR 0.66, 95% CI 0.48-0.90, respectively). Similarly, women who engaged in moderate activity work were less likely to report stress, urge and mixed incontinence (OR 0.84, 95% CI 0.70-0.99; OR 0.84, 95% CI 0.72-0.99; and OR 0.66 95% CI 0.45-0.97, respectively).
Moderate physical activity and greater time spent participating in moderate physical activity are associated with a decreased likelihood of stress, urge and mixed incontinence in women. This relationship holds for both recreational and work-related activity. We hypothesize that the mechanism of this relationship is multifactorial, with moderate physical activity improving pelvic floor strength and modifying neurophysiological mediators (such as stress) involved in the pathogenesis of incontinence.
评估女性的体力活动（包括工作和娱乐活动）与尿失禁之间的关系。
我们评估了 2008 年至 2018 年 NHANES（国家健康和营养检查调查）周期中年龄在 20 岁及以上的女性，这些女性回答了自我报告的尿失禁和体力活动问题。在调整年龄、体重指数、糖尿病、种族、产次、绝经和吸烟状况后，使用加权多变量逻辑回归模型来确定失禁与体力活动水平之间的关联。
共有 30213 名女性纳入分析，其中 23.15%有压力性尿失禁，23.16%有急迫性尿失禁，8.42%有混合性尿失禁（对压力性和急迫性尿失禁均回答“是”）。从事中度娱乐性体力活动的女性报告压力性和急迫性尿失禁的可能性较低（OR 0.79，95%CI 0.62-0.99 和 OR 0.66，95%CI 0.48-0.90）。同样，从事中度体力活动工作的女性报告压力性、急迫性和混合性尿失禁的可能性较低（OR 0.84，95%CI 0.70-0.99；OR 0.84，95%CI 0.72-0.99；OR 0.66，95%CI 0.45-0.97）。
中度体力活动和更多时间参与中度体力活动与女性压力性、急迫性和混合性尿失禁的可能性降低相关。这种关系适用于娱乐和工作相关活动。我们假设这种关系的机制是多因素的，中度体力活动可增强盆底肌肉力量并改变神经生理介质（如压力），从而参与尿失禁的发病机制。
