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Int J Sports Med 2017; 38(12): 937-941
DOI: 10.1055/s-0043-115736
Clinical Sciences
© Georg Thieme Verlag KG Stuttgart · New York

Urinary Incontinence in Physically Active Young Women: Prevalence and Related Factors

Jessica Oliveira Alves
1   Department of Physiotherapy, College of Health and Sport Science, Santa Catarina State University (CEFID/UDESC), Florianópolis, Brazil
,
Soraia Tonon Da Luz
1   Department of Physiotherapy, College of Health and Sport Science, Santa Catarina State University (CEFID/UDESC), Florianópolis, Brazil
,
Sofia Brandão
2   Department of Radiology, Centro Hospitalar de São João – EPE, Porto, Portugal
,
Clarissa Medeiros Da Luz
1   Department of Physiotherapy, College of Health and Sport Science, Santa Catarina State University (CEFID/UDESC), Florianópolis, Brazil
,
Renato Natal Jorge
3   Faculty of Engineering, University of Porto, INEGI, Porto, Portugal
,
Thuane Da Roza
1   Department of Physiotherapy, College of Health and Sport Science, Santa Catarina State University (CEFID/UDESC), Florianópolis, Brazil
3   Faculty of Engineering, University of Porto, INEGI, Porto, Portugal
› Author Affiliations
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Publication History



accepted after revision 27 June 2017

Publication Date:
26 September 2017 (online)

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Abstract

This cross-sectional survey aims to (1) verify the prevalence of urinary incontinence and its impact on the quality of life among nulliparous fit women, and to (2) analyze whether urinary incontinence is influenced by the intensity of the sport (high- vs. low-impact) or by the volume of physical activity (minutes per week) performed. Two hundred forty-five nulliparous women (18–40 years) completed the International Consultation on Incontinence Questionnaire-Short Form, the Kings Health Questionnaire and a questionnaire regarding demographic and training variables. Overall 22.9% of the participants self-reported urinary incontinence, and among them, 60.7% had stress urinary incontinence. Incontinent women demonstrated worse quality of life than continent females (p=0.000). Women practicing high-impact sports presented higher frequency in loss of urine than those practicing low-impact sports (p=0.004). Regardless the intensity of the sport, the volume of exercise showed positive association with the frequency of loss of urine (p=0.005, r=0.475). In conclusion, almost one fourth of the women enrolled in this study reported symptoms of urinary incontinence and worse quality of life than those who were continent. Women who practice high-impact sports or who have higher volume of training should be aware of the symptoms associated with pelvic floor dysfunction, since they seem to predispose to urine leakage.

Key words

pelvic floor muscles - sports - urinary incontinence - risk factors - prevalence - quality of life

Appendix A

 

