Resumo: |
In recent years Brazil comes through a process of epidemiological transition in which chronic diseases typical of aging are in evidence. Diabetes mellitus (DM) is one of the main diseases that affect the elderly population and its high prevalence, morbidity and mortality appears as a worldwide epidemic. Has been considered one of the five chronic diseases of greatest importance in health area, either by its growth or advancement of its complications including Overactive bladder syndrome (OBS) which is considered a clinical syndrome characterized by the symptom of urgency, which normally binds to the frequency, nocturia, and may also be associated with or without urge incontinence in the absence of infection. The objectives were to verify the prevalence of OBS in individuals registered in type 2 diabetic from family health strategy (FHS) of Vila São Paulo – Bauru, verify if the time of diabetes or glycemic control influence the amount of urinary symptoms and assess clinical characteristics contribute to the development of SBH, as well as the severity. This is a cross-sectional study, individuals with diabetic type 2, above 40 years old, both sexs registered in FHS of vila São Paulo – Bauru. We collected sociodemographic information, life habits, anthropometric data and glycated hemoglobin. Was applied the Consultation on Incontinence Overactive Bladder Questionnaire (ICIQ-OAB) and individuals were divided into Group 1 (G1) - with OBS and Group 2 (G2) - without OBS. The data were presented in descriptive form according to their distribution. To relate the time of DM and glycated hemoglobin with the amount of urinary symptoms was used the Spearman correlation test. To associate the OBS with clinical profile and the severity of the syndrome with age, sex, glycemic control and urinary symptoms X2 test was used (˂ p 0.05). Ninety four individuals were studied, 63 ± 9 years, 77 ± 17 kg body mass, Body Mass Index 30 ± 6 kg/m2, abdominal circumference 106 ± 16 cm, 67% of the white race and 59% with incomplete elementary education. For risk factors for cardiovascular disease 71% had family history and 72% were sedentary. Analyzing the questionnaire ICIQ-OAB was evidenced that 66% OBS (45 women and 17 men), and urinary symptoms were more prevalent urgency (52%) and nocturia (43%). There was no correlation between the time of diagnosis of DM and glycated hemoglobin in relation to the amount of symptoms, to associate the presence of OBS with the clinical characteristics, only the sedentary showed influence, and associating the severity of the syndrome with age, a greater number of elderly presented a moderate severity |
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