Incontin?ncia urin?ria em mulheres submetidas ? cirurgia bari?trica
Ano de defesa: | 2018 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Pontif?cia Universidade Cat?lica do Rio Grande do Sul
|
Programa de Pós-Graduação: |
Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de
|
Departamento: |
Escola de Medicina
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede2.pucrs.br/tede2/handle/tede/8385 |
Resumo: | Introduction: Urinary incontinence(UI) symptoms have a high prevalence in women with obesity. The excess of weight is the most well-established and potentially modifiable risk factor for developing UI. Weight loss is known to improve symptoms. This thesis was divided into two papers Objectives: The aim of the first paper is to evaluate the prevalence, risk factors and impact on the quality of life of UI symptoms in patients with obesity. The second study aims to evaluate the modification of symptoms after bariatric surgery and identify factors associated with remission of symptoms. Methods: A cross-sectional study was performed with female patients in the preoperative period of bariatric surgery, followed by a prospective cohort with patients who presented UI symptoms. The evaluation was carried out with the application of a form and with quality of life questionnaires specific to UI, validated for the Portuguese language. Results: In the cross-sectional study, of the 221 patients evaluated, 118 (53.4%) reported episodes of UI. The prevalence of UI was 47% higher in patients who had a vaginal delivery and 34% higher in postmenopausal women. The severity of the symptoms was considered moderate in 63 (53.3%) patients. In the cohort study, eighty-eight (74.6%) of the patients were followed up and re-evaluated after 6-12 months after the Roux-en-Y gastric bypass. Of these, 50 (56.8%) had remission of symptoms. Patients who only had a cesarean delivery type had a greater probability of remission of symptoms. Patients with an additional point in the "International Consultation on Incontinence Questionnaire-Short Form" (ICIQ-SF) result prior to surgery had a 4% lower probability of remission of symptoms. Conclusion: UI has a high prevalence in patients with obesity and has a negative impact on quality of life. In the cross-sectional study, vaginal delivery and menopause were independent risk factors associated with UI. In the cohort study, cesarean section was associated with greater remission of symptoms, while patients with higher ICIQ-SF scores had lower remission of symptoms. |
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Padoin, Alexandre Vontobelhttp://lattes.cnpq.br/0241056171343649http://lattes.cnpq.br/2052354422931914Nygaard, Christiana Campani2018-12-18T16:31:38Z2018-10-19http://tede2.pucrs.br/tede2/handle/tede/8385Introduction: Urinary incontinence(UI) symptoms have a high prevalence in women with obesity. The excess of weight is the most well-established and potentially modifiable risk factor for developing UI. Weight loss is known to improve symptoms. This thesis was divided into two papers Objectives: The aim of the first paper is to evaluate the prevalence, risk factors and impact on the quality of life of UI symptoms in patients with obesity. The second study aims to evaluate the modification of symptoms after bariatric surgery and identify factors associated with remission of symptoms. Methods: A cross-sectional study was performed with female patients in the preoperative period of bariatric surgery, followed by a prospective cohort with patients who presented UI symptoms. The evaluation was carried out with the application of a form and with quality of life questionnaires specific to UI, validated for the Portuguese language. Results: In the cross-sectional study, of the 221 patients evaluated, 118 (53.4%) reported episodes of UI. The prevalence of UI was 47% higher in patients who had a vaginal delivery and 34% higher in postmenopausal women. The severity of the symptoms was considered moderate in 63 (53.3%) patients. In the cohort study, eighty-eight (74.6%) of the patients were followed up and re-evaluated after 6-12 months after the Roux-en-Y gastric bypass. Of these, 50 (56.8%) had remission of symptoms. Patients who only had a cesarean delivery type had a greater probability of remission of symptoms. Patients with an additional point in the "International Consultation on Incontinence Questionnaire-Short Form" (ICIQ-SF) result prior to surgery had a 4% lower probability of remission of symptoms. Conclusion: UI has a high prevalence in patients with obesity and has a negative impact on quality of life. In the cross-sectional study, vaginal delivery and menopause were independent risk factors associated with UI. In the cohort study, cesarean section was associated with greater remission of symptoms, while patients with higher ICIQ-SF scores had lower remission of symptoms.Introdu??o: