Abstract
ABSTRACT To review the occurrence of pelvic, anorectal and urinary symptoms according to the nutritional status of adultwomen. Methods This is a cross-sectional study with 54 women, aged 18 to 35 years, divided into normal weight (<25kg/m2), overweight (25kg/m2 to 29.99kg/m2) and obesity (≥30kg/m2) according to the body mass index. The presence of pelvic floor muscle dysfunction symptoms was assessed by the Pelvic Floor Distress Inventory and the impact of these symptoms by the Pelvic Floor Impact Questionnaire. Descriptive and inferential statistics were used, with a significance level of 5%. Results Pelvic Floor Distress Inventory total score was 22.95 (SD=26.11) in the eutrophic group and 59.67 (SD=47.80) in the obesity group (p=0.01). Considering the scales, urinary symptoms were higher in obese women than in the eutrophic group (p=0.01). In the assessment of patients with each symptom, a difference (p<0.01) was observed in incomplete bowel emptying, in which the highest frequency occurred in overweight women (47.4%) compared to eutrophic and obese women (both 26.3%). Urinary incontinence symptoms (18.2% in eutrophic women, 27.3% overweight and 54.5% obese), stress urinary incontinence (8.3% eutrophic, 41.7% overweight and 50.0%, obese) and difficulty in emptying the bladder (0.0% eutrophic, 33.3% overweight and 66.7% obese) exhibited higher frequencies (p=0.03; p<0,01 and p=0.02, respectively) in obese women. Conclusion Symptoms of pelvic floor muscles dysfunction, especially urinary tract muscles, occur more frequently in obese adult women when compared to eutrophic women.
Highlights
Pelvic Floor Muscle Dysfunction (PFMD) includes bladder, bowel, sexual, and pelvic pain disorders [1]
Symptoms of pelvic floor muscles dysfunction, especially urinary tract muscles, occur more frequently in obese adult women when compared to eutrophic women
Knowledge about the influence of overweight/obesity on PFMD symptoms in adult women may help in the prevention of PFMD that will reflect on the reduction of symptoms in older age, as well as on the clarification of those comorbidities in this population, since overweight. and obesity are already established as risk factors for the development of PFMD in the elderly [17,18]
Summary
Pelvic Floor Muscle Dysfunction (PFMD) includes bladder, bowel, sexual, and pelvic pain disorders [1] These dysfunctions include: Urinary Incontinence (UI), Anal Incontinence (AI), and Pelvic Organ Prolapse (POP), respectively, defined as the complaint of involuntary loss of urine, involuntary. PFMD occurs in 25% of women [3] and these symptoms often coexist [4] with impact on quality of life [5,6,7] The prevalence of these dysfunctions can be explained by factors such as family history, age, menopause, obstetric history [8], gynecological cancer [9] and obesity [10]. The aim of the present study was to analyze the occurrence of pelvic, anorectal and urinary symptoms according to the nutritional status of adult women
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