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Impact of High and Moderate Intensity of Physical Activity on the Prevalence of Stress Urinary Incontinence in Sportswomen


Authors: M. Bobrová 1;  M. Hagovská 2;  J. Švihra 3;  A. Buková 4;  N. Martinásková 5
Authors‘ workplace: Katedra podpory zdraví , Oddělení fyzioterapie, Fakulta sportovních studií, Masarykova univerzita, Brno 1;  Klinika fyziatrie, balneológie a liečebnej rehabilitácie, Lekárska fakulta UPJŠ a UNLP v Košiciach 2;  Urologická klinika, Jesseniova lekárska fakulta Martin, Univerzity Komenského, Bratislava 3;  Ústav telesnej výchovy a športu UPJŠ v Košiciach 4;  Klinika liečebnej rehabilitácie, Nemocnica Košice – Šaca, a. s., 1. súkromná nemocnica, Lekárska fakulta UPJŠ v Košiciach 5
Published in: Rehabil. fyz. Lék., 27, 2020, No. 1, pp. 15-20.
Category: Original Papers

Overview

Objective: The aim of this study was to determine the prevalence of SUI symptoms in sportswomen (with a high and moderate intensity of physical activity) according to the estimated intensity of physical activity in metabolic equivalents using the IPAQ questionnaire. Another aim was to determine the impact of SIM symptoms on the quality of life of sportswoman.

Methods: The sample consisted of 403 sportswomen. Of these, 201 were high and 202 were moderate intensity of physical activity. We used the International Consultation on Incontinence Questionnaire (ICIQ-UI SF), the Overactive Bladder Questionnaire (OAB-q), the Urinary Incontinence Quality of Life scale (I-QoL) and the International Physical Activity Questionnaire (IPAQ).

Results: Mild urinary leakage during physical activity was reported and confirmed by an overall ICIQ-UI SF score in 37 (18.4%) high intensity of FA and 20 (9.9 %) moderate intensity of FA. The risk of reporting SUI was in the sportswomen with high intensity of physical activity was OR 2,05 (95 % CI 1,14 - 3,67). For medium intensity of physical activity was OR 0,48 (95 % CI 0,27 - 0,87). Significant differences in the incidence of SUI symptoms were noted between groups, p <.001 with more pronounced symptoms in the high intensity FA group. In the scale for assessing the quality of life of patients with urinary incontinence (I-QoL) in avoidance and limiting scores, significantly worse parameters were noted in the high-intensity FA group (p <.000). OAB symptoms were not present in the monitored groups.

Conclusions: Sportswomen with high-intensity physical activities in metabolic equivalents measured by the IPAQ have a greater chance of reporting SUI than sportswomen with moderate intensity of physical activity, resulting in a negative impact on quality of life.

Keywords:

stress urinary incontinence – sportswomen


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Physiotherapist, university degree Rehabilitation Sports medicine
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