Knowledge about Urinary Incontinence in Women Practitioners of Clinical Pilates
DOI:
https://doi.org/10.71399/2230yp06Keywords:
Urinary Incontinence, pilates, women, Health literacy, Pelvic floorAbstract
Introduction: Health literacy is a dynamic and collaborative process that incorporates prior knowledge and experiences. The International Continence Society defines Urinary Incontinence (UI) as the “involuntary loss of urine.” Physical activity, particularly Clinical Pilates (CP), can provide significant benefits, being an adaptation of the original method designed for individuals with functional limitations.
Methodology: A cross-sectional, observational, and analytical study was conducted with an initial sample of 66 individuals, resulting in a final sample of 32 women aged between 24 and 76 years. Knowledge about UI was assessed using the Urinary Incontinence Quiz (UI-Quiz) and self-efficacy was measured with the Broome Self-Efficacy Scale. The aim was to determine the level of knowledge about UI in CP practitioners and their self-efficacy in contracting pelvic floor muscles.
Results: No statistically significant associations were found between UI knowledge and sociodemographic, clinical, or obstetric variables, nor between knowledge and the presence of UI.
Conclusion: No significant relationship was identified between knowledge of UI and the practice of CP. The low level of knowledge observed highlights the need to promote education and demystification about UI. The importance of conducting further studies in this field is emphasized, as lack of knowledge and misinformation continue to play a relevant role in society.
References
Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U., Van Kerrebroeck, P., Victor, A., Wein, A., & Standardisation Sub-Committee of the International Continence Society. (2003). The standardisation of terminology in lower urinary tract function: Report from the standardisation sub-committee of the International Continence Society. Urology, 61(1), 37–49. https://doi.org/10.1016/S0090-4295(02)02243-4
Álvarez-García, C., & Doğanay, M. (2022). The prevalence of urinary incontinence in female CrossFit practitioners: A systematic review and meta-analysis. Archivos Españoles de Urología, 75(1), 48–59.
Ancker, J. S., Grossman, L. V., & Benda, N. C. (2020). Health literacy 2030: Is it time to redefine the term? Journal of General Internal Medicine, 35(8), 2427–2430.
Bø, K., & Nygaard, I. E. (2020). Is physical activity good or bad for the female pelvic floor? A narrative review. Sports Medicine, 50(3), 471–484. https://doi.org/10.1007/s40279-019-01243-1
Branquinho, N., Marques, A., & Robalo, L. (2007). Contributo para a adaptação e validação do instrumento de medida “Escala de Auto-Eficácia de Broome para exercícios da musculatura do pavimento pélvico”. In M. da Silva & R. Matias (Coords.), O futuro começa hoje. ESSFISIONLINE.
Broome, B. (2001). Psychometric analysis of the Broome Pelvic Muscle Self-Efficacy Scale in African-American women with incontinence. Urologic Nursing, 21(4), 289–297.
Byrnes, K., Wu, P. J., & Whillier, S. (2018). Is Pilates an effective rehabilitation tool? A systematic review. Journal of Bodywork and Movement Therapies, 22(1), 192–202.
Carvalhais, A., Araújo, F., & Ferreira, M. (2020). Incontinence Quiz: Translation, validation, and reproducibility in Portuguese women. Neurourology and Urodynamics, 39(8), 2490–2497. https://doi.org/10.1002/nau.24521
Carvalho, C. G. D., Araújo, M. P. D., Sartori, M. G. F., Oliveira, C., & Santos, P. C. (2021). Avaliação da relação entre o grau de literacia em incontinência urinária e o nível de atividade física em mulheres com idade igual ou superior a 55 anos do norte de Portugal. In Congresso Internacional sobre Literacias no Século XXI (ICCL2021) (pp. 255–275). Polytechnic Institute of Portalegre.
da Silva, A. G., de Carvalho, R. R. C., de Almeida Ferreira, S., Valença, M. P., da Silva Filho, J. C., & Santos, I. C. R. V. (2020). Incontinência urinária em mulheres: Fatores de risco segundo tipo e gravidade. Cogitare Enfermagem, 25, e70062.
