Avaliação cardiorrespiratória no repouso e no exercício em mulheres com incontinência urinária
Autor(a) principal: | |
---|---|
Data de Publicação: | 2016 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFSCAR |
Texto Completo: | https://repositorio.ufscar.br/handle/ufscar/10255 |
Resumo: | INTRODUCTION: Urination is mainly controlled by the sympathetic nervous system (SNS), responsible for continence mechanism, and parasympathetic (PNS). The evaluation of cardiac autonomic modulation (CAM) by heart rate variability (HRV) may be inferred autonomic imbalance related to urination. OBJECTIVE: to compare the CAM in response to postural changes in women with and without urinary incontinence (UI). METHODS: participants were placed into two groups: with UI (UIG) (n=30; 53±9 years) and control group (CG) (n=22, 53±12 years). There were no included women with cardiovascular disease, with urogynecological surgeries, smokers, diabetics, alcoholics, drug users affecting the responses of variables. It was carried out: anamnesis (including questionnaire that quantifies the degree of urinary loss), functional evaluation of the pelvic floor, evaluation of HRV during postural change, provided with a full bladder (FB) and an empty bladder (EB). HRV was analyzed by linear and nonlinear techniques. Was performed student t test for comparison between groups was applied to two-way ANOVA for comparison between the situations (FB and EB) and positions (supine and standing), and Pearson correlation. RESULTS: there was no significant difference between groups for demographic, anthropometric and functional evaluation of the pelvic floor data. Supine and EB, the UIG showed lower sympathetic modulation and overall HRV compared to CG (%0V:12±8 and 17±8, and SD2:33±13 and 44±17, respectively UIG and CG). There was a significant correlation between the degree of UI with the representative indices of SNS and PNS in this condition (%0V: r=-0.38; p=0.037% and 2UV:r=0.32; p=0.048). Comparing the situations during the supine, both groups had lower overall HRV (SD1:FB=15±5, EB=16±5; FB=15±5, EB=17±5, respectively UIG and CG) and UIG greater imbalance autonomic (%1V:FB=49±7, EB=46±5), with FB. CONCLUSION: UIG presented change in the CAM in relation to CG; and the representative indices of SNS and PNS correlated with the severity of UI, suggesting greater autonomic impairment. |
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Jürgensen, Soraia PilonDriusso, Patriciahttp://lattes.cnpq.br/8898319491890063Silva, Audrey Borghihttp://lattes.cnpq.br/4855616925791895http://lattes.cnpq.br/7009295438910018982e1d90-8023-436e-8762-6854a26989e22018-07-03T22:36:22Z2018-07-03T22:36:22Z2016-05-04JÜRGENSEN, Soraia Pilon. Avaliação cardiorrespiratória no repouso e no exercício em mulheres com incontinência urinária. 2016. Tese (Doutorado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2016. Disponível em: https://repositorio.ufscar.br/handle/ufscar/10255.https://repositorio.ufscar.br/handle/ufscar/10255INTRODUCTION: Urination is mainly controlled by the sympathetic nervous system (SNS), responsible for continence mechanism, and parasympathetic (PNS). The evaluation of cardiac autonomic modulation (CAM) by heart rate variability (HRV) may be inferred autonomic imbalance related to urination. OBJECTIVE: to compare the CAM in response to postural changes in women with and without urinary incontinence (UI). METHODS: participants were placed into two groups: with UI (UIG) (n=30; 53±9 years) and control group (CG) (n=22, 53±12 years). There were no included women with cardiovascular disease, with urogynecological surgeries, smokers, diabetics, alcoholics, drug users affecting the responses of variables. It was carried out: anamnesis (including questionnaire that quantifies the degree of urinary loss), functional evaluation of the pelvic floor, evaluation of HRV during postural change, provided with a full bladder (FB) and an empty bladder (EB). HRV was analyzed by linear and nonlinear techniques. Was performed student t test for comparison between groups was applied to two-way ANOVA for comparison between the situations (FB and EB) and positions (supine and standing), and Pearson correlation. RESULTS: there was no significant difference between groups for demographic, anthropometric and functional evaluation of the pelvic floor data. Supine and EB, the UIG showed lower sympathetic modulation and overall HRV compared to CG (%0V:12±8 and 17±8, and SD2:33±13 and 44±17, respectively UIG and CG). There was a significant correlation between the degree of UI with the representative indices of SNS and PNS in this condition (%0V: r=-0.38; p=0.037% and 2UV:r=0.32; p=0.048). Comparing the situations during the supine, both groups had lower overall HRV (SD1:FB=15±5, EB=16±5; FB=15±5, EB=17±5, respectively UIG and CG) and UIG greater imbalance autonomic (%1V:FB=49±7, EB=46±5), with FB. CONCLUSION: UIG presented change in the CAM in relation