Os sintomas de incontin?ncia urin?ria (IU) s?o altamente prevalentes em mulheres com obesidade. O excesso de peso ? o fator de risco mais bem estabelecido e potencialmente modific?vel no desenvolvimento da IU. A perda de peso est? associada a melhora dos sintomas. Esta tese foi dividida em dois trabalhos. Objetivos- O primeiro trabalho tem como objetivo avaliar a preval?ncia, os fatores de risco e o impacto na qualidade de vida dos sintomas de IU em pacientes com obesidade. O segundo trabalho visa avaliar a modifica??o dos sintomas ap?s a cirurgia bari?trica e identificar fatores associados a remiss?o dos sintomas. M?todos: Foi realizado um estudo transversal com pacientes femininas no pr?operat?rio da cirurgia bari?trica, seguido de uma coorte prospectiva com as pacientes que apresentaram sintomas de IU. A avalia??o foi realizada com a aplica??o de um formul?rio e com question?rios de qualidade de vida espec?ficos para IU, validados para a l?ngua portuguesa. Resultados: No estudo transversal, das 221 pacientes avaliadas, 118 (53,4%) relataram epis?dios de IU. A preval?ncia de IU foi 47% maior em pacientes que tiveram parto vaginal e 34% maior em mulheres na menopausa. A gravidade dos sintomas foi considerada moderada em 63 (53.3%) pacientes. No estudo de coorte, oitenta e oito (74,6%) pacientes foram seguidas e reavaliadas 6-12 meses ap?s o bypass g?strico em Y-de-Roux. Destas, 50 (56,8%) obtiveram remiss?o dos sintomas. Pacientes com apenas ces?rea como tipo de parto tiveram uma probabilidade maior de remiss?o dos sintomas. Pacientes com um ponto adicional no resultado do ?International Consultation on Incontinence Questionnaire-Short Form? (ICIQ-SF) antes da cirurgia tiveram uma probabilidade 4% menor de remiss?o dos sintomas. Conclus?o: A IU ? altamente prevalente em pacientes com obesidade e tem um impacto negativo na qualidade de vida. No estudo transversal, parto vaginal e menopausa foram fatores de risco independentes associados a IU. No estudo decoorte, a ces?rea foi associada a maior remiss?o dos sintomas ap?s a cirurgia, enquanto pacientes com escores mais elevados no ICIQ-SF tiveram menor remiss?o de sintomas.Submitted by PPG Medicina e Ci?ncias da Sa?de (medicina-pg@pucrs.br) on 2018-12-14T19:17:12Z No. of bitstreams: 1 CHRISTIANA CAMPANI NYGAARD.pdf: 992119 bytes, checksum: 0e3c84a17685ae1544f808e01570d97b (MD5)Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-12-18T16:12:24Z (GMT) No. of bitstreams: 1 CHRISTIANA CAMPANI NYGAARD.pdf: 992119 bytes, checksum: 0e3c84a17685ae1544f808e01570d97b (MD5)Made available in DSpace on 2018-12-18T16:31:38Z (GMT). No. of bitstreams: 1 CHRISTIANA CAMPANI NYGAARD.pdf: 992119 bytes, checksum: 0e3c84a17685ae1544f808e01570d97b (MD5) Previous issue date: 2018-10-19Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPESapplication/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/173744/TES_CHRISTIANA_CAMPANI_NYGAARD_CONFIDENCIAL.pdf.jpghttps://tede2.pucrs.br/tede2/retrieve/189578/TES_CHRISTIANA_CAMPANI_NYGAARD_COMPLETO.pdf.jpgporPontif?cia Universidade Cat?lica do Rio Grande do SulPrograma de P?s-Gradua??o em Medicina e Ci?ncias da Sa?dePUCRSBrasilEscola de MedicinaObesityUrinary incontinenceBariatric surgeryObesidadeIncontin?ncia Urin?riaCIENCIAS DA SAUDE::MEDICINAIncontin?ncia urin?ria em mulheres submetidas ? cirurgia bari?tricainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisTrabalho ser? publicado como artigo ou livro60 meses18/12/2023-721401722658532398500500500600-224747486637135387-9693694523087866273590462550136975366info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSORIGINALTES_CHRISTIANA_CAMPANI_NYGAARD_COMPLETO.pdfTES_CHRISTIANA_CAMPANI_NYGAARD_COMPLETO.pdfapplication/pdf992119https://tede2.pucrs.br/tede2/bitstream/tede/8385/5/TES_CHRISTIANA_CAMPANI_NYGAARD_COMPLETO.pdf0e3c84a17685ae1544f808e01570d97bMD55THUMBNAILTES_CHRISTIANA_CAMPANI_NYGAARD_CONFIDENCIAL.pdf.jpgTES_CHRISTIANA_CAMPANI_NYGAARD_CONFIDENCIAL.pdf.jpgimage/jpeg4108https://tede2.pucrs.br/tede2/bitstream/tede/8385/4/TES_CHRISTIANA_CAMPANI_NYGAARD_CONFIDENCIAL.pdf.jpg9d31501b0308cb79106914917442aaceMD54TES_CHRISTIANA_CAMPANI_NYGAARD_COMPLETO.pdf.jpgTES_CHRISTIANA_CAMPANI_NYGAARD_COMPLETO.pdf.jpgimage/jpeg5700https://tede2.pucrs.br/tede2/bitstream/tede/8385/7/TES_CHRISTIANA_CAMPANI_NYGAARD_COMPLETO.pdf.jpgff1dfb6888d9a5a315f9ff73d9ceb8f4MD57TEXTTES_CHRISTIANA_CAMPANI_NYGAARD_CONFIDENCIAL.pdf.txtTES_CHRISTIANA_CAMPANI_NYGAARD_CONFIDENCIAL.pdf.txttext/plain1924https://tede2.pucrs.br/tede2/bitstream/tede/8385/3/TES_CHRISTIANA_CAMPANI_NYGAARD_CONFIDENCIAL.pdf.txtda70276754532d3d2322de7c69c25197MD53TES_CHRISTIANA_CAMPANI_NYGAARD_COMPLETO.pdf.txtTES_CHRISTIANA_CAMPANI_NYGAARD_COMPLETO.pdf.txttext/plain113467https://tede2.pucrs.br/tede2/bitstream/tede/8385/6/TES_CHRISTIANA_CAMPANI_NYGAARD_COMPLETO.pdf.txt1a752d3f61629908528b13d587e8e4b0MD56LICENSElicense.txtlicense.txttext/plain; charset=utf-8590https://tede2.pucrs.br/tede2/bitstream/tede/8385/1/license.txt220e11f2d3ba5354f917c7035aadef24MD51tede/83852024-01-02 11:08:40.975oai:tede2.pucrs.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2024-01-02T13:08:40Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Incontin?ncia urin?ria em mulheres submetidas ? cirurgia bari?trica |
