Prevalence and impact on generic quality of life of urinary incontinence in Japanese working women: Assessment by ICI questionnaire and SF-36 Health Survey

Modelo do estudo: Observacional, transversal, analítico. Objetivos do estudo: Caracterizar e correlacionar o perfil sociodemográfico, hábitos de vida, características ginecológicas, obstétricas, miccionais e a qualidade de vida em mulheres entre 19 a 59 anos com e sem incontinência urinária no município de Uberaba/MG. Metodologia: Foram utilizados um questionário previamente elaborado pelas pesquisadoras e o SF-36, seguido pela realização da avaliação antropométrica. Resultados: Foram avaliadas 194 mulheres, com prevalência de incontinência urinária em 17,53%. Obesidade, tabagismo, maior número de gestações, abortos e uso de medicamentos para transtornos mentais foram fatores de risco significativos para a Ocorrência desta. A Qualidade de Vida foi significativamente comprometida pela incontinência urinária, com exceção dos domínios da dor e vitalidade. Conclusão: Aponta-se a importância de se abordar rotineiramente essa queixa e continuar buscando conhecer os fatores de risco associados, o que pode contribuir para auxiliar os profissionais de saúde na identificação e implantação de estratégias preventivas o mais precocemente possível, visando diminuir sua prevalência nas mulheres.

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Urinary incontinence and quality of life: a systematic review and meta-analysis

Aging Clinical and Experimental Research ◽

10.1007/s40520-020-01712-y ◽

2020 ◽

Author(s):

Damiano Pizzol ◽

Jacopo Demurtas ◽

Stefano Celotto ◽

Stefania Maggi ◽

Lee Smith ◽

...

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Urinary Incontinence ◽

Short Form ◽

Meta Analysis ◽

Case Control ◽

Case Control Studies ◽

Cross Sectional ◽

Sf 36

Abstract Background Urinary incontinence (UI) and low quality of life (QoL) are two common conditions. Some recent literature proposed that these two entities can be associated. However, no attempt was made to collate this literature. Therefore, the aim of this study was to conduct a systematic review and meta-analysis of existing data to estimate the strength of the association between UI and QoL. Methods An electronic search of major databases up to 18th April 2020 was carried out. Meta-analysis of cross-sectional and case–control studies comparing mean values in QoL between patients with UI and controls was performed, reporting random-effects standardized mean differences (SMDs) ± 95% confidence intervals (CIs) as the effect size. Heterogeneity was assessed with the I2. Results Out of 8279 articles initially screened, 23 were finally included for a total of 24,983 participants, mainly women. The mean age was ≥ 50 years in 12/23 studies. UI was significantly associated with poor QoL as assessed by the short-form 36 (SF-36) total score (n = 6 studies; UI: 473 vs. 2971 controls; SMD = − 0.89; 95% CI − 1.3 to − 0.42; I2 = 93.5) and by the sub-scales of SF-36 and 5/8 of the domains included in the SF-36. Similar results were found using other QoL tools. The risk of bias of the studies included was generally high. Conclusions UI is associated with a poor QoL, with a strong level of certainty. This work, however, mainly based on cross-sectional and case–control studies, highlights the necessity of future longitudinal studies for better understanding the importance of UI on QoL.

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