Prevalência e incidência da dupla incontinência em mulheres - estudo SABE "Saúde, Bem-Estar e Envelhecimento" São Paulo - Brasil

• Ano de defesa: 2017
• Autor(a) principal: Yuaso, Denise Rodrigues [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Double incontinence; Fecal incontinence; SABE Study; Urinary incontinence; Incidence; Prevalence; Aged; Female; Dupla incontinência; Incontinência fecal; Incidência; Estudo SABE; Incontinência urinária; Prevalência; Idosos; Feminino
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5297002; http://repositorio.unifesp.br/handle/11600/49889

ABSTRACT Introduction:Double incontinence (DI) is defined as a simultaneous presence of urinary and fecal incontinence and is considered a severemanifestation of pelvic floor dysfunction. Objectives: To estimate the prevalence and incidence rates of DI in elderly women in São Paulo (Brazil), as well as associated and risk factors.Methods: This is anobservational study (prospective cohort) based on a female population aged 65 years or over, which was evaluated in 2006 and re-evaluated in 2010. The sample was selected by two-phase stratified sampling with replacement and probability proportional to size.Statistical analysis was performed by the likelihood ratio testand Cox regression curves were generated to evaluate the equality of survival. Poisson’s regression was used to evaluate risk factors.Results:A total of 865 elderly women with a mean age of 73,7 years were interviewed, with a prevalence rate of 4.9% in 2006. DI incidence rate was 13.8 / 1,000 person-years in the period from 2006 to 2010.The associated factors were presence of Chronic Obstructive Pulmonary Disease (COPD), Hypertension, functional limitations in Basic Activities on Daily Living (BADL) and Instrumental Activities on Daily Living (IADL), Polypharmacy and “Falls in the last year”. The risk factors found were falls in the last 12 months (RRI = 2.22) and presence of at least 3 dependence in the IADL (RRI = 2.46). Conclusions: In this original study, the prevalence rate of DI was 4,9% and associated factors were: age, diabetes, hypertension, stroke, depression, pain,cardiovascular diseases, arthropathies, falls in the last year, polypharmacy, functional limitations in Basic Activities on Daily Living (BADL) and Instrumental Activities on Daily Living (IADL).The incidence rate of DI was 13.8/1.000 person-years. Risk Factors found were: falls in the last year and dependence in 3 and more IADL.Preventive measures should be implemented with public health policies to prevent the increase of ID and, consequently, an aging with a better quality of life.