%0 Journal Article
%T Grau de for a muscular do assoalho p¨¦lvico em mulheres incontinentes obesas e n o obesas Pelvic floor muscular force degree in obese and nonobese incontinent women
%A Joseane da Costa Silva
%A Ma¨ªsa Camara Prado
%A Juliana de Faria Fracon e Rom£¿o
%A Cl¨¢udia Elaine Cest¨¢ri
%J Ci¨ºncia & Sa¨²de
%D 2011
%I Editora da Pontif¨ªcia Universidade Cat¨®lica do Rio Grande do Sul - EDIPUCRS
%X Objetivo: Avaliar a for a e resist¨ºncia da musculatura do assoalho p¨¦lvico em pacientes obesas e n o obesas e correlacion¨¢-la com os sinais de perda involunt¨¢ria de urina. Materiais e M¨¦todos: Foram avaliadas 44 mulheres com queixa de incontin¨ºncia urin¨¢ria, m¨¦dia de idade de 64,34 (36-78). As pacientes foram distribu¨ªdas em dois grupos, Grupo 1 ¨C (Obesas): n=19, composto de pacientes com ¨ªndice de Massa Corporal (IMC) maior que 30; e Grupo 2 (N o-Obesas): n=25, pacientes com IMC menor que 30 e submetidas ¨¤ Avalia  o Funcional do Assoalho P¨¦lvico (AFA) por meio da palpa  o bidigital e do perine metro. Resultados: Foi poss¨ªvel observar, na avalia  o da musculatura do assoalho p¨¦lvico, diferen as significativas nas pacientes obesas (p=0,0001), constatando-se menor valor de resposta muscular nesse grupo. Correla  es negativas entre o IMC x AFA (r=-0,29; p=0,05) e entre o IMC x Diagn¨®stico (r=-0,10; p=0,51) tamb¨¦m foram demonstradas. Conclus o: A AFA apresentou menor valor no grupo de pacientes obesas e a medida que aumenta o IMC, aumenta a frequ¨ºncia miccional noturna. Objective: To evaluate the strength and endurance of pelvic floor muscles in obese and nonobese patients and to correlate it with the signs of urine involuntary loss. Materials and Methods: We have evaluated a total of 44 women complaining of urinary incontinence, mean age of 64.34 (36-78). The patients were divided into two groups, Group 1 - (Obese): n=19, composed of patients with Body Mass Index (BMI) greater than 30; and Group 2 (nonobese): n=25, patients with BMI less than 30 and submitted to the Pelvic Floor Functional Assessment (AFA) through palpation and bidigital perineometer evaluation. Results: It was possible to observe, in the evaluation of pelvic floor muscles, significant differences in obese patients (p=0.0001), confirming a lower level of muscle response in this group. Negative correlations between BMI x AFA (r=-0.29, p=0.05) and between BMI x Diagnostic (r=-0.10, p=0.51) were also demonstrated. Conclusion: The AFA evaluation showed a decreased value in the group of obese patients and as the BMI increases, the nighttime urinary frequency also increases.
%K obesidade
%K incontin¨ºncia urin¨¢ria
%K soalho p¨¦lvico
%U http://revistaseletronicas.pucrs.br/ojs/index.php/faenfi/article/view/9009