The Influence of Physical Activity on Functional Performance and Urinary Incontinence in Elderly Women

C.M. Magaldi; A. Saraiva; P.M. Franciulli; F.M. Magaldi; M. Moreno; M.L.J. Miranda; L.B.M. Maifrino

doi:10.1055/s-0038-1660498

Journal of Morphological Sciences, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Journal of Morphological Sciences 2018; 35(01): 1-8
DOI: 10.1055/s-0038-1660498

Review Article

Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

The Influence of Physical Activity on Functional Performance and Urinary Incontinence in Elderly Women

C.M. Magaldi

¹Universidade São Judas Tadeu, São Paulo, SP, Brasil

,

A. Saraiva

²Instituto de Ciências da Saúde, Universidade Federal da Bahia, Salvador, BA, Brasil

,

P.M. Franciulli

¹Universidade São Judas Tadeu, São Paulo, SP, Brasil

,

F.M. Magaldi

¹Universidade São Judas Tadeu, São Paulo, SP, Brasil

,

M. Moreno

¹Universidade São Judas Tadeu, São Paulo, SP, Brasil

,

M.L.J. Miranda

³Programa de Pós-graduação Stricto Sensu em Educação Física, Universidade São Judas Tadeu, São Paulo, SP, Brasil

,

L.B.M. Maifrino

⁴Programa de Pós-graduação Stricto Sensu em Educação Física, Instituto Dante Pazzanese de Cardiologia, Universidade São Judas Tadeu, São Paulo, SP, Brasil

› Institutsangaben

Abstract

Introduction Urinary incontinence (UI) is the involuntary urine loss, with the prevalence of 17% to 24% in women over 65 years-old. It has a multifactorial cause, being a condition that affects many people in all ages mainly postmenopausal women, it is also found in athlete women who have a high level of training associated mainly to high impact activities.

Objective The aim of this study is to conduct a literature review that relates the influence of physical activity on functional performance and on UI among women on the stage of aging.

Method The bibliographical review was done in Medline, Scielo, Pubmed and SportsDisco databases using the keywords physical activity or exercise, postmenopause or aging and urinary incontinence and stress urinary incontinence.

Conclusion Elderly women engaged in a regular exercise program have a lower incidence of UI.

