Correlation between nutritional status and perineal muscular strength in women with urinary uncontinence in the brazilian state of Roraima / Correlação entre o estado nutricional e a força muscular perineal nas mulheres com incontinência urinária no estado brasileiro de Roraima

Abstract

Introduction: To evaluate the muscular strength of pelvic floor in women with complaints of voiding dysfunction and to associate it with their nutritional state. Specifically, the current work focuses on evaluating the force of contraction of the perineal muscles in women with voiding dysfunction and correlates the degree of muscular contraction of the pelvic floor through biofeedback and manual palpation. Material and Methods: This case-control study presents comparative laboratory tests of nutritional analyses and the degree of muscle contraction of the pelvic floor between the cases and the control groups. Urination disorders were evaluated through urodynamic study and King’s health questionnaires. Results: The force of contraction between normal and urinary incontinent females as measured by Ortiz’s scale was statistically insignificant. Perineal muscle function was negatively correlated with age and positively with perineal contraction while biofeedback was negatively correlated with knee height and globulin level and this difference was statistically significant. The biochemical tests for nutritional analysis were comparable between cases and control indicating no effect on urinary incontinence. Conclusions: The force of urinary contraction is independent of the state of urinary incontinent. With age, the strength of perineal muscle function goes down.