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To assess the effectiveness of exercise interventions during pregnancy in managing gestational weight gain (GWG), excessive GWG, gestational diabetes (GD), hypertensive disorders, 2-h post–oral glucose tolerance test (OGTT), and birth weight in pregnant women with overweight/obesity (OW/OB). The search strategy was conducted in five electronic databases, restricting to articles published within the past 10 years. Randomized controlled trials comparing exercise intervention with usual prenatal care in pregnant women with OW/OB were considered. Two reviewers extracted data and assessed the risk of bias using version 2 of the Cochrane risk-of-bias tool for randomized trials and the quality of studies using Grading of Recommendations Assessment, Development and Evaluation classification. Continuous data were calculated as mean differences (MDs) and dichotomous data as risk ratios (RRs). Seven trials comprising 1648 pregnant women were included. Exercise interventions were associated with lower GWG (MD, −1.19 kg [95% confidence interval, CI, −1.79 to −0.60]) and lower incidence of GD (RR, 0.56 [95% CI, 0.40–0.78]). When analyzing excessive GWG, 2-h post-OGTT, birth weight, and hypertensive disorders, there was no statistically significant difference between the exercise and usual care groups. The strength of evidence was considered moderate. Exercise interventions during pregnancy in women with OW/OB were shown to influence GWG and the incidence of GD.

Ankylosing spondylitis (AS) is a chronic inflammatory rheumatic disease characterised by inflammation of the spine and the sacroiliac joints and stiffness, which leads to a progressive decline in the quality of life of individuals. Bath indices are considered the principal functional outcome measure and Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP) are the most widely used biomarkers in AS to assess disease activity. To characterise individuals with AS and to examine the association between functional parameters and biomarkers. Thirty-one patients were recruited from the National Association of Ankylosing Spondylitis (ANEA) – Centre of northern region of Portugal, between February 2014 and June 2015, to be included in the present study. The Bath indices [Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI) and Bath Ankylosing Spondylitis Metrology Index (BASMI)], the Neck Disability Index (NDI), the Oswestry Disability Index (ODI) and laboratory parameters such as ESR and CRP were analysed. The participants’ mean age was 42.77 (±14.37) years, with 18 (58.1%) women and 13 (41.9%) men. The mean scores were 3.55 (BASDAI), 2.78 (BASFI) and 2.58 (BASMI). The final mean scores were 25.81± 18.36 (NDI) and 23.29±15.32 (ODI). We found a negative association between ESR and BASDAI (β=-0.038, p=0.025), and between ESR and BASFI (β=-0.044, p=0.013). As to CRP, there was no statistically significant association between Bath indices. This cross-sectional study in AS patients demonstrated that, on the one hand, this sample had a high education level, having been diagnosed with AS for more than 15 years, with a moderate disability and, on the other hand, with the adjustment of education level and years since diagnosis, there was an association between ESR and BASDAI and BASFI scores.

A lack of physical activity in computer workers (CW) can contribute to the development of musculoskeletal symptoms (MSS). Aim: (i) Evaluate MSS over a 12 month and 7 days period, (ii) determine physical activity (PA) levels and compliance with World Health Organization (WHO) PA recommendations, and (iii) assess the relationship between compliance with WHO PA recommendations and MSS. A cross-sectional observational study comprising 119 computer workers. The Nordic Musculoskeletal Questionnaire (NMQ) was used to evaluate the MSS and the International Physical Activity Questionnaire (IPAQ) was used to analyse the perception of the level of PA. MSS occurred in the lumbar region (56.3%), neck (43.7%), and shoulders (39.5%). 44.7% of the participants reported a low level of PA. The percentage of compliance was similar among women and men (62.2% vs. 58.5%, respectively). Negative correlations were found between pain intensity and metabolic equivalent values. The participants who followed the WHO PA recommendations reported a lower frequency of MSS compared to those who did not, but the differences were not statistically significant. It was possible to conclude that computer workers presented a higher frequency of MSS in the lower back, neck, and shoulders. Regarding the level of PA, participants were mostly classified as low. Participants who followed the WHO PA recommendations reported lower MSS than those who did not. This finding could be important in obtaining successful programs that promote health-oriented physical activity in this group of workers.

