ABSTRACT
OBJECTIVES: To compare the results of the dynamic lumbopelvic stabilization (DLS) exercises with exercises for the pelvic floor muscles (PFM) in women with stress urinary incontinence. METHODS: Randomized controlled clinical trial comparing 17 women submitted to the DLS with 16 women submitted to the exercises for the PFM. The evaluated outcomes were incontinence severity, quality of life (QoL), and impression of improvement in three moments. Significance was set at 5%. RESULTS: For socio-demographic and clinical variables, only climacteric was more prevalent in the DLS group (82% vs. 44%, P = 0.02). Soon after the intervention, there was no difference between the groups in relation to the outcomes evaluated. In the evaluation after 90 days, the DLS group presented better values for the severity of the losses (4.1 ± 2.6 vs. 5.7 ± 2.4, P = 0.006, d = 0.64), daytime frequency (4.6 ± 0.4 vs. 6.2 ± 0.6, P < 0.001, d = 2.67), and nighttime frequency (0.4 ± 0.3 vs. 1.4 ± 0.5, P < 0.001, d = 2.50), QoL and impression of improvement (P < 0.001). CONCLUSIONS: After treatment, the DLS plus PFM exercise patients had results similar to those performing PFM exercises alone. However, the DLS plus PFM exercises were superior in the outcomes of incontinence severity, QoL, and impression of improvement in the post-90-day evaluation, showing longer lasting effect.
Subject(s)
Exercise Therapy/methods , Pelvic Floor/physiopathology , Quality of Life , Urinary Incontinence, Stress/therapy , Adult , Aged , Female , Humans , Middle Aged , Severity of Illness Index , Treatment Outcome , Urinary Incontinence, Stress/diagnosis , Urinary Incontinence, Stress/physiopathologyABSTRACT
OBJECTIVE: To determine the association of lower urinary tract symptoms (LUTS) with maximal oxygen uptake (VO2max), flexibility, physical activity level, and anthropometric variables. METHODS: A case-control study has been conducted in which LUTS was the outcome and VO2max, flexibility, physical activity level, and anthropometric variables the exposure variables. We evaluated 100 men aged between 50 and 59 years, assigning 49 to the case group and 51 to the control group. The patients underwent the following: physical activity level assessment using the International Physical Activity Questionnaire; LUTS assessment using the International Prostate Symptom Score Questionnaire; anthropometric assessment measuring body mass index, waist-to-hip ratio, and waist circumference; VO2max assessment through the Polar Fitness Test; and flexibility assessment using the Sit and Reach test. Multivariable analysis using a logistic regression model was performed for the assessment of odds ratio (OR) and 95% confidence interval (95% CI). RESULTS: In bivariable analysis, a statistically significant association was identified for LUTS with physical activity level (OR = 0.375, 95% CI = 0.167-0.841, P = .02); with VO2max (OR = 0.206, 95% CI = 0.086-0.495, P <.001); and with flexibility (OR = 0.309, 95% CI = 0.130-0.337, P = .01). However, the multivariable analysis indicated that VO2max was the only statistically significant variable associated with LUTS (OR = 0.303, 95% CI = 0.105-0.875, P = .027). CONCLUSION: In men aged between 50 and 59 years, an association between inadequate VO2max with LUTS was found.