  • References

  • 1 Almeida MB, Barra AA, Saltiel F, Silva-Filho AL, Fonseca AM, Figueiredo EM. Urinary incontinence and other pelvic floor dysfunctions in female athletes in Brazil: A cross-sectional study. Scand J Med Sci Sports 2015; 26: 1109-1116
    PubMedGoogle Scholar
  • 2 Araújo MPd, Oliveira Ed, Zucchi EVM, Trevisani VFM, Girão MJBC, Sartori MGF. Relação entre incontinência urinária em mulheres atletas corredoras de longa distância e distúrbio alimentar. Rev Assoc Med Bras 2008; 54: 146-149
    CrossrefPubMedGoogle Scholar
  • 3 Arya R, Antonisamy B, Kumar S. Sample size estimation in prevalence studies. Indian J Pediatr 2012; 79: 1482-1488
    CrossrefPubMedGoogle Scholar
  • 4 Bo K. Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Med 2004; 34: 451-464
    CrossrefPubMedGoogle Scholar
  • 5 Bo K, Borgen JS. Prevalence of stress and urge urinary incontinence in elite athletes and controls. Med Sci Sports Exerc 2001; 33: 1797-1802
    CrossrefPubMedGoogle Scholar
  • 6 Da Roza T, Brandao S, Mascarenhas T, Jorge RN, Duarte JA. Urinary incontinence and levels of regular physical exercise in young women. Int J Sports Med 2015; 36: 776-780
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Da Roza T, Brandao S, Mascarenhas T, Jorge RN, Duarte JA. Volume of training and the ranking level are associated with the leakage of urine in young female trampolinists. Clin J Sport Med 2015; 25: 270-275
    CrossrefPubMedGoogle Scholar
  • 8 Davila GW, Neimark M. The overactive bladder: prevalence and effects on quality of life. Clin Obstet Gynecol 2002; 45: 173-181
    CrossrefPubMedGoogle Scholar
  • 9 dos Santos ES, Caetano AS, Tavares Mda C, Lopes MH. [Urinary incontinence among physical education students]. Rev Esc Enferm USP 2009; 43: 307-312
    CrossrefPubMedGoogle Scholar
  • 10 Eliasson K, Edner A, Mattsson E. Urinary incontinence in very young and mostly nulliparous women with a history of regular organised high-impact trampoline training: Occurrence and risk factors. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: 687-696
    CrossrefPubMedGoogle Scholar
  • 11 Eliasson K, Larsson T, Mattsson E. Prevalence of stress incontinence in nulliparous elite trampolinists. Scand J Med Sci Sports 2002; 12: 106-110
    CrossrefPubMedGoogle Scholar
  • 12 Fozzatti C, Riccetto C, Herrmann V, Brancalion MF, Raimondi M, Nascif CH, Marques LR, Palma PP. Prevalence study of stress urinary incontinence in women who perform high-impact exercises. Int Urogynecol J 2012; 23: 1687-1691
    CrossrefPubMedGoogle Scholar
  • 13 Fultz NH, Burgio K, Diokno AC, Kinchen KS, Obenchain R, Bump RC. Burden of stress urinary incontinence for community-dwelling women. Am J Obstet Gynecol 2003; 189: 1275-1282
    CrossrefPubMedGoogle Scholar
  • 14 Grimby A, Milsom I, Molander U, Wiklund I, Ekelund P. The influence of urinary incontinence on the quality of life of elderly women. Age Ageing 1993; 22: 82-89
    CrossrefPubMedGoogle Scholar
  • 15 Hagovska MŠJ, Buková A, Hrobacz A, Dračková D, Švihrová V, Kraus L. Prevalence of urinary incontinence in females performing high-impact exercises. Int J Sports Med 2017; 38: 210-216
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Hannestad YSRG, Sandvik H, Hunskaar S. Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trøndelag. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trøndelag. J Clin Epidemiol 2000; 53: 1150-1157
    CrossrefPubMedGoogle Scholar
  • 17 Harriss DJ, Atkinson G. Ethical standards in sport and exercise science research: 2016 update. Int J Sports Med 2015; 36: 1121-1124
    Article in Thieme ConnectPubMedGoogle Scholar
  • 18 Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN. International Urogynecological A, International Continence S. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 2010; 29: 4-20
    Google Scholar
  • 19 Mannella P, Palla G, Bellini M, Simoncini T. The female pelvic floor through midlife and aging. Maturitas 2013; 76: 230-234
    CrossrefPubMedGoogle Scholar
  • 20 Nygaard I, DeLancey JO, Arnsdorf L, Murphy E. Exercise and incontinence. Obstet Gynecol 1990; 75: 848-851
    PubMedGoogle Scholar
  • 21 Nygaard I, Shaw J, Egger MJ. Exploring the association between lifetime physical activity and pelvic floor disorders: study and design challenges. Contemp Clin Trials 2012; 33: 819-827
    CrossrefPubMedGoogle Scholar
  • 22 Nygaard IE, Thompson FL, Svengalis SL, Albright JP. Urinary incontinence in elite nulliparous athletes. Obstet Gynecol 1994; 84: 183-187
    PubMedGoogle Scholar
  • 23 Rodriguez-Mias NL, Martinez-Franco E, Aguado J, Sanchez E, Amat-Tardiu L. Pelvic organ prolapse and stress urinary incontinence, do they share the same risk factors?. Eur J Obstet Gynecol Reprod Biol 2015; 190: 52-57
    CrossrefPubMedGoogle Scholar
  • 24 Simeonova Z, Milsom I, Kullendorff AM, Molander U, Bengtsson C. The prevalence of urinary incontinence and its influence on the quality of life in women from an urban Swedish population. Acta Obstet Gynecol Scand 1999; 78: 546-551
    CrossrefPubMedGoogle Scholar
  • 25 Souza CEC, Lima RM, Bezerra LMA, Pereira RW, Moura TK, Oliveira RJ. Estudo comparativo da função do assoalho pélvico em mulheres continentes e incontinentes na pós menopausa. Braz J. Phys Ther 2009; 13: 535-541
    PubMedGoogle Scholar
  • 26 Tamanini JT, Dambros M, D’Ancona CA, Palma PC, Rodrigues Netto Jr N. [Validation of the “International Consultation on Incontinence Questionnaire – Short Form” (ICIQ-SF) for Portuguese]. Rev Saude Publica 2004; 38: 438-444
    CrossrefPubMedGoogle Scholar
  • 27 Tamanini JTN, D’Ancona CAL, Botega NJ, Rodrigues Netto Jr N. Validação do “King’s Health Questionnaire” para o português em mulheres com incontinência urinária. Rev Saude Publica 2003; 37: 203-211
    CrossrefPubMedGoogle Scholar
  • 28 Thyssen HH, Clevin L, Olesen S, Lose G. Urinary incontinence in elite female athletes and dancers. Int Urogynecol J Pelvic Floor Dysfunct 2002; 13: 15-17
    CrossrefPubMedGoogle Scholar
  • 29 van der Vaart CH, de Leeuw JR, Roovers JP, Heintz AP. The effect of urinary incontinence and overactive bladder symptoms on quality of life in young women. BJU Int 2002; 90: 544-549
    CrossrefPubMedGoogle Scholar