O conceito de qualidade de vida surge nos anos 60, com o Presidente Eisenhower, no relatório da “Commission on National Goals”, neste relatório a Qualidade de Vida é definida como um construto multidimensional e abrangente, incluindo as variações sociais e todos os seus fatores envolventes, tais como: a educação; interesses individuais; desenvolvimento económico; saúde e bem- -estar; defesa e liberdade. No domínio da saúde, este conceito começa por aplicado nos anos 70 com preocupação não só relacionada com os indivíduos doentes e com os cuidados que lhe são prestados, mas também é uma preocupação na forma como são utilizados e rentabilizados os recursos, no sentido de proporcionar a melhor Qualidade de Vida possível aos doentes.

Nos últimos anos, diversos novos desafios relacionados com a saúde têm afetado a vida das pessoas. O Comitê de Literacia em Saúde (Institute of Medicine Committee on Health Literacy, 2004) refere que os resultados de uma pesquisa nacional realizada nos Estados Unidos mostram que há uma enorme falta de habilidades de conhecimento em saúde necessárias para responder às solicitações da sociedade do século XXI e que essa escassez tem causado um impacto negativo significativo no setor tendo como principais consequências o desenvolvimento de doenças crônicas, altas taxas de mortalidade e baixa qualidade de vida. Portanto, a literacia em saúde (LS) mostra-se uma ferramenta importante para a saúde da sociedade. O termo “literacia em saúde” (LS) é definido como o processo que ocorre quando uma sociedade fornece informações precisas de saúde e serviços que as pessoas podem facilmente encontrar, entender e usar para tomar suas decisões e ações trazendo benefícios para a saúde individual, pública e também para a sustentabilidade dos sistemas de saúde (Department of health and human services, 2019). [...]

Nos últimos anos, diversos novos desafios relacionados com a saúde têm afetado a vida das pessoas. O Comitê de Literacia em Saúde (Institute of Medicine Committee on Health Literacy, 2004) refere que os resultados de uma pesquisa nacional realizada nos Estados Unidos mostram que há uma enorme falta de habilidades de conhecimento em saúde necessárias para responder às solicitações da sociedade do século XXI e que essa escassez tem causado um impacto negativo significativo no setor tendo como principais consequências o desenvolvimento de doenças crônicas, altas taxas de mortalidade e baixa qualidade de vida. Portanto, a literacia em saúde (LS) mostra-se uma ferramenta importante para a saúde da sociedade. O termo “literacia em saúde” (LS) é definido como o processo que ocorre quando uma sociedade fornece informações precisas de saúde e serviços que as pessoas podem facilmente encontrar, entender e usar para tomar suas decisões e ações trazendo benefícios para a saúde individual, pública e também para a sustentabilidade dos sistemas de saúde (Department of health and human services, 2019).[...]

Nas últimas duas décadas, houve um aumento exponencial da atenção pelo tema “saúde”, já que as pessoas perceberam que quanto maior a quantidade e qualidade de informações se obtêm sobre isto, melhores são os resultados para a saúde pessoal e coletiva (Liu et al., 2020). O termo “literacia em saúde” (LS) é definido como o processo que ocorre quando uma sociedade fornece informações precisas de saúde e serviços que as pessoas podem facilmente encontrar, entender e usar para tomar suas decisões e ações trazendo benefícios para a saúde individual, pública e também para a sustentabilidade dos sistemas de saúde (Department of health and human services, 2019). O Comitê de Literacia em Saúde refere que os resultados de uma pesquisa nacional realizada nos Estados Unidos mostram que há uma enorme falta de habilidades de conhecimento em saúde necessárias para responder às solicitações da sociedade do século XXI e que essa escassez tem causado um impacto negativo significativo no setor da saúde, tendência também vista em outros países como Portugal, mostrando a importância da melhora da LS da população ser uma meta global, daí a importância de materiais como este (Institute of Medicine Committee on Health Literacy, 2004). [...]

