QUALIDADE DE VIDA E FATORES ASSOCIADOS COM A INCONTINÊNCIA URINÁRIA FEMININA

• Autor(a) principal: Guedes, Priscilla Fonseca
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional Universidade Franciscana
• Texto Completo: http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/661
• topic: Obesidade, paridade, hábitos alimentares, ácido ascórbico.; Obesity, parity, eating habits, ascorbic acid.; Ciências da Saúde e da Vida

Introduction: Unintentional loss of urine is characterized as urinary incontinence and is highly prevalent among women. The objective was to investigate the quality of life of women with urinary incontinence and the associated factors. Methods: Data collection was performed from April to November 2017 in two Basic Health Units from Santa Maria-RS. The sample consisted of women with and without symptomatology or diagnosis of urinary incontinence, aged between 40 and 65 years. Sociodemographic, anthropometric and biochemical data such as glycemia, lipid profile, vitamin C and urine pH were investigated. The quality of life of the participants was analyzed by the SF-36 questionnaire, and also the consumption of citrus fruits, chocolate, soft drinks, water, coffee and mate. Three articles were written, two reviewing the topics: overweight and its relationship with quality of life in women with urinary incontinence; and ratio of consumption of bladder irritant liquids and foods in incontinent women; and also a cross-sectional prospective article addressing factors associated with worsening of symptoms and quality of life in women with urinary incontinence. For the review articles, bibliographic surveys were carried out in the databases. Descriptive analyses were carried out for the transversal article; Shapiro-Wilk test; t test for independent data and Mann-Whitney depending on the result of normality; chi-square test and Fisher's exact test. Results: Based on the reviews, overweight is directly related to the occurrence of urinary incontinence, and acidic foods rich in vitamin C and caffeine-based products may influence the worsening of symptoms only when the daily consumption is very large. It was observed in the cross-sectional study that there is no association of schooling, skin color, marital status, individual or family income with incontinence. There was a significant association of multiparity (p = 0.006) and vaginal delivery (p = 0.029). Although not significant, the quality of life mean score of incontinent participants was lower (50.8 ± 21) when compared to women without incontinence (61.7 ± 22.1), and only the mental health domain of SF-36 was significantly associated with urinary incontinence (p = 0.036). We analyzed the impact of incontinence symptoms and classified them as mild and severe, and found that caffeine and vitamin C did not worsen symptoms in incontinent women, according to the analysis of serum vitamin C and urine pH. We found no association with urinary incontinence regarding the analysis of the lipid profile and glycemia, however, total cholesterol and glycemia levels were above desired levels in incontinent women. Conclusion: It was observed that risk factors such as parity, vaginal delivery and obesity are strongly related to urinary incontinence. Obesity worsens the symptoms of incontinence, and both are problems that have been affecting the quality of life of this population considerably. Therefore, having good eating habits, doing regular physical activities, maintaining a healthy weight, avoids chronic diseases and promotes a better quality of life.