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Evaluation of stress urinary incontinence in physically active and childless Polish females: a cross-sectional study
 
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1
Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland
 
2
3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warsaw, Poland
 
3
Doctoral School, Medical University of Warsaw, Warsaw, Poland
 
 
Submission date: 2024-03-05
 
 
Acceptance date: 2024-07-23
 
 
Online publication date: 2024-08-29
 
 
Corresponding author
Przemysław Kasiak   

3rd Department of internal Medicine and Cardiology, Medical University of Warsaw, Żwirki i Wigury 61, 02-091 Warsaw, Poland
 
 
Physiother Quart. 2024;32(3):80-85
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Stress urinary incontinence (SUI) is a global health problem. The popularity of physical activity is increasing, and SUI affects more individuals, primarily young, physically active females. The aims of the study were to (I) determine the relationship between the type of physical activity and the frequency of SUI in females and (II) assess the treatment methods used for SUI by females.

Methods:
The study was conducted using a 20-point questionnaire among females. The inclusion criteria were (I) childlessness, (II) physical activity > 2 times/week, and (III) a history of SUI. The questions were related to (I) socio-demographic characteristics, (II) type and description of physical activity, and (III) frequency of SUI and used treatment.

Results:
Seventy-three females (aged 18–35 years) fulfilled the inclusion criteria. Thirty-four (46.6%) trained in endurance sports, 32 (43.8%) practiced strength training, and 7 (9.6%) preferred yoga. Most females had 2–3 weekly training sessions (n = 51, 69.9%). Seventy-one (97.2%) did not use any form of treatment for SUI. Females more often suffered from SUI during training than in everyday activities (p = 0.003), and this relationship was more frequently noticed during longer workouts (p = 0.02). There were no significant relationships between SUI and preferred sports discipline (p = 0.38), number of practiced sports disciplines (p = 0.22), training experience (p = 0.21), or weekly training volume (p = 0.24).

Conclusions:
The frequency of SUI depends on the type and amount of physical activity. Females mostly do not use treatment for SUI. Physicians and physiotherapists should consider the type and level of patients’ physical activity when diagnosing SUI and prescribing treatment.

REFERENCES (17)
1.
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulm­sten U, van Kerrebroeck P, Victor A, Wein A. 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;21:167–78; doi: 10.1002/nau.10052.
 
2.
Ciepiela K, Michalczuk K, Michałek T, Witek M. Report „The patients with urine incontinence in the healthcare system in 2022”. Available 05.03.2024 from: https://uroconti.pl/wp-content....
 
3.
Hannestad YS, Rortveit G, Sandvik H, Hunskaar S; Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trøndelag. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of incontinence in the County of Nord-Trondelag. J Clin Epidemiol. 2000;53(11):1150–7, doi: 10.1016/s0895-4356(00)00232-8.
 
4.
Blaivas JG, Olsson, C.A. Stress incontinence: classification and surgical approach. J Urol. 1988;139(4):727–31; doi: 10.1016/s0022-5347(17)42611-5.
 
5.
Borges CL, Fernandes BKC, Cavalcante MLSN, Barbosa RGB, Peixoto Jr AA, de Menezes LCG. Risk factors for urinary incontinence in institutionalized elderly. ESTIMA Braz J Enterostomal Ther. 2019;17: e0619; doi: 10.30886/estima.v16.726_IN.
 
6.
Fozzatti C, Riccetto C, Herrmann V, Brancalion MF, Raimondi M, Nascif CH, Marques LR, Palma PP. Prevalence study of stress urinary incontinence in women who perform high-impact exercises. Int Urogynecol J. 2012;23(12):1687–91, doi: 10.1007/s00192-012-1786-z.
 
7.
Bø K. Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Med. 2004;34(7):451–64; doi: 10.2165/00007256-200434070-00004.
 
8.
Teixeira RV, Colla C, Sbruzzi G, Mallmann A, Paiva LL. Prevalence of urinary incontinence in female athletes: a systematic review with meta-analysis. Int Urogynecol J. 2018;29(12):1717–25; doi: 10.1007/s00192-018-3651-1.
 
9.
Hagovska M, Svihra J, Bukova A, Horbacz A, Svihrova V. The impact of physical activity measured by the International Physical Activity questionnaire on the prevalence of stress urinary incontinence in young women. Eur J Obstet Gynecol Reprod Biol. 2018;228:308–12; doi: 10.1016/j.ejogrb.2018.07.011.
 
10.
Sorrigueta-Hernandez A, Padilla-Fernandez BY, Marquez-Sanchez MT, Flores-Fraile MC, Flores-Fraile J, Moreno-Pascual C, Lorenzo-Gomez A, Garcia-Cenador MB, Lorenzo-Gomez MF. Benefits of physiotherapy on urinary incontinence in high-performance female athletes. Meta-analysis. J Clin Med. 2020;9(10):3240; doi: 10.3390/jcm9103240.
 
11.
Nygaard IE, Shaw JM, Bardsley T, Egger MJ. Lifetime physical activity and female stress urinary incontinence. Am J Obstet Gynecol. 2015;213:40.e1–40.e10; doi: 10.1016/j.ajog.2015.01.044.
 
12.
Zyznawska J, Buksa M, Załęcka M, Królikowska A, Li­piń­ski K. Level of awareness of selected university students on stress urinary incontinence in women. Health Prom Phys Activity. 2019;3(8):29–37; doi: 10.5604/01.3001.0013.5169.
 
13.
Almousa S, Bandin Van Loon A. The prevalence of urinary incontinence in nulliparous female sportswomen: a systematic review. J Sports Sci. 2019;37(14):1663–72; doi: 10.1080/02640414.2019.1585312.
 
14.
Koenig I, Eichelberger P, Leitner M, Moser H, Kuhn A, Taeymans J, Radlinger L. Pelvic floor muscle activity patterns in women with and without stress urinary incontinence while running. Ann Phys Rehabil Med. 2020;63(6):495–9; doi: 10.1016/j.rehab.2019.09.013.
 
15.
Davis G, Sherman R, Wong MF, McClure G, Perez R, Hibbert M. Urinary incontinence among female soldiers. Mil Med. 1999;164(3):182–7; doi: 10.1093/milmed/164.3.182.
 
16.
Simeone C, Moroni A, Pettenò A, Antonelli A, Zani D, Orizio C, Cosciani Cunico S. Occurrence rates and predictors of lower urinary tract symptoms and incontinence in female athletes. Urologia. 2010;77(2):622;139–46; doi: 10.1177/039156031007700210.
 
17.
Alves JO, Luz STD, Brandao S, Da Luz CM, Jorge RN, Da Roza T. Urinary incontinence in physically active young women: prevalence and related factors. Int J Sports Med. 2017;38(12):937–41; doi: 10.1055/s-0043-115736.
 
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