to CG; and the representative indices of SNS and PNS correlated with the severity of UI, suggesting greater autonomic impairment.INTRODUÇÃO: a micção é controlada principalmente pelo sistema nervoso autônomo simpático (SNS), responsável pelo mecanismo de continência, e parassimpático (SNP). A avaliação da modulação autonômica cardíaca (MAC), por meio da variabilidade da frequência cardíaca (VFC) pode inferir o desbalanço autonômico relacionado à micção. OBJETIVO: comparar a MAC em resposta à mudança postural em mulheres com e sem incontinência urinária (IU). METODOLOGIA: as participantes foram alocadas em dois grupos: com IU (GIU) (n=30; 53±9 anos), e grupo controle (GC) (n=22; 53±12 anos). Não foram incluídas mulheres com alteração cardiovascular, com cirurgias uroginecológicas, fumantes, diabéticas, etilistas, usuárias de medicamentos que afetem as repostas das variáveis estudadas. Foi realizado: anamnese (incluindo o questionário que quantifica o grau da perda urinária), avaliação funcional do assoalho pélvico, avaliação da VFC durante a mudança postural, na condição com a bexiga cheia (BC) e com a bexiga vazia (BV). A VFC foi analisada por técnicas lineares e não lineares. Foi aplicado o teste t de Student para a comparação entre os grupos, a Anova two-way para a comparação entre as situações (BC e BV) e as posições (supino e ortostatismo), e correlação de Pearson. RESULTADOS: não houve diferença significativa entre os grupos para os dados demográficos, antropométricos e da avaliação funcional do assoalho pélvico. Em supino e BV, o GIU apresentou menor modulação simpática e menor VFC global quando comparado com o GC (%0V: 12±8 e 17±8; e SD2: 33±13 e 44±17, respectivamente GIU e GC). Houve correlação significativa entre o grau da IU com os índices representativos do SNS e SNP nesta condição (%0V: r=-0,38; p=0,037 e %2VD: r=0,32; p=0,048). Comparando as situações, durante o supino, ambos os grupos tiveram menor VFC global (SD1: BC=15±5, BV=16±5; BC=15±5, BV=17±5, respectivamente GIU e GC) e o GIU maior desbalanço autonômico (%1V: BC=49±7, BV=46±5), com a BC. CONCLUSÃO: GIU apresentou alteração na MAC em relação ao GC; e os índices representativos do SNS e do SNP correlacionaram-se com a severidade da IU, sugerindo maior comprometimento autonômicoFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)FAPESP: 2012/04363-8FAPESP: 2011/20046-0porUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Fisioterapia - PPGFtUFSCarVariabilidade da frequência cardíacaSistema nervoso simpáticoSistema nervoso parassimpáticoAnálise simbólicaControle miccionalHeart rate variabilitySympathetic nervous systemParasympathetic nervous systemSymbolic analysisBladder controlCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALAvaliação cardiorrespiratória no repouso e no exercício em mulheres com incontinência urináriainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisOnline600600315f7999-bd83-4042-976d-798fcc179685info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARLICENSElicense.txtlicense.txttext/plain; charset=utf-81957https://repositorio.ufscar.br/bitstream/ufscar/10255/2/license.txtae0398b6f8b235e40ad82cba6c50031dMD52ORIGINALTeseSPJ.pdfTeseSPJ.pdfapplication/pdf1494733https://repositorio.ufscar.br/bitstream/ufscar/10255/3/TeseSPJ.pdf360535e7571604d47a772fd94b090fb5MD53TEXTTeseSPJ.pdf.txtTeseSPJ.pdf.txtExtracted texttext/plain160060https://repositorio.ufscar.br/bitstream/ufscar/10255/4/TeseSPJ.pdf.txt6bbd9efd800b06cba935092e6dc57e68MD54THUMBNAILTeseSPJ.pdf.jpgTeseSPJ.pdf.jpgIM Thumbnailimage/jpeg6404https://repositorio.ufscar.br/bitstream/ufscar/10255/5/TeseSPJ.pdf.jpg3d4df7fb1c1d082d8a8532c60dec6c44MD55ufscar/102552023-09-18 18:31:15.78oai:repositorio.ufscar.br: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Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:31:15Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false |
dc.title.por.fl_str_mv |
Avaliação cardiorrespiratória no repouso e no exercício em mulheres com incontinência urinária |
title |
Avaliação cardiorrespiratória no repouso e no exercício em mulheres com incontinência urinária |
spellingShingle |
Avaliação cardiorrespiratória no repouso e no exercício em mulheres com incontinência urinária Jürgensen, Soraia Pilon Variabilidade da frequência cardíaca Sistema nervoso simpático Sistema nervoso parassimpático Análise simbólica Controle miccional Heart rate variability Sympathetic nervous system Parasympathetic nervous system Symbolic analysis Bladder control CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
title_short |
Avaliação cardiorrespiratória no repouso e no exercício em mulheres com incontinência urinária |
title_full |
Avaliação cardiorrespiratória no repouso e no exercício em mulheres com incontinência urinária |
title_fullStr |
Avaliação cardiorrespiratória no repouso e no exercício em mulheres com incontinência urinária |
title_full_unstemmed |
Avaliação cardiorrespiratória no repouso e no exercício em mulheres com incontinência urinária |