A atitude perante a atividade física (AF) durante a gravidez mudou radicalmente nos últimos trinta anos (Charlesworth, 2011). Os nossos antepassados tratavam a mulher grávida como se estivesse doente, sendo aconselhada a descansar e a evitar exercícios (Duncombe et al., 2009). A evidência científica suporta cada vez mais a importância da AF para a saúde individual (Duncombe et al., 2009) e comunitária (Beaglehole et al., 2011). Da pesquisa efetuada, não foram encontrados estudos que mostrassem efeitos negativos da AF de moderada intensidade durante o período gravídico (Da Costa, 2003). Atualmente, existem recomendações para a prática da AF durante a gravidez, pelos benefícios demonstrados, tanto para a mulher como para o bebé (Physical activity guidelines for Americans, 2008). O American College of Obstetricians and Gynecologists (ACOG) em 2002, emanou orientações para que as mulheres grávidas, sem complicações obstétricas, adotem as mesmas recomendações de exercício físico que as das mulheres não grávidas. Da mesma forma, o Centers for Disease Control and Prevention (CDC) e o United States Department of Health and Human Services (USDHHS), 2009 também recomendam a AF durante a gravidez. [...]

A unidade curricular (UC) de Fisioterapia na Comunidade (ESS|P.Porto) tem como objetivo o desenvolvimento de competências necessárias à intervenção em promoção da saúde. Esta unidade curricular envolve uma forte articulação com a comunidade e a aprendizagem em contexto real, potenciando a transferência das competências adquiridas. O modelo pedagógico Problem-Based Learning favorece uma forte articulação entre as diferentes áreas técnico-científicas e confere ao estudante um papel central na aprendizagem. Neste trabalho efetuamos uma reflexão sobre a unidade curricular, após 9 anos de implementação, centrando-nos na metodologia, nos resultados obtidos e na perceção dos estudantes e dos docentes., Sensos-e, v. 6 n. 3 (2019): Fórum Interno P.PORTO

Objetivo – Determinar e analisar o perfil comportamental dos estudantes do primeiro ciclo do ensino básico sobre o uso da mochila escolar. Método – Estudo observacional, analítico e transversal. A amostra foi constituída por 88 estudantes do 1º ciclo do ensino básico no concelho de Vila Nova de Famalicão (Portugal). Foi aplicado um questionário para avaliar o comportamento dos estudantes relativamente ao tipo, modo de transporte, organização do material escolar e peso da mochila. Resultados – Todas as mochilas apresentavam duas alças e eram reguláveis. A maioria dos estudantes de todos os anos letivos transportava a mochila de alças nos dois ombros. No geral, os estudantes do 1º ciclo distribuíam o material de forma desorganizada pelos compartimentos da mochila e colocavam o material mais pesado afastado da coluna vertebral, não se verificando diferenças significativas. O índice de proporção mostrou que os estudantes transportavam as mochilas com peso inferior a 10% do peso corporal, exceto os estudantes do 1º ano de escolaridade (p, Saúde & Tecnologia, N.º 19 (2018): Maio 2018

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Background: Engaging in physical activity (PA) and reducing sedentary behaviour (SB) are important for health during pregnancy, yet relatively few studies have examined these variables using objective measures and across trimesters during pregnancy. Objective: To determine the amount of objectively assessed PA and SB engaged in whether there was any weekday to weekend day variation in PA and SB during the first and second trimester of pregnancy. Method: PA and SB were determined using accelerometry worn over 7 consecutive days during each trimester in 137 Portuguese females (mean age ± SD = 29.6 ± 5.7). Results: In regard to the proportion of participants meeting the ACSM guidelines for PA, 37.5% of the participants in the first trimester and 29.6% of participants in the second trimester met the cut off of 30min or more of any type of moderate intensity activity on most (5) days of the week. Moderate intensity PA was significantly lower in trimester 2 compared to trimester 1 (P = 0.003). Moderate intensity PA was also significantly lower during weekends compared to weekdays irrespective of trimester (P = 0.003). SB, light and vigorous intensity PA were relatively stable from trimester 1 to trimester 2 and between weekdays and weekends (P < 0.05). Conclusion: The present study suggests that the majority of women do not meet PA guidelines for health during pregnancy and that moderate intensity PA declines form trimester 1 to 2 and is lower at weekends.

