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Lifetime physical activity and female stress urinary incontinence
- Source :
- American Journal of Obstetrics and Gynecology. 213:40.e1-40.e10
- Publication Year :
- 2015
- Publisher :
- Elsevier BV, 2015.
-
Abstract
- Objective We sought to estimate whether moderate/severe stress urinary incontinence (SUI) in middle-aged women is associated with overall lifetime physical activity (including leisure, household, outdoor, and occupational), as well as lifetime leisure (recreational), lifetime strenuous, and strenuous activity during the teen years. Study Design Recruitment for this case-control study was conducted in primary-care-level family medicine and gynecology clinics. A total of 1538 enrolled women ages 39-65 years underwent a Pelvic Organ Prolapse Quantification examination to assess vaginal support. Based on Incontinence Severity Index scores, cases had moderate/severe and controls had no/mild SUI. We excluded 349 with vaginal descent at/below the hymen (pelvic organ prolapse), 194 who did not return questionnaires, and 110 with insufficient activity data for analysis. In all, 213 cases were frequency matched 1:1 by age group to controls. Physical activity was measured using the Lifetime Physical Activity Questionnaire, in which women recall activity from menarche to present. We created separate multivariable logistic regression models for activity measures. Results SUI odds increased slightly with overall lifetime activity (odds ratio [OR], 1.20 per 70 additional metabolic equivalent of task-h/wk; 95% confidence interval [CI], 1.02–1.41), and were not associated with lifetime strenuous activity (OR, 1.11; 95% CI, 0.99–1.25). In quintile analysis of lifetime leisure activity, which demonstrated a nonlinear pattern, all quintiles incurred about half the odds of SUI compared to reference (second quintile; P = .009). Greater strenuous activity in teen years modestly increased SUI odds (OR, 1.37 per 7 additional h/wk; 95% CI, 1.09–1.71); OR, 1.75; 95% CI, 1.15–2.66 in sensitivity analysis adjusting for measurement error. The predicted probability of SUI rose linearly in women exceeding 7.5 hours of strenuous activity/wk during teen years. Teen strenuous activity had a similar effect on SUI odds when adjusted for subsequent strenuous activity during ages 21-65 years. Conclusion In middle-aged women, a slight increased odds of SUI was noted only after substantially increased overall lifetime physical activity. Increased lifetime leisure activity decreased and lifetime strenuous activity appeared unrelated to SUI odds. Greater strenuous activity during teen years modestly increased SUI odds.
- Subjects :
- Adult
medicine.medical_specialty
Urinary Incontinence, Stress
Urinary incontinence
Motor Activity
Logistic regression
Pelvic Floor Disorders
Article
Metabolic equivalent
Odds
Leisure Activities
Risk Factors
Humans
Medicine
Gynecology
business.industry
Obstetrics
Obstetrics and Gynecology
Odds ratio
Middle Aged
Confidence interval
Logistic Models
medicine.anatomical_structure
Hymen
Case-Control Studies
Menarche
Female
medicine.symptom
business
human activities
Subjects
Details
- ISSN :
- 00029378
- Volume :
- 213
- Database :
- OpenAIRE
- Journal :
- American Journal of Obstetrics and Gynecology
- Accession number :
- edsair.doi.dedup.....c9ca0a8252e9486f1457ce93f464c533