Valerio Paola Marini, Zordão Catarina Clapis, Gonçalves Vanessa Ellen, Hasegawa Monique Silva Rezende, Jorge Cristine Homsi, Moisés Elaine Christine Dantas, de Oliveira Guirro Elaine Caldeira
Postgraduate Program in Rehabilitation and Functional Performance, Faculty of Medicine of Ribeirao Preto, University of São Paulo, Avenida Bandeirantes, Ribeirão Preto, São Paulo, 3900, CEP: 14049-900, Brazil.
Physical Therapy Course, Faculty of Medicine of Ribeirao Preto, University of São Paulo, Avenida Bandeirantes, Ribeirão Preto, São Paulo, 3900, CEP: 14049-900, Brazil.
Reprod Sci. 2024 Jun;31(6):1558-1564. doi: 10.1007/s43032-024-01488-w. Epub 2024 Mar 4.
Type 1 diabetes increases the prevalence of urinary incontinence and may be responsible for additional changes to those existing in a regular gestational period. This study aimed to describe the presence and symptoms of urinary incontinence in pregnant women with type 1 diabetes.
In this Cross-sectional case control study, forty pregnant women in third gestational trimester were allocated in two equal groups - control group (CG) and type 1 diabetic group (1DMG). The patients answered the International Consultation on Incontinence Questionnaire Short Form and, to characterize the sample, they answered the Pregnancy Physical Activity Questionnaire, gynecological history and, after delivery, the newborn weight was registered. The groups were compared using the Student's T Test for parametric variables and the U-Mann Whitney Test for non-parametric variables, both at 5% probability.
The International Consultation on Incontinence Questionnaire Short Form score (p = 0.026) is higher in 1DMG (3.95 ± 4.70) compared to CG (1.05 ± 2.23). No correlations were found between time of diagnosis, HbA1c and newborn weight in relation to ICIQ-SF and other variables in CG and 1DMG with ICIQ-SF (p < 0.05).
Type 1 diabetes mellitus, in the third trimester of gestation, seem to be associated with increase in the ICIQ-SF score.
1型糖尿病会增加尿失禁的患病率，并且可能导致与正常孕期相比出现其他变化。本研究旨在描述1型糖尿病孕妇尿失禁的情况及症状。
在这项横断面病例对照研究中，将40名孕晚期孕妇平均分为两组——对照组（CG）和1型糖尿病组（1DMG）。患者回答了国际尿失禁咨询问卷简表，为描述样本特征，他们还回答了孕期身体活动问卷、妇科病史，产后记录新生儿体重。两组采用学生t检验分析参数变量，采用U-曼-惠特尼检验分析非参数变量，概率均为5%。
1DMG组（3.95±4.70）的国际尿失禁咨询问卷简表得分高于CG组（1.05±2.23）（p = 0.026）。在CG组和1DMG组中，未发现诊断时间、糖化血红蛋白（HbA1c）和新生儿体重与ICIQ-SF及其他变量之间存在相关性（p < 0.05）。
妊娠晚期的1型糖尿病似乎与ICIQ-SF得分升高有关。