The aims of this paper are to examine the accomplishment of the recommendations of physical activity (PA) practice in accordance with the recommendations of the American College of Sports Medicine (ACSM); verify if the sociodemographic variables (SDV) influence women’s self-esteem; investigate if there are differences in pregnant women’s self-esteem who practiced or not structured physical activity (SPA) before pregnancy, and of pregnant women who met the recommendations or not during pregnancy. A sample of 44 pregnant women was evaluated in two stages: between the 10th and 13th week of pregnancy (1st trimester- 1T) and between the 20th and 23rd week of gestation (2nd trimester - 2T). The PA was assessed by accelerometry and self-esteem was assessed using the Rosenberg Self-Esteem Scale. Sociodemographic variables and SPA before pregnancy were assessed through a self-administered questionnaire. Over 60% of the sample did not meet recommendations for PA practice in any of the trimester. There were no significant differences between self-esteem for each of the SDV, with the exception of the higher monthly income (1T) and marital status (2T), associated with better self-esteem. There were significant differences in self-esteem among pregnant women or unstructured PA performed before pregnancy (1T and 2T). The completion, or not, of ACSM recommendations did not seem to impact on self-esteem during pregnancy. Most pregnant women did not met the ACSM recommendations for PA practice. It was found that marital status and higher incomes have influenced positively self-esteem, as well as the practice of SPA, before pregnancy.

Background: Although changes in eating patterns may occur during gestation, predictors of these changes have not been explored. This study aimed to identify predictors of adherence to the Mediterranean diet (MD) from the first to second trimester of pregnancy. Methods: A prospective study was conducted with 102 pregnant women aged 18-40, from the city of Porto, Portugal. Socio-demographic and lifestyle characteristics were assessed through a questionnaire. Food consumption was assessed with a three-day food diary completed during the first and second trimesters. Participants were categorized according to their change in adherence to the MD into the negative change group (i.e., women who had low adherence in each trimester or had high adherence in the first trimester and then low adherence in the second) and the positive change group (i.e., women who had high adherence in both trimesters or had low adherence in the first trimester and then high adherence in the second). Conditional stepwise logistic regression models were performed to assess the potential predictors of negative MD change. Results: Among the 102 women, 39.2% had negative change from the first to the second trimester. The logistic model's results show that being married (OR=0.26, 95%CI: 0.10, 0.76) and having a higher intake of vegetables in the first trimester (OR=0.17, 95%CI: 0.10, 0.43) were associated with lower odds of having a negative change in adherence to the MD from the first to second trimester. Conclusion: Marital status and vegetable consumption seem to be associated with a lower occurrence of negative change in adherence to the MD from early to middle pregnancy. Introducción: Aunque los cambios en los patrones pueden ocurrir durante la gestación, predictores de estos cambios no han sido exploradas. Este estudio pretende identificar predictores de la adhesión a la dieta mediterránea (DM) desde el primer al segundo trimestre del embarazo. Metodología: Se realizó un estudio prospectivo con 102 embarazadas de edad 18-40, de la ciudad de Oporto, Portugal. Se evaluaron las características socio-demográficas y de estilo de vida a través de un cuestionario. Consumo de alimentos se evaluó con un diario de alimentos de tres días concluido durante los primeras y segundo trimestres. Los participantes fueron categorizados según su cambio en la adhesión a la DM en el cambio negativo (es decir, las mujeres que tenían poca adhesión en cada trimestre o tenido alta adhesión en el primer trimestre y luego baja adhesión en el segundo) y el grupo de cambio positivo (es decir, las mujeres que tenían alta adhesión en ambos trimestres o tenía baja adhesión en el primer trimestre y luego elevada adhesión en el segundo). Modelos de regresión logística stepwise condicional se realizaron para evaluar los posibles predictores de la variación negativa de DM. Resultados: Entre las 102 mujeres, 39,2% tenían cambio negativo del primer al segundo trimestre. Los resultados model's logística muestran que estar casada (OR = 0,26, IC95%: 0,10, 0,76) y tener una mayor ingesta de verduras en el primer trimestre (OR = 0,17, IC95%: 0,10, 0,43) se asociaron con menor probabilidad de tener un cambio negativo en la adhesión a la DM del primer al segundo trimestre. Conclusiones: Estado civil y el consumo de vegetal parecen estar asociado con una menor ocurrencia de cambio negativo en la adhesión a la MD desde temprano a medio embarazo.

International guidelines recommend a first line therapy in the treatment of female stress urinary incontinence (SUI), the pelvic floor muscle (PFM) training. This case report assesses the effects of the PFM training program in treating women with severe SUI. The urodynamic parameters allow diagnosed intrinsic sphincter deficiency and urethral hypermobility. The subjective and objective parameters were assessed at the beginning and after six-month of PFM training program. This case report confirms the efficiency of the intensive training program in severe SUI. The medical implications of the PFM training as first treatment option reflect favourable individual results and additionally contribute to the selection of the non-invasive treatment, the reduction of the incidence collateral effects, low costs and that does not prevent future treatment options.