title |
Incontin?ncia urin?ria em mulheres submetidas ? cirurgia bari?trica |
spellingShingle |
Incontin?ncia urin?ria em mulheres submetidas ? cirurgia bari?trica Nygaard, Christiana Campani Obesity Urinary incontinence Bariatric surgery Obesidade Incontin?ncia Urin?ria CIENCIAS DA SAUDE::MEDICINA |
title_short |
Incontin?ncia urin?ria em mulheres submetidas ? cirurgia bari?trica |
title_full |
Incontin?ncia urin?ria em mulheres submetidas ? cirurgia bari?trica |
title_fullStr |
Incontin?ncia urin?ria em mulheres submetidas ? cirurgia bari?trica |
title_full_unstemmed |
Incontin?ncia urin?ria em mulheres submetidas ? cirurgia bari?trica |
title_sort |
Incontin?ncia urin?ria em mulheres submetidas ? cirurgia bari?trica |
author |
Nygaard, Christiana Campani |
author_facet |
Nygaard, Christiana Campani |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Padoin, Alexandre Vontobel |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0241056171343649 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/2052354422931914 |
dc.contributor.author.fl_str_mv |
Nygaard, Christiana Campani |
contributor_str_mv |
Padoin, Alexandre Vontobel |
dc.subject.eng.fl_str_mv |
Obesity Urinary incontinence Bariatric surgery |
topic |
Obesity Urinary incontinence Bariatric surgery Obesidade Incontin?ncia Urin?ria CIENCIAS DA SAUDE::MEDICINA |
dc.subject.por.fl_str_mv |
Obesidade Incontin?ncia Urin?ria |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction: Urinary incontinence(UI) symptoms have a high prevalence in women with obesity. The excess of weight is the most well-established and potentially modifiable risk factor for developing UI. Weight loss is known to improve symptoms. This thesis was divided into two papers Objectives: The aim of the first paper is to evaluate the prevalence, risk factors and impact on the quality of life of UI symptoms in patients with obesity. The second study aims to evaluate the modification of symptoms after bariatric surgery and identify factors associated with remission of symptoms. Methods: A cross-sectional study was performed with female patients in the preoperative period of bariatric surgery, followed by a prospective cohort with patients who presented UI symptoms. The evaluation was carried out with the application of a form and with quality of life questionnaires specific to UI, validated for the Portuguese language. Results: In the cross-sectional study, of the 221 patients evaluated, 118 (53.4%) reported episodes of UI. The prevalence of UI was 47% higher in patients who had a vaginal delivery and 34% higher in postmenopausal women. The severity of the symptoms was considered moderate in 63 (53.3%) patients. In the cohort study, eighty-eight (74.6%) of the patients were followed up and re-evaluated after 6-12 months after the Roux-en-Y gastric bypass. Of these, 50 (56.8%) had remission of symptoms. Patients who only had a cesarean delivery type had a greater probability of remission of symptoms. Patients with an additional point in the "International Consultation on Incontinence Questionnaire-Short Form" (ICIQ-SF) result prior to surgery had a 4% lower probability of remission of symptoms. Conclusion: UI has a high prevalence in patients with obesity and has a negative impact on quality of life. In the cross-sectional study, vaginal delivery and menopause were independent risk factors associated with UI. In the cohort study, cesarean section was associated with greater remission of symptoms, while patients with higher ICIQ-SF scores had lower remission of symptoms. |
publishDate |
2018 |
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2018-12-18T16:31:38Z |
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2018-10-19 |
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doctoralThesis |
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http://tede2.pucrs.br/tede2/handle/tede/8385 |
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http://tede2.pucrs.br/tede2/handle/tede/8385 |
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por |
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por |
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500 500 500 600 |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de |
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PUCRS |
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Brasil |
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Escola de Medicina |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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