Irritable bowel syndrome in women with chronic pelvic pain in a Northeast Brazilian city.

PURPOSES: To determine the prevalence of irritable bowel syndrome (IBS) in women with chronic pelvic pain (CPP) and its associated features; to determine whether IBS and CPP constitute the same syndrome. METHODS: Cross-sectional population survey with systematic sequential sampling according to census districts in which 1470 women were interviewed with respect to the sample calculation. The participants resided in their own homes, were at least 14 years of age, experienced menarche and presented CPP according to the American College of Obstetrics and Gynaecology. The dependent variable was IBS based on Rome III criteria in women with CPP, and the following independent variables were possibly associated with IBS: age, schooling, duration of pain, sedentary lifestyle, migraine, depression, insomnia, back pain, dysmenorrhea, dyspareunia, depression, history of violence, and intestinal symptoms. The sample was subdivided into groups with and without IBS. After the descriptive analysis of the variables was performed, the respective frequencies were evaluated using GraphPad Prism 5 software. To evaluate the association between the dependent variable and the independent variables, the χ² test was used with a significance level of 5%. RESULTS: The prevalence of IBS in women with CPP was 19,5%. Pain duration (p=0.03), back pain (p=0.002), history of physical or sexual abuse (p=0.002), and intestinal complaints were more prevalent in the group with IBS and CPP. There was no difference between the groups regarding other criteria. CONCLUSION: The data confirmed the literature, identified several aspects that were shared between the pathologies and supported the hypothesis that both pathologies can constitute the same syndrome.

Irritable bowel syndrome in women with chronic pelvic pain in a Northeast Brazilian city / Síndrome do intestino irritável em mulheres com dor pélvica crônica em uma cidade do Nordeste Brasileiro

PURPOSES: To determine the prevalence of irritable bowel syndrome (IBS) in women with chronic pelvic pain (CPP) and its associated features; to determine whether IBS and CPP constitute the same syndrome. METHODS: Cross-sectional population survey with systematic sequential sampling according to census districts in which 1470 women were interviewed with respect to the sample calculation. The participants resided in their own homes, were at least 14 years of age, experienced menarche and presented CPP according to the American College of Obstetrics and Gynaecology. The dependent variable was IBS based on Rome III criteria in women with CPP, and the following independent variables were possibly associated with IBS: age, schooling, duration of pain, sedentary lifestyle, migraine, depression, insomnia, back pain, dysmenorrhea, dyspareunia, depression, history of violence, and intestinal symptoms. The sample was subdivided into groups with and without IBS. After the descriptive analysis of the variables was performed, the respective frequencies were evaluated using GraphPad Prism 5 software. To evaluate the association between the dependent variable and the independent variables, the χ² test was used with a significance level of 5%. RESULTS: The prevalence of IBS in women with CPP was 19,5%. Pain duration (p=0.03), back pain (p=0.002), history of physical or sexual abuse (p=0.002), and intestinal complaints were more prevalent in the group with IBS and CPP. There was no difference between the groups regarding other criteria. CONCLUSION: The data confirmed the literature, identified several aspects that were shared between the pathologies and supported the hypothesis that both pathologies can constitute the same syndrome.

OBJETIVOS: Verificar a prevalência da síndrome do intestino irritável (SII) em mulheres com dor pélvica crônica (DPC) e as características associadas; analisar se SII e DPC constituem a mesma síndrome. MÉTODOS: Estudo transversal do tipo inquérito populacional com amostragem sistemática sequencial de acordo com os distritos censitários, no qual 1470 mulheres foram entrevistadas conforme o cálculo amostral. Foram selecionadas aquelas residentes no respectivo domicílio, com pelo menos 14 anos de idade, que já haviam tido a menarca e apresentavam DPC de acordo com o Colégio Americano de Obstetrícia e Ginecologia. A variável considerada dependente foi a SII baseando-se nos Critérios de Roma III em mulheres com DPC, e as independentes, possivelmente associadas com a SII foram: idade, escolaridade, tempo de dor, sedentarismo, enxaqueca, depressão, insônia, lombalgia, dismenorreia, dispareunia, depressão, passado de violência e sintomas intestinais. A amostra foi subdividida nos grupos com e sem SII. Após a análise descritiva das variáveis, as respectivas frequências foram avaliadas utilizando GraphPad Prism 5. Para determinação da presença de associação entre a variável dependente e as independentes, utilizou-se o teste do χ² com nível de significância a 5%. RESULTADOS: A prevalência de SII em mulheres com DPC foi de 19,5%. O tempo de dor (p=0,03), a lombalgia (p=0,002), história de abuso físico ou sexual (p=0,002) e as queixas intestinais foram maiores no grupo com SII e DPC. Não houve diferença entre os grupos quanto aos demais critérios. CONCLUSÃO: Os dados confirmam a literatura, demonstrando muitos aspectos comuns entre as duas condições e valorizando a hipótese de que elas possam compor a mesma síndrome.

Impacto da mastoplastia redutora na qualidade de vida física e emocional / The impact of reduction mammaplasty in the physical and emotional quality of life

Com o intuito de avaliar a qualidade de vida das mulheres com hipertrofia mamáriasubmetidas à mastoplastia redutora, realiza-se um estudo longitudinal, prospectivo eanalítico com 30 mulheres diagnosticadas e atendidas em ambulatório de referência.Para análise, é aplicado o instrumento de avaliação genérica de saúde SF-36, antes dacirurgia e com 3 e 6 meses após a mesma. Utiliza-se a estatística descritiva para análiseexploratória dos dados e no cruzamento de algumas variáveis categóricas, empregado oteste não-paramétrico de qui-quadrado de independência, adotando como nível designificância para p< 0,05. Observa-se diferença em todas as variáveis analisadas e emtodos os períodos propostos (pré-operatório, 3 e 6 meses depois). Considerando os dados,a correção cirúrgica da hipertrofia da mama resulta em melhora estatisticamente significanteda qualidade de vida das mulheres, devendo assim ser considerada uma modalidade detratamento visando à obtenção da saúde e não a estética somente(AU)

To assess the quality of life of women with Breast Hypertrophy undergoingreduction mammaplasty, a longitudinal prospective study was carried out with analyticaland non-probability sample of 30 women with clinical diagnosis. For analysis, the healthassessment instrument generic SF-36 was applied before surgery and with 3 and 6 monthsafter the same. We used descriptive statistics for exploratory data analysis and at thecrossing of some categorical variables the nonparametric chi-square test of independencewas used, adopting the significance level of p <0.05. The results showed a significantdifference in all variables examined, both in the initial condition of pre-operative as in 3and 6 months postoperatively. Considering the data, the surgical correction of breashypertrophy results in a statistically significant improvement in the quality of life of womenand should therefore be considered as a treatment modality with a view to obtaining healthand not only on aesthetics(AU)