Purpose: The objective of this study was to analyze the influence of a retraining urogynecology program in women with the diagnosis of stress urinary incontinence, compared to the amount of urine leakage, strength of the pelvic floor muscles and subjective perception of improvement. Methodology: This case study with multiple subjects, constituted a sample group of 14 women, who underwent a retraining urogynecology program (Manual Reeducation, Electrical Stimulation and Biofeedback), twice a week for a total of twenty sessions, lasting three months. Before and after the program, perineometry was performed to assess the strength of maximum voluntary contraction of the pelvic muscles, and pad-test to quantify urinary leakage. The final questionnaire allowed to assess the subjective perception of improvement. Results: After implementation of the program in the sample group, a total of 14 women with a mean age of 51,6 years (sd = 5,43), was obtained a significantly increased by 26,95% of maximum voluntary contraction of the pelvic floor muscles (3,1cmH2O, p=0,004), significantly reduced the amount of urinary leakage of 60,81% (Pad Test/1 Hour – 4,5 grams, p=0,008) and 92,9% of women feel improved, almost healed or healed. The correlation between the increase of maximum voluntary contraction and decrease the quantity of urine leakage was not statistically significant (r = -0,378, p= 0,183). Conclusion: After the application of the retraining urogynecology program, women with stress urinary incontinence of the sample group presented statistically significant improvements on the maximal voluntary contraction force of the pelvic floor muscles, in the amount of urinary leakage and the subjective perception of improvement.

Diet and physical activity (PA) are recognized as important factors to prevent abdominal obesity (AO), which is strongly associated with chronic diseases. Some studies have reported an inverse association between milk consumption and AO. This study examined the association between milk intake, PA and AO in adolescents. A cross-sectional study was conducted with 1209 adolescents, aged 15–18 from the Azorean Archipelago, Portugal in 2008. AO was defined by a waist circumference at or above the 90th percentile. Adolescent food intake was measured using a semi-quantitative food frequency questionnaire, and milk intake was categorized as ‘low milk intake’ (10 points) and low-active groups ( 10 points) on the basis of their reported PA. They were then divided into four smaller groups, according to milk intake and PA: (i) low milk intake/low active; (ii) low milk intake/active; (iii) high milk intake/low active and (iv) high milk intake/active. The association between milk intake, PA and AO was evaluated using logistic regression analysis, and the results were adjusted for demographic, body mass index, pubertal stage and dietary confounders. In this study, the majority of adolescents consumed semi-skimmed or skimmed milk (92.3%). The group of adolescents with high level of milk intake and active had a lower proportion of AO than did other groups (low milk intake/low active: 34.2%; low milk intake/active: 26.9%; high milk intake/low active: 25.7%; high milk intake/active: 21.9%, P = 0.008). After adjusting for confounders, low-active and active adolescents with high levels of milk intake were less likely to have AO, compared with low-active adolescents with low milk intake (high milk intake/low active, odds ratio [OR] = 0.412, 95% confidence intervals [CI]: 0.201– 0.845; high milk intake/active adolescents, OR = 0.445, 95% CI: 0.235–0.845).Conclusion: High milk intake seems to have a protective effect on AO, regardless of PA level

A incontinência urinária de esforço (IUE) é a perda involuntária de urina desencadeada com o esforço, riso ou tosse e está habitualmente relacionada com a hiper-mobilidade uretral e/ou uma deficiência do esfíncter interno. Os exercicios dos músculos do pavimento pélvico (EMPP) têm sido recomendados no tratamento da IUE. Os objectivos dos EMPP consistem em melhorar o suporte dos orgãos pélvicos (bexiga, colo vesical e uretra) e aumentar a pressão de encerramento da uretra durante o esforço. Os programas de treino dos músculos do pavimento pélvico (MPP) incluem o aumento da força, resistência e coordenação muscular.

