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Current Aging Science

Editor-in-Chief

ISSN (Print): 1874-6098
ISSN (Online): 1874-6128

General Research Article

Training of Pelvic Floor Muscle Training Improves the Severity and Quality of Urine Incontinence and Increases Social Participation of Older Women in Southern Iran

Author(s): Somayeh Sheikh Hoseini, Leila Ghahremani, Fahimeh Khorasani, Mahsa Yarelahi and Abdolrahim Asadollahi*

Volume 17, Issue 1, 2024

Published on: 31 August, 2023

Page: [68 - 73] Pages: 6

DOI: 10.2174/1874609816666230816125026

Price: $65

Abstract

Background: Aging and gender are risk factors for urine incontinence, which can lead to psychological, physical, and social complications.

Objective: This community-based study investigates the effectiveness of pelvic floor muscle training on the severity and quality of urine incontinence and social participation of older women.

Methods: This quasi-experimental community-based study was performed with the participation of 60 older women referring to the Public Health Center in Kerman City, southern Iran. The experiment group was trained with pelvic floor muscle training in 7 training sessions with distance health education in the second half of 2021. Before and after the intervention, data were collected based on: demographic, severity and quality of urine incontinence, and social participation inventories. Data were analyzed using a t-test and ANOVA (P ≤ 0.05).

Results: The mean scores of severity and quality of urine incontinence and social participation in the experiment and control groups before receiving the intervention were not statistically significant (P ≥ 0.05). But after that, a statistically significant difference was observed between the groups (P <0.05), which showed an improvement in the severity and quality of urine incontinence scores as well as SP in the experiment group.

Conclusions: Tele-training of the Kegel exercise, even during the pandemic, can play an important role in improving incontinence and social participation in older women. Therefore, this training can be used to prevent and improve urine incontinence in public health centers in the community.

Keywords: Aged, urine incontinence, social participation, kegel exercise, pelvic floor muscle, stressful UI (SUI).

