ABSTRACT
Objetivo: Analizar el contenido de los diferentes estudios publicados relacionados con el ejercicio físico y sus efectos sobre la incontinencia urinaria, así como determinar la efectividad de los programas de entrenamiento de suelo pélvico. Método: Se realizó búsqueda en las bases de datos de Pubmed, CINAHL, Biblioteca Cochrane Plus y The Cochrane Library, WOS, SPORTDiscus y una búsqueda manual en el metabuscador Google Scholar de acuerdo a los descriptores de búsqueda de documentos publicados en los últimos 10 años en español o en inglés, con resumen o a texto completo, tanto del tratamiento de la incontinencia urinaria en la mujer deportista como en la mujer en general. Resultados: Se seleccionan 3 artículos a texto completo sobre el tratamiento de la incontinencia urinaria en la mujer deportista, y 6 artículos a texto completo y un resumen sobre el tratamiento de la incontinencia urinaria en la mujer en general. Los 9 estudios incluidos en la revisión obtuvieron resultados positivos, es decir, en todos ellos hubo una mejora de la enfermedad. Conclusiones: El ejercicio físico, concretamente los programas de entrenamiento de la musculatura del suelo pélvico, tienen efectos positivos sobre la incontinencia urinaria. Este tipo de entrenamiento se muestra como un programa efectivo para el tratamiento de la incontinencia urinaria, especialmente la incontinencia urinaria de esfuerzo
Objective: To analyse the content of various published studies related to physical exercise and its effects on urinary incontinence and to determine the effectiveness of pelvic floor training programmes. Method: We conducted a search in the databases of PubMed, CINAHL, the Cochrane Plus Library, The Cochrane Library, WOS and SPORTDiscus and a manual search in the Google Scholar metasearcher using the search descriptors for documents published in the last 10 years in Spanish or English. The documents needed to have an abstract or complete text on the treatment of urinary incontinence in female athletes and in women in general. Results: We selected 3 full-text articles on treating urinary incontinence in female athletes and 6 full-text articles and 1 abstract on treating urinary incontinence in women in general. The 9 studies included in the review achieved positive results, i.e., there was improvement in the disease in all of the studies. Conclusions: Physical exercise, specifically pelvic floor muscle training programmes, has positive effects on urinary incontinence. This type of training has been shown to be an effective programme for treating urinary incontinence, especially stress urinary incontinence
Subject(s)
Humans , Female , Urinary Incontinence/therapy , Pelvic Floor/physiology , Muscles/physiology , Exercise/physiology , Exercise Therapy , Perineum/physiology , Muscle Contraction/physiology , Evaluation of the Efficacy-Effectiveness of Interventions , Urinary Incontinence/therapyABSTRACT
OBJECTIVE: To analyse the content of various published studies related to physical exercise and its effects on urinary incontinence and to determine the effectiveness of pelvic floor training programmes. METHOD: We conducted a search in the databases of PubMed, CINAHL, the Cochrane Plus Library, The Cochrane Library, WOS and SPORTDiscus and a manual search in the Google Scholar metasearcher using the search descriptors for documents published in the last 10 years in Spanish or English. The documents needed to have an abstract or complete text on the treatment of urinary incontinence in female athletes and in women in general. RESULTS: We selected 3 full-text articles on treating urinary incontinence in female athletes and 6 full-text articles and 1 abstract on treating urinary incontinence in women in general. The 9 studies included in the review achieved positive results, i.e., there was improvement in the disease in all of the studies. CONCLUSIONS: Physical exercise, specifically pelvic floor muscle training programmes, has positive effects on urinary incontinence. This type of training has been shown to be an effective programme for treating urinary incontinence, especially stress urinary incontinence.
Subject(s)
Exercise Therapy , Pelvic Floor , Urinary Incontinence/therapy , Female , Humans , Treatment OutcomeABSTRACT
BACKGROUND/OBJECTIVES: Timing of food intake associates with body weight regulation, insulin sensitivity and glucose tolerance. However, the mechanism is unknown. The aim of this study was to investigate the effects of changes in meal timing on energy-expenditure, glucose-tolerance and circadian-related variables. SUBJECTS/METHODS: Thirty-two women (aged 24±4 years and body mass index 22.9±2.6 kg m(-2)) completed two randomized, crossover protocols: one protocol (P1) including assessment of resting-energy expenditure (indirect-calorimetry) and glucose tolerance (mixed-meal test) (n=10), the other (P2) including circadian-related measurements based on profiles in salivary cortisol and wrist temperature (Twrist) (n=22). In each protocol, participants were provided with standardized meals (breakfast, lunch and dinner) during the two meal intervention weeks and were studied under two lunch-eating conditions: Early Eating (EE; lunch at 13:00) and Late Eating (LE; lunch 16:30). RESULTS: LE, as compared with EE, resulted in decreased pre-meal resting-energy expenditure (P=0.048), a lower pre-meal protein-corrected respiratory quotient (CRQ) and a changed post-meal profile of CRQ (P=0.019). These changes reflected a significantly lower pre-meal utilization of carbohydrates in LE versus EE (P=0.006). LE also increased glucose area under curve above baseline by 46%, demonstrating decreased glucose tolerance (P=0.002). Changes in the daily profile of cortisol and Twrist were also found with LE blunting the cortisol profile, with lower morning and afternoon values, and suppressing the postprandial Twrist peak (P<0.05). CONCLUSIONS: Eating late is associated with decreased resting-energy expenditure, decreased fasting carbohydrate oxidation, decreased glucose tolerance, blunted daily profile in free cortisol concentrations and decreased thermal effect of food on Twrist. These results may be implicated in the differential effects of meal timing on metabolic health.
