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Previous issue date: 2016-01-26 / Introdu??o: As mulheres apresentam maior decl?nio f?sico e incapacidade durante o envelhecimento em rela??o aos homens. Com isso, diversas explica??es biol?gicas v?m sendo propostas para explicar a raz?o pela qual as mulheres apresentam piores resultados de sa?de. Dentre elas, sabe-se que a hist?ria reprodutiva e poss?veis altera??es gineco-obstetricias vem sendo associada a limita??es na fun??o f?sica. Entretanto, sabe-se pouco sobre a rela??o entre a incontin?ncia urin?ria, o prolapso de ?rg?os p?lvicos e o desempenho f?sico. Objetivo: Verificar a rela??o entre incontin?ncia urin?ria, prolapso de ?rg?os p?lvicos e desempenho f?sico em mulheres de meia-idade.Metodologia: Trata-se de um estudo observacional anal?tico, de car?ter transversal, realizado com mulheres (40 a 65 anos), residentes em Parnamirim/RN. Todas as participantes foram avaliadas atrav?s de um question?rio estruturado, sendo coletados dados socioecon?micos, demogr?ficos, altera??es ginecol?gicas e desempenho f?sico. Na an?lise estat?stica, a normalidade dos dados foi verificada utilizando o teste Kolmogorov-Smirnov. Para avaliar a rela??o entre as vari?veis independentes e as de desempenho f?sico foram utilizados o test t e a ANOVA. An?lises de regress?o linear foram realizadas para observar a rela??o entre incontin?ncia urin?ria, prolapso de ?rg?os p?lvicos e o desempenho, ajustadas pelas covari?veis. Resultados: Foram avaliadas 361 mulheres, com m?dia de idade 53,0 (?5,6) anos. As mulheres que apresentavam incontin?ncia urin?ria mostraram pior desempenho no teste de sentar e levantar (p=0,04) e aquelas com prolapso de ?rg?os p?lvicos, pior equil?brio de olhos abertos (p=0,04). Ap?s as an?lises de regress?o linear m?ltipla, as altera??es ginecol?gicas permaneceram relacionadas ao teste sentar e levantar (incontin?ncia urin?ria: ? = 0,923; IC: 0,016 : 1,830) e ao equil?brio de olhos abertos (prolapso p?lvico: ? = -2,467; IC: -4,706 : -0,228). Conclus?o: As mulheres com incontin?ncia urin?ria apresentaram pior desempenho f?sico no teste de sentar e levantar da cadeira e aquelas com prolapso de ?rg?os p?lvicos apresentaram pior desempenho f?sico no teste de equil?brio com olhos abertos. / Introduction: Women have presented higher charge of physical decline and disability during aging compared to men. Consequently, several biological explanations have been proposed to explain the reason why women have worse health outcomes. Among them, has knowledge that the reproductive history and possible urogynecological changes has been associated with limitations in physical function. However, little is known about the relationship between urinary incontinence, pelvic organ prolapse and physical performance. Objective: To verify the relationship between urinary incontinence, pelvic organ prolapse and physical performance in middle-aged women. Methodology: A cross-sectional study, accomplished with women (40-65 years), living in Parnamirim-RN, between September of 2014 and July of 2015, with a sample of 361 women. All participants were assessed using a structured questionnaire, being collected socioeconomic and demographic data, urogynecological changes and physical performance. In the statistical analysis, the normality of the data was verified using the Kolmogorov-Smirnov test. To evaluate the relationship between independent variables and physical performance variables were used test t and ANOVA. Linear regression analysis was performed to observe the relationship between urinary incontinence, pelvic organ prolapse and physical performance, adjusted for covariates. Results: A total of 361 women were assessed with mean of age 52.0 (? 5.6) years. Women who had urinary incontinence showed worse performance in the chair stand test (p = 0.04) and those with pelvic organ prolapse, worse balance with open eyes (p = 0.04). After multiple linear regression analysis, urogynecological changes related to the test remained related chair stand test (urinary incontinence: ? = 0.923; CI: 0.016 : 1.830) and balance with open eyes (pelvic prolapse: ? = -2.467; CI: -4.706 : -0.228). Conclusion: Women who had urinary incontinence showed worse performance in the chair stand test and those with pelvic organ prolapse, worse balance with open eyes.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22133 |
| Date | 26 January 2016 |
| Creators | Vieira, Mariana Carmem Apolin?rio |
| Contributors | 93261438487, http://lattes.cnpq.br/9441132413428495, Viana, Elizabel de Souza Ramalho, 35887044420, http://lattes.cnpq.br/2081849934383112, Carvalho, Val?ria Concei??o Passos de, 46699058487, http://lattes.cnpq.br/8248684725556796, Maciel, ?lvaro Campos Cavalcanti |
| 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/masterThesis |
| 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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