title_sort |
Avaliação cardiorrespiratória no repouso e no exercício em mulheres com incontinência urinária |
author |
Jürgensen, Soraia Pilon |
author_facet |
Jürgensen, Soraia Pilon |
author_role |
author |
dc.contributor.authorlattes.por.fl_str_mv |
http://lattes.cnpq.br/7009295438910018 |
dc.contributor.author.fl_str_mv |
Jürgensen, Soraia Pilon |
dc.contributor.advisor1.fl_str_mv |
Driusso, Patricia |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8898319491890063 |
dc.contributor.advisor-co1.fl_str_mv |
Silva, Audrey Borghi |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/4855616925791895 |
dc.contributor.authorID.fl_str_mv |
982e1d90-8023-436e-8762-6854a26989e2 |
contributor_str_mv |
Driusso, Patricia Silva, Audrey Borghi |
dc.subject.por.fl_str_mv |
Variabilidade da frequência cardíaca Sistema nervoso simpático Sistema nervoso parassimpático Análise simbólica Controle miccional |
topic |
Variabilidade da frequência cardíaca Sistema nervoso simpático Sistema nervoso parassimpático Análise simbólica Controle miccional Heart rate variability Sympathetic nervous system Parasympathetic nervous system Symbolic analysis Bladder control CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
dc.subject.eng.fl_str_mv |
Heart rate variability Sympathetic nervous system Parasympathetic nervous system Symbolic analysis Bladder control |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
description |
INTRODUCTION: Urination is mainly controlled by the sympathetic nervous system (SNS), responsible for continence mechanism, and parasympathetic (PNS). The evaluation of cardiac autonomic modulation (CAM) by heart rate variability (HRV) may be inferred autonomic imbalance related to urination. OBJECTIVE: to compare the CAM in response to postural changes in women with and without urinary incontinence (UI). METHODS: participants were placed into two groups: with UI (UIG) (n=30; 53±9 years) and control group (CG) (n=22, 53±12 years). There were no included women with cardiovascular disease, with urogynecological surgeries, smokers, diabetics, alcoholics, drug users affecting the responses of variables. It was carried out: anamnesis (including questionnaire that quantifies the degree of urinary loss), functional evaluation of the pelvic floor, evaluation of HRV during postural change, provided with a full bladder (FB) and an empty bladder (EB). HRV was analyzed by linear and nonlinear techniques. Was performed student t test for comparison between groups was applied to two-way ANOVA for comparison between the situations (FB and EB) and positions (supine and standing), and Pearson correlation. RESULTS: there was no significant difference between groups for demographic, anthropometric and functional evaluation of the pelvic floor data. Supine and EB, the UIG showed lower sympathetic modulation and overall HRV compared to CG (%0V:12±8 and 17±8, and SD2:33±13 and 44±17, respectively UIG and CG). There was a significant correlation between the degree of UI with the representative indices of SNS and PNS in this condition (%0V: r=-0.38; p=0.037% and 2UV:r=0.32; p=0.048). Comparing the situations during the supine, both groups had lower overall HRV (SD1:FB=15±5, EB=16±5; FB=15±5, EB=17±5, respectively UIG and CG) and UIG greater imbalance autonomic (%1V:FB=49±7, EB=46±5), with FB. CONCLUSION: UIG presented change in the CAM in relation to CG; and the representative indices of SNS and PNS correlated with the severity of UI, suggesting greater autonomic impairment. |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016-05-04 |
dc.date.accessioned.fl_str_mv |
2018-07-03T22:36:22Z |
dc.date.available.fl_str_mv |
2018-07-03T22:36:22Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/doctoralThesis |
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dc.identifier.citation.fl_str_mv |
JÜRGENSEN, Soraia Pilon. Avaliação cardiorrespiratória no repouso e no exercício em mulheres com incontinência urinária. 2016. Tese (Doutorado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2016. Disponível em: https://repositorio.ufscar.br/handle/ufscar/10255. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufscar.br/handle/ufscar/10255 |
identifier_str_mv |
JÜRGENSEN, Soraia Pilon. Avaliação cardiorrespiratória no repouso e no exercício em mulheres com incontinência urinária. 2016. Tese (Doutorado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2016. Disponível em: https://repositorio.ufscar.br/handle/ufscar/10255. |
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Universidade Federal de São Carlos Câmpus São Carlos |
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Programa de Pós-Graduação em Fisioterapia - PPGFt |
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UFSCar |
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Universidade Federal de São Carlos Câmpus São Carlos |
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