Pelvic floor muscular force degree in obese and nonobese incontinent women

Authors

  • Joseane da Costa Silva
  • Maísa Câmara Prado
  • Juliana de Faria Fracon e Romão
  • Cláudia Elaine Cestári UCB - Universidade Católica de Brasília

DOI:

https://doi.org/10.15448/1983-652X.2011.2.9009

Keywords:

obesity, urinary incontinence, pelvic floor

Abstract

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.

Author Biography

Cláudia Elaine Cestári, UCB - Universidade Católica de Brasília

Graduada em Fisioterapia pelo UNISALESIANOS - Centro Universitario Catolico "AUXILIUM" de Lins -SP; Fisioterapeuta Doutora pelo Programa de Pós Graduação em Educação Física da Universidade Católica de Brasília (2009), Mestre pelo Programa de Pos Graduacao em Ciencias Medicas da Universidade de Brasília (2004). Exerce atividade profissional como Docente - RTI (Regime de Tempo Integral) - do Curso de Fisioterapia da Universidade Catolica de Brasilia. Possui Especialização em Clinica Fisioterapeutica pela Universidade de Cuiaba (UNIC) e em Fisioterapia Neurofuncional pela Universidade de Brasilia (UnB). Experiencia Profissional na area de Fisioterapia Urogineco-Obstetrica e Mastologia.

Published

2011-12-05

Issue

Section

Original Articles