Pelvic floor muscular force degree in obese and nonobese incontinent women
DOI:
https://doi.org/10.15448/1983-652X.2011.2.9009Keywords:
obesity, urinary incontinence, pelvic floorAbstract
Objective: To evaluate the strength and endurance of pelvic floor muscles in obese and nonobese patients and to correlate it with the signs of urine involuntary loss. Materials and Methods: We have evaluated a total of 44 women complaining of urinary incontinence, mean age of 64.34 (36-78). The patients were divided into two groups, Group 1 - (Obese): n=19, composed of patients with Body Mass Index (BMI) greater than 30; and Group 2 (nonobese): n=25, patients with BMI less than 30 and submitted to the Pelvic Floor Functional Assessment (AFA) through palpation and bidigital perineometer evaluation. Results: It was possible to observe, in the evaluation of pelvic floor muscles, significant differences in obese patients (p=0.0001), confirming a lower level of muscle response in this group. Negative correlations between BMI x AFA (r=-0.29, p=0.05) and between BMI x Diagnostic (r=-0.10, p=0.51) were also demonstrated. Conclusion: The AFA evaluation showed a decreased value in the group of obese patients and as the BMI increases, the nighttime urinary frequency also increases.Downloads
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