医学
尿失禁
更年期
体质指数
压力性尿失禁
体力活动
糖尿病
物理疗法
内科学
妇科
逻辑回归
全国健康与营养检查调查
泌尿科
人口
内分泌学
环境卫生
作者
Michelle M. Kim,Seyedeh‐Sanam Ladi‐Seyedian,David Ginsberg,Evgeniy Kreydin
出处
期刊:Urology
[Elsevier]
日期:2022-01-01
卷期号:159: 72-77
被引量:7
标识
DOI:10.1016/j.urology.2021.09.022
摘要
To evaluate the relationships between physical activity, both work and recreational, and urinary incontinence among women.We assessed women aged 20 years and older in 2008-2018 NHANES (National Health and Nutrition Examination Survey) cycles who answered self-reported urinary incontinence and physical activity questions. Weighted, multivariate logistic regression model was used to determine the association between incontinence and physical activity levels after adjusting for age, body mass index, diabetes, race, parity, menopause and smoking.A total of 30,213 women were included in analysis, of whom 23.15% had stress incontinence, 23.16% had urge incontinence, and 8.42% had mixed incontinence (answered "yes" to both stress and urge incontinence). Women who engaged in moderate recreational activity were less likely to report stress and urge incontinence (OR 0.79, 95% CI 0.62-0.99 and OR 0.66, 95% CI 0.48-0.90, respectively). Similarly, women who engaged in moderate activity work were less likely to report stress, urge and mixed incontinence (OR 0.84, 95% CI 0.70-0.99; OR 0.84, 95% CI 0.72-0.99; and OR 0.66 95% CI 0.45-0.97, respectively).Moderate physical activity and greater time spent participating in moderate physical activity are associated with a decreased likelihood of stress, urge and mixed incontinence in women. This relationship holds for both recreational and work-related activity. We hypothesize that the mechanism of this relationship is multifactorial, with moderate physical activity improving pelvic floor strength and modifying neurophysiological mediators (such as stress) involved in the pathogenesis of incontinence.
科研通智能强力驱动
Strongly Powered by AbleSci AI