Banca de DEFESA: INGRID GUERRA AZEVEDO
Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.DISCENTE : INGRID GUERRA AZEVEDO
DATA : 19/10/2017
HORA: 14:00
LOCAL: Auditório do Departamento de Fisioterapia
TÍTULO:
RELATIONSHIP BETWEEN REPRODUCTIVE HISTORY AND PELVIC FLOOR DYSFUNCTION WITH RESPIRATORY MUSCLE FORCE IN WOMEN OF MIDDLE AGES AND ELDERLY RESIDENTS IN THE COMMUNITY
PALAVRAS-CHAVES:
Maximal respiratory pressures; childbearing; pelvic floor dysfunction; aging; global health.
PÁGINAS: 128
GRANDE ÁREA: Ciências da Saúde
ÁREA: Fisioterapia e Terapia Ocupacional
RESUMO:
Background: Female reproductive history and pelvic floor dysfunction, along with the effects of menopause, have contributed to physical changes that appear with aging, such as early changes in women functional capacity. In this way, investigating the female reproductive history and pelvic floor dysfunctions, and its relationship with respiratory muscle strength becomes of great necessity. Objective: To assess the relationship of respiratory muscle strength with variables of reproductive history and pelvic floor dysfunction in middle-aged women and elderly women living in the community.Methods: A total of 208 women aged 41-80 years residents in the community of Santa Cruz – RN composed the sample. Subjects were recruited for convenience and after contentment, the evaluation was performed. Sociodemographic, anthropometric measures, life habits, reproductive history, pelvic floor disorders, physical performance evaluation, respiratory muscle strength assessment (manovacuometry) and body composition assessment (bioimpedance analysis) data were collected. Results: Approximately 44.1% of the sample had 3 pregnancies or less, 30.4% had 4-6 pregnancies and 25.5% had more than 7 pregnancies. There was a significant difference considering parity when compared between the two age categories (41-60 versus 61-80 years old). MIP values were different when considering schooling, smoking, sitting time per day and parity. When considering MEP values, there were differences in schooling and parity. As for MIP, those who had three or fewer pregnancies had more than 20 cmH2O than those who had seven or more pregnancies. Considering MEP, the difference between educational groups was 12 cmH2O, but in the same direction. Considering pelvic floor dysfunctions, 14.7% of the women presented symptomatic pelvic organ prolapse (POP). It was not associated with MIP. The variables age, schooling, BMI, smoking and parity were associated with MIP in the univariate analysis, but only age, BMI and smoking are determinants of MIP in the multivariate model. In the univariate model, symptomatic POP, age, schooling, BMI and parity were associated with MEP. Women with symptomatic POP presented lower MEP when compared to women without this condition (β = -14.78; p = 0.014). Older women and with more children (≥ 5 children) had worse values of MEP, and those with higher BMI and more years of studies (> 7 years), higher values, in the univariate analysis. In the multivariate model, only age, BMI and symptomatic POP are determinants for MEP. Conclusion: This study provides evidence that multiple pregnancies and pelvic floor dysfunctions influence respiratory muscle strength, since women with more gestations and with symptomatic POP have lower values of maximum respiratory pressures. Still other variables, such as BMI and time spent in day-to-day sedentarism, are related to the capacity to generate respiratory pressures.
MEMBROS DA BANCA:
Interno - 1460020 - ALVARO CAMPOS CAVALCANTI MACIEL
Externo à Instituição - ANA TEREZA DO NASCIMENTO SALES FIGUEIREDO FERNANDES - UEPB
Externo ao Programa - 2446479 - LILIAN LIRA LISBOA
Externo ao Programa - 3885543 - SAIONARA MARIA AIRES DA CAMARA
Externo à Instituição - SILVANA LOANA DE OLIVEIRA SOUZA - UMH