Bonaldi Lorenza, Mascolini Maria Vittoria, Todesco Martina, Zara Anna, Rossato Camilla, Fede Caterina, Fontanella Chiara Giulia, Stecco Carla
Department of Civil, Environmental and Architectural Engineering, University of Padova, Via F. Marzolo 9, 35131 Padova, Italy.
Department of Industrial Engineering, University of Padova, Via Venezia 1, 35121 Padova, Italy.
Life (Basel). 2023 Dec 30;14(1):67. doi: 10.3390/life14010067.
Urinary incontinence is still an underestimated problem due to its anatomical complexity and social taboo. Most of the time, it is believed to affect predominantly the elderly female population, and the literature still lacks data on its presence in the younger and male populations. Its relationship with other pelvic floor dysfunctions (PFDs) and sport activity remains an open topic. Thus, the present study surveyed 342 subjects of both genders, ranging from 18 to 39 y/o and with different sport activity levels, to understand the prevalence of PFDs (such as haemorrhoids, anal fissures, involuntary urinary/faecal leakage, and urgency). The results also showed a significative prevalence in younger, sporty, and male people. Approximately one third of the population had urinary incontinence mostly during stress activities (sport activity: 17%, cough/sneeze: 13%). The statistical analysis confirmed a higher prevalence in the cases of a light (32%) and intense (41%) sport activity level and a protective role of sport if practiced between 5 and 10 h/week, with bodybuilding/CrossFit and running seeming to be the riskiest sports. The relationship with the other PFDs showed a statistically significant dependence with most of them, confirming that urinary incontinence cannot be considered a separate problem from the other PFDs.
由于其解剖结构的复杂性和社会禁忌，尿失禁仍然是一个被低估的问题。大多数时候，人们认为它主要影响老年女性群体，而文献中仍然缺乏关于其在年轻人群体和男性群体中存在情况的数据。它与其他盆底功能障碍（PFDs）以及体育活动之间的关系仍然是一个有待探讨的话题。因此，本研究对342名年龄在18至39岁之间、体育活动水平不同的男女受试者进行了调查，以了解盆底功能障碍（如痔疮、肛裂、非自愿性尿/粪失禁和尿急）的患病率。结果还显示，在年轻人、运动型人群和男性中患病率显著。大约三分之一的人群主要在压力活动期间出现尿失禁（体育活动：17%，咳嗽/打喷嚏：13%）。统计分析证实，在轻度（32%）和高强度（41%）体育活动水平的情况下患病率较高，而如果每周进行5至10小时的体育锻炼则具有保护作用，其中健美/混合健身和跑步似乎是风险最高的运动。与其他盆底功能障碍的关系显示，与大多数障碍存在统计学上的显著相关性，这证实了尿失禁不能被视为与其他盆底功能障碍无关的单独问题。