Graphical Abstract
[1]
Kaye AD, Baluch A, Scott JT. Pain management in the elderly population: A review. Ochsner J 2010; 10(3): 179-87.
[PMID: 21603375]
[2]
Ormsbee MJ, Prado CM, Ilich JZ, et al. Osteosarcopenic obesity: The role of bone, muscle, and fat on health. J Cachexia Sarcopenia Muscle 2014; 5(3): 183-92.
[http://dx.doi.org/10.1007/s13539-014-0146-x] [PMID: 24740742]
[3]
Dannecker C, Friese K, Stief C, Bauer R. Urinary incontinence in women: Part 1 of a series of articles on incontinence. Dtsch Arztebl Int 2010; 107(24): 1420-6.
[4]
Khodarahmi S, Kariman N, Ebadi A, Ozgoli G. Effect of exercise on stress urinary incontinence in women: A review study. Majallah-i Zanan, Mamai va Nazai-i Iran 2018; 21(3): 78-89.
[5]
Trantafylidis SC-A. Impact of urinary incontinence on quality of life. Pelviperineology 2009; 28(28): 51-3.
[PMID: 19219354]
[6]
Borello-France DF, Zyczynski HM, Downey PA, Rause CR, Wister JA. Effect of pelvic-floor muscle exercise position on continence and quality-of-life outcomes in women with stress urinary incontinence. Phys Ther 2006; 86(7): 974-86.
[http://dx.doi.org/10.1093/ptj/86.7.974] [PMID: 16813477]
[7]
Alihosseini E, Najar S, Afshari P, Haghighizadeh MH. Comparison of the effect of SMS with face to face training on performance of Kegel Exercise in middle-aged women. Majallah-i Zanan, Mamai va Nazai-i Iran 2016; 19(34): 18-25.
[8]
Zavieh SSB, Gharamalaki BV, Nikooy A, Sarrafzadeh J. Effect of age, menopause, diabetes, drinking fluids, and regular exercise on urinary incontinence in obese women based on anthropometric indices. 2016. Available from: http://www.pelvicfloorphysiotherapy.ir/article/effect-of-age-menop ause-diabetesdrinking-fluids-and-regular-exercise-on-urinary-incon tinence-in-obese-women-based-on-anthrometric-indicesy
[9]
Irwin DE, Milsom I, Hunskaar S, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: Results of the EPIC study. Eur Urol 2006; 50(6): 1306-15.
[http://dx.doi.org/10.1016/j.eururo.2006.09.019] [PMID: 17049716]
[10]
Fritel X, Lachal L, Cassou B, Fauconnier A, Dargent-Molina P. Mobility impairment is associated with urge but not stress urinary incontinence in community-dwelling older women: Results from the Ossébo study. BJOG 2013; 120(12): 1566-74.
[http://dx.doi.org/10.1111/1471-0528.12316] [PMID: 23750706]
[11]
Cheater FM, Baker R, Gillies C, et al. The nature and impact of urinary incontinence experienced by patients receiving community nursing services: A cross-sectional cohort study. Int J Nurs Stud 2008; 45(3): 339-51.
[http://dx.doi.org/10.1016/j.ijnurstu.2006.09.006] [PMID: 17178120]
[12]
Broome B. The impact of urinary incontinence on self-efficacy and quality of life. Health Qual Life Outcomes 2003; 1(1): 35.
[http://dx.doi.org/10.1186/1477-7525-1-35] [PMID: 12969511]
[13]
Fultz N, Girts T, Kinchen K, Nygaard I, Pohl G, Sternfeld B. Prevalence, management and impact of urinary incontinence in the workplace. Occup Med (Lond) 2005; 55(7): 552-7.
[http://dx.doi.org/10.1093/occmed/kqi152] [PMID: 16251372]
[14]
Holroyd-Leduc JM, Straus SE. Management of urinary incontinence in women: Scientific review. JAMA 2004; 291(8): 986-95.
[http://dx.doi.org/10.1001/jama.291.8.986] [PMID: 14982915]
[15]
Melville JL, Walker E, Katon W, Lentz G, Miller J, Fenner D. Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence. Am J Obstet Gynecol 2002; 187(1): 80-7.
[http://dx.doi.org/10.1067/mob.2002.124839] [PMID: 12114892]
[16]
Kılıç M. Incidence and risk factors of urinary incontinence in women visiting Family Health Centers. Springerplus 2016; 5(1): 1331.
[http://dx.doi.org/10.1186/s40064-016-2965-z] [PMID: 27563526]
[17]
Takahashi K, Sase E, Kato A, Igari T, Kikuchi K, Jimba M. Psychological resilience and active social participation among older adults with incontinence: A qualitative study. Aging Ment Health 2016; 20(11): 1167-73.
[http://dx.doi.org/10.1080/13607863.2015.1065792] [PMID: 26179274]
[18]
Adams KB, Leibbrandt S, Moon H. A critical review of the literature on social and leisure activity and wellbeing in later life. Ageing Soc 2011; 31(4): 683-712.
[http://dx.doi.org/10.1017/S0144686X10001091]
[19]
Kim H, Suzuki T, Yoshida Y, Yoshida H. Effectiveness of multidimensional exercises for the treatment of stress urinary incontinence in elderly community-dwelling Japanese women: A randomized, controlled, crossover trial. J Am Geriatr Soc 2007; 55(12): 1932-9.
[http://dx.doi.org/10.1111/j.1532-5415.2007.01447.x] [PMID: 17944890]
[20]
Bø K. Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work? Int Urogynecol J Pelvic Floor Dysfunct 2004; 15(2): 76-84.
[http://dx.doi.org/10.1007/s00192-004-1125-0] [PMID: 15014933]
[21]
NCSS. Kaysville, Utah, USA. 2019. Available from: https://www.ncss.com/contact/
[22]
Darvishpoor Kakhki A. Abed saeedi Z, Abbaszadeh A. Social participation, barriers, and related factors in older people in Tehran. J Healthc Prot Manage 2014; 3(4): 65-73.
[23]
Rangraz Jeddi M, Momenyan S, Rasouli A, Seyfzadeh Z, Hedayatizadeh A. Study of the relationship between the severity of postpartum urinary incontinence and parity and the quality of life in multiparous women. Majallah-i Zanan, Mamai va Nazai-i Iran 2014; 17(105): 18-23.
[24]
Sar D, Khorshid L. The effects of pelvic floor muscle training on stress and mixed urinary incontinence and quality of life. J Wound Ostomy Continence Nurs 2009; 36(4): 429-35.
[http://dx.doi.org/10.1097/WON.0b013e3181aaf539] [PMID: 19609165]
[25]
Cavkaytar S, Kokanali MK, Topcu HO, Aksakal OS, Doğanay M. Effect of home-based Kegel exercises on quality of life in women with stress and mixed urinary incontinence. J Obstet Gynaecol 2015; 35(4): 407-10.
[http://dx.doi.org/10.3109/01443615.2014.960831] [PMID: 25264854]
[26]
Hamzaee K, Hossain Zadeh K, Azh N, Mafi M. Efficacy of health belief model compared to the traditional education on kegel exercises in middle-aged women. J Health 2018; 9(5): 576-88.
[27]
Farahnaz Saki P, Hosein Mojtahedi D. Effect of spinal stabilization exercises to reduce urinary incontinence in the elderly. Sci J Manag Syst 2017; 15(13): 60-1.
[28]
Kolbadinezhad N, Hasanpur M, Mahmudi M, Ayyasi M. The effect of education based on family-centered empowerment model on the self-care behaviors of the women suffering from stress urinary incontinence. Iranian J Rehabil Res 2019; 6(2): 74-81.
[29]
Lak R, Amiri M, