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Previous issue date: 2017-10-19 / Introdu??o: A hist?ria reprodutiva feminina e disfun??es do assoalho p?lvico tem contribu?do para as altera??es f?sicas que aparecem no envelhecimento, como as altera??es precoces na capacidade funcional de mulheres. Desta forma, investigar a hist?ria reprodutiva feminina e prolapso de ?rg?os p?lvicos (POP) sintom?tico, e sua rela??o coma for?a muscular respirat?ria se torna de grande necessidade para a institui??o de tratamento e acompanhamento adequado dessa musculatura. Objetivo: Avaliar a rela??o da for?a muscular respirat?ria com vari?veis da hist?ria reprodutiva e POP sintom?tico, em mulheres de meia idade e idosas residentes na comunidade. M?todos: Foram estudadas 208 mulheres entre 41-80 anos, nas cidades de Santa Cruz - RN. Os sujeitos foram recrutados por conveni?ncia e ap?s consentimento, a avalia??o foi realizada. Foram coletados dados sociodemogr?ficos, medidas antropom?tricas, h?bitos de vida, hist?ria reprodutiva, altera??es de assoalho p?lvico (todas essas vari?veis por question?rio estruturado para esta pesquisa), avalia??o do desempenho f?sico (atrav?s do IPAQ ? vers?o curta) e avalia??o da for?a muscular respirat?ria (manovacuometria), atrav?s das press?es inspirat?ria m?xima (PIm?x) e expirat?ria m?xima (PEm?x). Resultados: Mais de noventa porcento (90,4%) das mulheres com com sete ou mais filhos tiveram menos que escolaridade b?sica, enquanto 80,8% desse grupo recebiam menos que tr?s sal?rios m?nimos. Aproximadamente 44,1% da amostra tiveram tr?s gesta??es ou menos, 30,4% tiveram 4-6 gesta??es e 25,5% tiveram mais que sete gesta??es. As mulheres com sete gesta??es ou mais s?o mais velhas que as mulheres do grupo com tr?s filhos ou menos gesta??es. Quanto ? PIm?x, aquelas que tiveram sete ou mais gesta??es tinham mais de 12 cmH2O a menos quando comparadas a aquelas que tiveram sete gesta??es ou mais (?=-12,29; p=0,233). Considerando a PEm?x, aquelas que tiveram sete ou mais gesta??es tinham mais de 21 cmH2O a menos quando comparadas a aquelas que tiveram sete gesta??es ou mais (?= -21,69; p<0,001). Com rela??o ao POP, 14,7% das mulheres apresentaram prolapso de ?rg?o p?lvico (POP) sintom?tico. O POP sintom?tico n?o foi associado ? PIm?x. As vari?veis idade, escolaridade, IMC, tabagismo e paridade foram associadas ? PIm?x na an?lise univariada, mas apenas idade, IMC e tabagismo s?o determinantes de PIm?x no modelo multivariado. No modelo univariado, POP sintom?tico, idade, escolaridde, IMC e paridade foram associados ? PEm?x. As mulheres com POP sintom?tico apresentaram PEm?x mais baixa quando comparadas ?s mulheres sem esta condi??o (? = -14,78; p = 0,014). As mulheres com maior idade e maior n?mero de filhos (? 5 crian?as) obtiveram piores valores de PEm?x, e aquelas com maior IMC e mais anos de estudos (> 7 anos), valores mais elevados, na an?lise univariada. No modelo multivariado, apenas idade, IMC e POP sintom?tico s?o determinantes para a PEm?x. Conclus?o: Este estudo traz evid?ncias de que as m?ltiplas gesta??es e POP sintom?tico influenciam a for?a muscular respirat?ria, uma vez que mulheres com maior n?mero de gesta??es e com POP sintom?tico t?m valores mais baixos de press?es respirat?rias m?ximas. Ainda, outras vari?veis, como o IMC e o tabagismo possuem rela??o com a capacidade de gerar press?es respirat?rias. / Background: Female reproductive history and pelvic floor dysfunction have contributed to the physical changes that appear in aging, such as early changes in the functional capacity of women. Thus, investigating the female reproductive history and symptomatic pelvic organ prolapse (POP), and its relationship with respiratory muscle strength, becomes a great necessity for the institution of treatment and adequate monitoring of this musculature. Objective: To assess the relationship of respiratory muscle strength with variables of reproductive history and pelvic floor prolapse in middle-aged and elderly women living in the community. Methods: A total of 208 women aged 41-80 years were studied in the cities of Santa Cruz - RN. The subjects were recruited for convenience and after consentment, the evaluation was performed. Socio-demographic data, anthropometric measures, life habits, reproductive history, pelvic floor changes (all variables by structured questionnaire for this research), physical performance evaluation (through IPAQ - short version) and respiratory muscle strength (manovacuometry), through maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP). Results: More than ninety percent (90.4%) of the women with seven or more children had less than basic education, while 80.8% of this group received less than three minimum wages. Approximately 44.1% of the sample had three pregnancies or less, 30.4% had 4-6 pregnancies and 25.5% had more than seven pregnancies. Women with seven or more pregnancies are older than women in the group with three children or fewer pregnancies. As for MIP, those who had seven or more pregnancies had more than 12 cmH2O less when compared to those who had seven or more pregnancies (? = -12.29; p = 0.233). Considering MEP, those who had seven or more pregnancies had more than 21 cmH2O less when compared to those who had seven or more pregnancies (? = -21.69, p <0.001). Regarding POP, 14.7% of the women presented symptomatic POP, which was not associated with MIP. The variables age, schooling, BMI, smoking and parity were associated with MIP in the univariate analysis, but only age, BMI and smoking are determinants of MIP in the multivariate model. In the univariate model, symptomatic POP, age, schooling, BMI and parity were associated with MEP. Women with symptomatic POP presented lower MEP when compared to women without this condition (? = -14.78; p = 0.014). Women with greater age and greater number of children (? 5 children) had worse values of MEP, and those with higher BMI and more years of studies (> 7 years), higher values, in the univariate analysis. In the multivariate model, only age, BMI and symptomatic POP are determinants for MEP. Conclusion: This study provides evidence that multiple pregnancies and symptomatic POP influence the respiratory muscle strength, since women with more gestations and with symptomatic POP have lower values of maximum respiratory pressures. Still, other variables such as BMI and smoking are related to the capacity to generate respiratory pressures.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24676 |
| Date | 19 October 2017 |
| Creators | Azevedo, Ingrid Guerra |
| Contributors | 35887044420, Maciel, Alvaro Campos Cavalcanti, 93261438487, Lisboa, Lilian Lira, 02572120437, Fernandes, Ana Tereza do Nascimento Sales Figueiredo, 03830097409, Souza, Silvana Loana de Oliveira, 03634261404, C?mara, Saionara Maria Aires da, Viana, Elizabel de Souza Ramalho |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM FISIOTERAPIA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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