[resumo] [abstract]

A primeira intervenção no tratamento da incontinência urinária de stress consiste no treino dos músculos do pavimento pélvico (TMPP). A Agency for Healthcare Research and Quality Cochrane Incontinence Group a concluírem que o TMPP é invariavelmente melhor do que ausência de tratamento ou tratamento placebo. A base científica para o TMPP é fundamentada nos princípios da fisiologia do exer cício. A eficácia do treino depende do treino específico dos músculos do pavimento pélvico, da intensidade da carga, duração, frequência e adesão aos protocolos de treino. O objectivo do presente artigo é expor os princípios da fisiologia do exercício e perceber o papel desses princípios nos protocolos de TMPP.

Introdução: A Incontinência Urinária (IU) feminina é um importante problema de saúde pública, quer pela sua elevada prevalência, quer pelo elevado impacte físico, psíquico e social na vida da mulher. O objectivo deste estudo foi determinar a prevalência, o impacte da Incontinência Urinária de Stresse (IUS) antes e durante a gravidez em parturientes do distrito de Viana do Castelo e determinar a percentagem de mulheres que procura apoio de um profissional de saúde para o seu problema. Método: Realizou-se um estudo transversal considerando uma amostra representativa do distrito, constituída por 336 mulheres, cujo parto ocorreu no Hospital de Santa Luzia, no período compreendido entre 15 de Janeiro a 29 de Março de 2002. Todas as mulheres foram submetidas a um questionário no pós-parto hospitalar. Resultados: A prevalência da IUS, definida como Alguma vez teve perda de urina durante a realização de um esforço? foi de 5,4% (IC 95%: 3,0-7,8) antes da gravidez e 51,5% (IC 95%: 46,1-56,9) durante a gravidez actual. Os factores associados à ocorrência da IUS antes da gravidez foram a multiparidade (OR=9,96), a presença de diabetes (OR=4,61) e obesidade (OR=4,76), e à IUS durante a gravidez foram a multiparidade (OR=1,66), a diabetes (OR=2,62) e a obstipação (OR=1,73). A grande maioria (88,9%) das mulheres com IUS sente-se incomodada por se sentir húmida, 48,5% sente-se nervosa ou ansiosa e 57,3% tem medo que os outros se apercebam do odor. Durante a gravidez, apenas menos de metade das mulheres que tiveram perdas de urina procurou apoio de um profissional de saúde, apesar de a maioria ter interesse em tratar o problema. Conclusões: A IUS afecta um grande número de mulheres deste distrito antes e durante a gravidez. A IUS tem reflexos em várias dimensões da saúde, sendo o bem-estar físico e emocional os mais afectados, mas apenas uma pequena percentagem de mulheres revela o seu problema de IUS a um profissional de saúde. Perante esta evidência tornase importante que os profissionais de saúde conheçam esta realidade e se preocupem em dar resposta a estes problemas de saúde., Introduction: Female Urinary Incontinence (UI) is a major public health issue given its high prevalence and its physical, psychological and social impact on women’s lives. The aim of this study was to determine the prevalence and impact of Stress Urinary Incontinence (SUI) before and during pregnancy in parturients from the Viana do Castelo district. Methods: A cross-sectional study was carried out considering a representative sample of the district comprising 336 women who gave birth in the Santa Luzia Hospital between 15th January and 29th March 2002. A questionnaire was submitted to all the women during the postpartum period at hospital. Results: The prevalence of SUI, defined as Have you ever experienced urine loss while performing an effort? was of 5.4% (IC 95%:3.0-7.8) before pregnancy and 51.5% (IC 95%:46.1-56.9) during the current pregnancy. The factors associated with the occurrence of SUI before pregnancy were multiparity (OR=9.96), diabetes (OR=4.61) and obesity (OR=4.76), and with SUI during pregnancy were multiparity (OR=1.66), diabetes (OR=2.62) and constipation (OR=1.73). The vast majority (88.9%) of women suffering from SUI feel uncomfortable as they feel wet, 48.5% feel nervous or troubled and 57.3% fear that others may notice the smell. During pregnancy, only less than half of the women who experienced urine loss sought help from a healthcare professional, although the majority was interested in having this problem treated. Conclusions: SUI affects a great number of women from the district before and during pregnancy. SUI is reflected in many aspects of health and mostly affects physical and emotional well-being, but only a small percentage of women reveal the burden of SUI to a healthcare professional. In the face of such evidence, it turns out very important for healthcare professionals to be aware of this reality and concerned to give response to this healthcare problem.