De Matos, M. A. B., Barbosa, B. L. A., Costa, M. C., Rocha, F. C. V., Almeida, C. A. P. L., & Amorim, F. C. M. (2019). As repercussões causadas pela incontinência urinária na qualidade de vida do idoso. Revista de Pesquisa: Cuidado é Fundamental Online, 11(3), 567–575.
Department of Health and Human Services. (2019). Solicitation for written comments on an updated health literacy definition for Healthy People 2030. Federal Register. https://www.federalregister.gov/documents/2019/06/04/2019-11571/solicitation-for-written-comments-on-an-updated-health-literacy-definition-for-healthy-people-2030
Fernandes, A. C. N. L., Reis, B. M., Patrizzi, L. J., & Meirelles, M. C. C. C. (2018). Clinical functional evaluation of female’s pelvic floor: Integrative review. Fisioterapia em Movimento, 31, 1–9. https://doi.org/10.1590/1980-5918.031.ao24
Fernandes, C., & Ognibeni, L. C. R. (2021). Prevalência e fatores de risco associados a incontinência urinária em acadêmicas do curso de fisioterapia. Revista Uningá, 58, eUJ3233.
Figueiredo, T. M., & Damázio, L. C. M. (2018). Intervenção do método Pilates em idosos no Brasil: Uma revisão sistemática. Revista Atenção à Saúde, 16(57), 87–97.
Henkes, D. F., Fiori, A., Carvalho, J. A. M., Tavares, O., & Frare, J. C. (2015). Urinary incontinence: The impact on the lives of affected women and the meaning of physical therapy treatment. Semina: Ciências Biológicas e da Saúde, 36(2), 45–56.
Instituto Nacional de Estatística. (2011). Classificação Portuguesa das Profissões 2010. Instituto Nacional de Estatística.
Kruger, J., Budgett, D., Goodman, J., & Bø, K. (2019). Can you train the pelvic floor muscles by contracting other related muscles? Neurourology and Urodynamics, 38(2), 677–683.
Milsom, I., & Gyhagen, M. (2019). The prevalence of urinary incontinence. Climacteric, 22(3), 217–222. https://doi.org/10.1080/13697137.2018.1543263
Nygaard, I. E., & Shaw, J. M. (2016). Physical activity and the pelvic floor. American Journal of Obstetrics and Gynecology, 214(2), 164–171.
Parnell, T. A., Stichler, J. F., Barton, A. J., Loan, L. A., Boyle, D. K., & Allen, P. E. (2019). A concept analysis of health literacy. Nursing Forum, 54(3), 315–327.
Pereira, M. J., Mendes, R., Mendes, R. S., Martins, F., Gomes, R., Gama, J., & Castro, M. A. (2022). Benefits of Pilates in the elderly population: A systematic review and meta-analysis. European Journal of Investigation in Health, Psychology and Education, 12(3), 236–268.
Perreira, P. B., Camac, L. A. L., Mesquita, F. A. D. S., & Costa, C. B. (2019). Incontinência urinária feminina: Uma revisão bibliográfica. Revista de Ciências Médicas e Biológicas, 11(14), 1–7.
Petros, P. (2013). The female pelvic floor: Function, dysfunction and management according to the integral theory (2.ª ed.). Springer.
Sociedade Portuguesa de Uroginecologia. (2021). Consenso nacional sobre uroginecologia 2021: Incontinência urinária. SPUG.
Tomasi, A. V. R., Santos, S. M. A., Honório, G. J. S., & Locks, M. O. H. (2017). Urinary incontinence in elderly people: Care practices and care proposal in primary health care. Texto & Contexto – Enfermagem, 26(2), e6800015. https://doi.org/10.1590/0104-07072017006800015
Silva, M. F., Prado Costa, R., Oliveira, C. M., & Moreira, S. (2021). Urinary incontinence in women who practice recreational exercise: A cross-sectional study. Acta Médica Portuguesa, 34(11), 724–732. https://doi.org/10.20344/amp.14004
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