ORIGINAL PAPER
Evaluation of the quality of life and the incidence of stress urinary incontinence in nulliparous women training selected sports: a cross-sectional survey pilot study
More details
Hide details
1
Department of Physiotherapy, Wroclaw University of Health and Sport Sciences, Wroclaw, Poland
2
Department of Gynaecology and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
3
Independent Public Health Care Center of the Ministry of the Interior and Administration in Wroclaw, Department of Gynaecology, Wroclaw, Poland
4
Department of Genetics, Wroclaw University of Environmental and Life Sciences, Wroclaw, Poland
Submission date: 2023-09-22
Acceptance date: 2024-01-24
Publication date: 2024-09-09
Corresponding author
Gabriela Kołodyńska
Department of Physiotherapy, Wroclaw University of Health and Sport Sciences,
al. I.J. Paderewskiego 35, 51-612 Wrocław, Poland
Physiother Quart. 2024;32(3):74-79
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The number of women suffering from urinary incontinence is increasing every year. The most common type of this condition is stress urinary incontinence. Involuntary leakage of urine occurs when sneezing, coughing, laughing, and standing up, as well as during physical activity. The problem of urinary incontinence is very embarrassing for athletes and affects their sports performance. The aim of the study was to assess the occurrence of urinary incontinence symptoms in women regularly training in selected sports.
Methods:
64 women athletes were selected for the study. This pilot study involved women training in athletics (short-distance running, long-distance running, hurdles and jumping (high jump, long jump, triple jump, pole vault), basketball, volleyball, or strength sports). Women were selected based on sample size calculation from those training in specified clubs. Women who had given birth were excluded from the study. The subjects completed a proprietary questionnaire consisting of 8 questions. They also completed the Urinary Distress Inventory, Short Form (UDI-6SF) questionnaire and the Incontinence Impact Questionnaire, Short Form (IIQ-7).
Results:
In this study, 43% of women who trained had symptoms of urinary incontinence. Regression analysis results with UDI-6SF and IIQ-7 total scores as dependent variables and age as an independent variable showed that the slopes of regression were not statistically significantly different (p-value > 0.05). The results of the analysis of the correlation between SUI (stress urinary incontinence) and age (p = 0.0247) and practiced sport (p = 0.0476) turned out to be statistically significant.
Conclusions:
The type of sport practiced affects the occurrence of UI (urinary incontinence) symptoms in women. In this study, female athletes practicing strength sports had the greatest predisposition to the occurrence of UI symptoms. The occurrence of UI symptoms has little impact on the deterioration of the quality of life among women practicing selected sports.
REFERENCES (21)
1.
Pires T, Pires P, Moreira H, Viana R. Prevalence of urinary incontinence in high-impact sport athletes: a systematic review and meta-analysis. J Hum Kinet. 2020;73:279–88; doi: 10.2478/hukin-2020-0008.
2.
Stadnicka G, Janik M, Łepecka-Klusek C, Pilewska-Kozak A. Psycho-social consequences of urinary incontinence [in Polish]. General Med Health Sci. 2014;20(2):136–40.
3.
Minassian VA, Drutz HP, Al-Badr A. Urinary incontinence as a worldwide problem. Int J Gynecol Obestet. 2003;82:327–38; doi: 10.1016/s0020-7292(03)00220-0.
4.
Haylen BT, De Ridder D, Freeman RM, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4–20; doi: 10.1002/nau.20798.
5.
Chisholm L, Delpe S, Priest T, Reynolds S. Physical activity and stress incontinence in women. Curr Bladder Dysfunct Rep. 2019;14(3):174–9; doi: 10.1007/s11884-019-00519-6.
6.
Bø K. Exercise and pelvic floor dysfunction in female elite athletes. In: Mountjoy ML (ed.) The Female Athlete. Handbook of Spots Medicine and Science. Hoboken: John Wiley and Sons; 2015,8: pp. 76–85.
7.
Middlekauff ML, Egger MJ, Nygaard IE, Shaw JM. The impact of acute and chronic strenuous exercise on pelvic floor muscle strength and support in nulliparous healthy women. Am J Obstet Gynecol. 2016;215(3):316.e1–7; doi: 10.1016/j.ajog.2016.02.031.
8.
McKenzie S, Watson T, Thompson J, Briffa K. Stress urinary incontinence is highly prevalent in recreationally active women attending gyms or exercise classes. Int Urogynecol J. 2016;27(8):1175–84; doi: 10.1007/s00192-016-2954-3.
9.
Yang J, Cheng JW, Wagner H, Lohman E, Yang SH, Krishingner GA, Trofimova A, Alsyouf M, Staack A. The effect of high impact crossfit exercises on stress urinary incontinence in physically active women. Neurourol Urodyn. 2019, 38(2):749–56; doi: 10.1002/nau.23912.
10.
Hagovska M, Švihra J, Evaluation of duloxetine and innovative pelvic floor muscle training in women with stress urinary incontinence (DULOXING): study protocol clinical trial (SPIRIT Compliant). Medicine. 2020;99(6):e18834; doi: 10.1097/MD.0000000000018834.
11.
Ghaderi F, Oskouei AE. Physiotherapy for women with stress urinary incontinence: a review article. J Phys Ther Sci. 2014;26(9):1493–9; doi: 10.1589/jpts.26.1493.
12.
Skaug KL, Engh ME, Frawley H, Bø K. Urinary and anal incontinence among female gymnasts and cheerleaders-bother and associated factors. A cross-sectional study. Int Urogynecol J. 2022;33(4):955–64; doi: 10.1007/s00192-021-04696-z.
13.
Bø K. Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Med. 2004;34(7):451–64; doi: 10.2165/00007256-200434070-00004.
14.
Wróbel R., Kremska A., Kołodziej B., Barnaś E. The frequency of urinary incontinence among Polish women after 40 years old. Przegl Med UR i NIL w Warszawie. 2013;1:40–9.
15.
Kieres P, Rokita W, Stanisławska M, Rechberger T, Gałęzia M. Diagnostic value of selected questionnaires (UDI 6SF, Gaudenza, MESA, ICIQ-SF, and King’s Health Questionnaire) in the diagnosis of various clinical forms of urinary incontinence in women [in Polish]. Ginekol Pol. 2008;79(5):338–41.
16.
Opara J, Socha T, Prajsner A, Poświata A. Physiotherapy in stress urinary incontinence in females Part I. Contemporary recommendations for Kegel exercises (PFME). Fizjoterapia. 2011;19(3):41–9.
17.
Alves JO, Da Luz ST, 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.
18.
Wikander L, Kirchbaum MN, Gahreman DE. Urinary incontinence and women crossfit competitors. Int J Womens Health. 2020;12:1189–95; doi: 10.2147/IJWH.S278222.
19.
Hagovska M, Švihra J, Buková A, Dračková D, Švihrová V. Prevalence and risk of sport types to stress urinary incontinence in sportswomen: a cross-sectional study. Neurourol Urodyn. 2018;37(6):1957–64; doi: 10.1002/nau.23538.
20.
Dias N, Peng Y, Khavari R, Nakib NA, Sweet RM, Timm GW, Erdman AG, Boone TB, Zhang Y. Pelvic floor dynamics during high-impact athletic activities: a computational modeling study. Clin Biomech. 2017;41:20–7; doi: 10.1016/j.clinbiomech.2016.11.003.
21.
Bø K, Nygaard IE, Is physical activity good or bad for the female pelvic floor? A narrative review. Sports Med. 2020;50(3):471–84; doi: 10.1007/s40279-019-01243-1.