Impacto da prática do ciclismo e do Crossfit® na incontinência urinária

Abstract

Introduction: The pelvic floor is composed of a set of muscles responsible for continence; support pelvic organs and also act during sexual intercourse. Some physical activities, such as CrossFit® and cycling, can cause an overload on the pelvic floor muscles, as they require a lot of physical effort, being performed for a prolonged period of time, generating muscle compensation, which may be a risk factor for UI. Objectives: To evaluate the impact of cycling and CrossFit® on symptoms of urinary loss in women who practice these modalities. Methods: Cross-sectional and descriptive study with a quantitative approach. Including 96 women, aged between 18 and 60 years, who were randomized into three groups: GC (Control Group) composed of women who do not practice physical exercise; G1 = CrossFit® practitioners for more than three months; G2 = cycling practitioners for more than three months, excluding those who: were in the gestational period, puerperal period or history of twin pregnancy; pelvic/gynecological diseases; gynecological surgery; hormone replacement therapy; with referred chronic cough; treatment for UI; refused to complete the entire evaluation protocol. An evaluation form containing the urogynecological history, some guidelines such as: The International Triangle on Urinary Incontinence (ICIQ-SF), International Physical Activity Questionnaire (IPAQ) and the Pelvic Floor Disability Index (PFDI-20) was made available through online monitoring. Data were tabulated and analyzed using the SPSS 22.0 program. The Kolmogorov-Smirnov (KS) test was used. Intergroup analysis used Kruskal Wallis and Mann-Whitney test. Resultados: Ao investigar os resultados verificou-se que 37,5% das participantes ciclistas, e 31,3% das não praticantes de exercício físico relataram perda urinária. Na análise intergrupo não identificamos diferença significativa nos domínios dos PFDI-20 e do questionário ICIQ-SF. Conclusion: It is concluded that all groups complain of UI, being more prevalent in G2 and CG, however there was no significant difference between groups in relation to the prevalence of urinary symptoms and the impact of urinary loss symptoms among women in this sample.