Keywords

physical activity - exercises - urinary incontinence - aging

Volltext

Referenzen

References
1 Silva MFD, Goulart NBA, Lanferdini FJ, Marcon M. DIAS C.P. Relação entre os níveis de atividade física e qualidade de vida de idosos sedentários e fisicamente ativos. Rev Bras Geriatr Gerontol 2012; 15 (04) 634-642 . Doi: 10.1590/S1809-98232012000400004
2 World Health Organization – WHO. Global recommendations on physical activity for health. Geneva: WHO; 2010
3 Ciolac EG. Exercise training as a preventive tool for age-related disorders: a brief review. Clinics (Sao Paulo) 2013; 68 (05) 710-717 . Doi: 10.6061/clinics/2013(05)20
4 Abrams P, Cardozo L, Fall M. , et al; Standardisation Sub-committee of the International Continence Society. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 2002; 21 (02) 167-178 . Doi: 10.1002/nau.10052
5 Fantl JA, Cardozo L, McClish DK. Estrogen therapy in the management of urinary incontinence in postmenopausal women: a meta-analysis. First report of the Hormones and Urogenital Therapy Committee. Obstet Gynecol 1994; 83 (01) 12-18
6 Rett MT, Simões JA, Herrmann V, Gurgel MSC, Morais SS. Qualidade de vida em mulheres após tratamento da incontinência urinária de esforço com fisioterapia. Rev Bras Ginecol Obstet 2007; 29 (03) 134-140 . Doi: 10.1590/S0100-72032007000300004
7 DeLancey JO. Structural aspects of the extrinsic continence mechanism. Obstet Gynecol 1988; 72 (3 Pt 1): 296-301
8 Stolzenburg JU, Dorschner W, Postenjak M. , et al. Sphincteric musculature of female canine urethra in comparison to woman including 3D reconstruction. Cells Tissues Organs 2002; 170 (2-3): 151-161
9 Andersson KE, Arner A. Urinary bladder contraction and relaxation: physiology and pathophysiology. Physiol Rev 2004; 84 (03) 935-986 . Doi: 10.1152/ physrev.00038.2003
10 Junqueira LC, Carneiro J. Histologia básica: texto e atlas. 12. ed. Rio de Janeiro: Guanabara. Koogan; 2013
11 Hicks RM. The mammalian urinary bladder: an accommodating organ. Biol Rev Camb Philos Soc 1975; 50 (02) 215-246
12 Egeblad M, Werb Z. New functions for the matrix metalloproteinases in cancer progression. Nat Rev Cancer 2002; 2 (03) 161-174 . Doi: 10.1038/nrc745
13 Kaya C, Şahin B. The role of extracellular matrix proteins in the urinary tract: a literature review. In: F. Travascio. Biochemistry, genetics and molecular biology. composition and function of the extracellular matrix in the human body, 2015
14 Aitken KJ, Bägli DJ. The bladder extracellular matrix. Part I: architecture, development and disease. Nat Rev Urol 2009; 6 (11) 596-611 . Doi: 10.1038/ nrurol.2009.201
15 Kim BS, Baez CE, Atala A. Biomaterials for tissue engineering. World J Urol 2000; 18 (01) 2-9 . Doi: 10.1007/s003450050002
16 Reisdoerfer G, Pereira KF, Chopard RP. Efeitos do envelhecimento sobre os componentes fibroelásticos da junção vésicouretral: uma breve revisão. Arq Ciênc Saúde UNIPAR 2009; 13 (03) 255-262
17 Bresee C, Dubina ED, Khan AA. , et al. Prevalence and correlates of urinary incontinence among older community-dwelling women. Female Pelvic Med Reconstr Surg 2014; 20 (06) 328-333 . Doi: 10.1097/SPV.0000000000000093
18 Kikuchi A, Niu K, Ikeda Y. , et al. Association between physical activity and urinary incontinence in a community-based elderly population aged 70 years and over. Eur Urol 2007; 52 (03) 868-874
19 Milsom I, Ekelund P, Molander U, Arvidsson L, Areskoug B. The influence of age, parity, oral contraception, hysterectomy and menopause on the prevalence of urinary incontinence in women. J Urol 1993; 149 (06) 1459-1462
20 Zhao W, Aboushwareb T, Turner C. , et al. Impaired bladder function in aging male rats. J Urol 2010; 184 (01) 378-385 . Doi: 10.1016/j.juro.2010.03.004
21 Kitta T, Yoshikawa S, Kawamorita N, de Groat WC, Nonomura K, Yoshimura N. The effect of ovariectomy on urethral continence mechanisms during sneeze reflex in middle-aged versus young adult rats. Neurourol Urodyn 2016; 35 (01) 122-127 . Doi: 10.1002/nau.22690
22 Lluel P, Palea S, Barras M. , et al. Functional and morphological modifications of the urinary bladder in aging female rats. Am J Physiol Regul Integr Comp Physiol 2000; 278 (04) R964-R972
23 Strasser H, Tiefenthaler M, Steinlechner M, Bartsch G, Konwalinka G. Urinary incontinence in the elderly and age-dependent apoptosis of rhabdosphincter cells. Lancet 1999; 354 (9182): 918-919 . Doi: 10.1016/ S0140–6736(99)02588-X
24 Trutnovsky G, Guzman-Rojas R, Martin A, Dietz HP. Pelvic floor dysfunction--does menopause duration matter?. Maturitas 2013; 76 (02) 134-138 . Doi: 10.1016/j.maturitas.2013.06.012
25 Tzur T, Yohai D, Weintraub AY. The role of local estrogen therapy in the management of pelvic floor disorders. Climacteric 2016; 19 (02) 162-171 http://dx.doi.org/10.31 09/13697137.2015.1132199
26 Herschorn S. Female pelvic floor anatomy: the pelvic floor, supporting structures, and pelvic organs. Rev Urol 2004; 6 (05) (Suppl. 05) S2-S10
27 Ashton-Miller JA, Howard D, DeLancey JO. The functional anatomy of the female pelvic floor and stress continence control system. Scand J Urol Nephrol Suppl 2001; 207 (207) 1-7 , discussion 106–125. Doi: 10.1080/003655901750174773
28 Thelen DG, Ashton-Miller JA, Schultz AB, Alexander NB. Do neural factors underlie age differences in rapid ankle torque development?. J Am Geriatr Soc 1996; 44 (07) 804-808 . Doi: 10.1111/j.1532-5415.1996.tb03737.x
29 Alperin M, Cook M, Tuttle LJ, Esparza MC, Lieber RL. Impact of vaginal parity and aging on the architectural design of pelvic floor muscles. Am J Obstet Gynecol 2016; 215 (03) 312.e1-312.e9 . Doi: 10.1016/j.ajog.2016.02.033
30 Bocardi DAS, Baldon VP, Driusso P. Influência do envelhecimento sobre a função e atividade eletromiográfica dos músculos do assoalho pélvico de mulheres nuligestas. Revista Univap 2017; 22 (40) 567
31 Virtuoso JF, Mazo GZ, Menezes EC. Incontinência urinária e função muscular perineal em idosas praticantes e não-praticantes de atividade física regular. Braz J Phys Ther 2011; 15 (04) 310-317 . Doi: 10.1590/ S1413–35552011005000014
32 Bø K, Herbert RD. There is not yet strong evidence that exercise regimens other than pelvic floor muscle training can reduce stress urinary incontinence in women: a systematic review. J Physiother 2013; 59 (03) 159-168 . Doi: 10.1016/S1836-9553(13)70180-2
33 Moreno-Vecino B, Arija-Blázquez A, Pedrero-Chamizo R. , et al; EXERNET Group. Associations between obesity, physical fitness, and urinary incontinence in non-institutionalized postmenopausal women: The elderly EXERNET multi-center study. Maturitas 2015; 82 (02) 208-214 . Doi: 10.1016/j.maturitas.2015.07.008
34 Danforth KN, Shah AD, Townsend MK. , et al. Physical activity and urinary incontinence among healthy, older women. Obstet Gynecol 2007; 109 (03) 721-727 . Doi: 10.1097/01.AOG.0000255973.92450.24
35 Morrisroe SN, Rodrigues LV, Wang PC, Smith AL, Trejo L, Sarkisian CA. Correlates of 1-year incidence of urinary incontinence in Latino adults enrolled in a community-based physical activity trial. J Am Geriatr Soc 2014; 62 (04) 740-746 . Doi: 10.1111/jgs.12729
36 Benedetti TB, Mazo GZ, Barros MVG. Aplicação do Questionário Internacional de Atividades Físicas para avaliação do nível de atividades físicas de mulheres idosas: validade concorrente e reprodutibilidade teste-reteste. Revista Brasileira de Ciência e Movimento 2004; 12 (01) 25-34
37 Jackson S, Donovan J, Brookes S, Eckford S, Swithinbank L, Abrams P. The Bristol Female Lower Urinary Tract Symptoms questionnaire: development and psychometric testing. Br J Urol 1996; 77 (06) 805-812 . Doi: 10.1046/j.1464-410X.1996.00186.x
38 Laycock J, Jerwood D. Pelvic floor muscle assessment: the PERFECT scheme. Physiotherapy 2001; 87 (12) 631-642 . Doi: 10.1016/S0031-9406(05)61108-X
39 Vinsnes AG, Helbostad JL, Nyrønning S, Harkless GE, Granbo R, Seim A. Effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes. Clin Interv Aging 2012; 7: 45-50 . Doi: 10.2147/CIA.S25326
40 Caetano AS, Gomes C, Fernandes C, Helena M, De Moraes B. Urinary incontinence and physical activity practice. Rev Bras Med Esporte 2007; 13 (09) 245-248
41 Moller L, Lose G, Jorgensen T. Risk factors for lower urinary tract symptoms in women aged 40–60 years Risk Factors for Lower Urinary Tract Symptoms in Women 40 to 60 Years of Age. Obstet Gynecol 2016; 96 (03) 446-451 . Doi: 10.1097/00006250-200009000-00022
42 Nygaard I, Girts T, Fultz NH, Kinchen K, Pohl G, Sternfeld B. Is urinary incontinence a barrier to exercise in women?. Obstet Gynecol 2005; 106 (02) 307-314 . Doi: 10.1097/01.AOG.0000168455.39156.0f
43 Meczekalski B, Katulski K, Czyzyk A, Podfigurna-Stopa A. Health in older women athletes. Maturitas 2014; 79 (04) 357-361
44 Goldstick O, Constantini N. Urinary incontinence in physically active women and female athletes. Br J Sports Med 2014; 48 (04) 296-298
45 Hannestad YS, Rortveit G, Daltveit AK, Hunskaar S. Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. BJOG 2003; 110 (03) 247-254 . Doi: 10.1046/j.1471- 0528.2003.02327.x
46 Nygaard IE, Shaw JM. Physical activity and the pelvic floor. Am J Obstet Gynecol 2016; 214 (02) 164-171 . Doi: 10.1016/j.ajog.2015.08.067
47 Dumoulin C, Hay-Smith EJC, Mac Habée-Séguin G. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Libr 2014; •••: 5
48 Tak ECPM, van Hespen A, van Dommelen P, Hopman-Rock M. Does improved functional performance help to reduce urinary incontinence in institutionalized older women? A multicenter randomized clinical trial. BMC Geriatr 2012; 12 (51) 51
49 Imamura M, Williams K, Wells M. and MCGROTHER, C. Lifestyle interventions for the treatment of urinary incontinence in adults. Cochrane Database Syst Rev 2015; 12: 12-15
50 Reigota RB, Pedro AO, de Souza Santos Machado V, Costa-Paiva L, Pinto-Neto AM. Prevalence of urinary incontinence and its association with multimorbidity in women aged 50 years or older: A population-based study. Neurourol Urodyn 2016; 35 (01) 62-68 . Doi: 10.1002/nau.22679
51 Townsend MK, Curhan GC, Resnick NM, Grodstein F. BMI, waist circumference, and incident urinary incontinence in older women. Obesity (Silver Spring) 2008; 16 (04) 881-886 . Doi: 10.1038/oby.2008.14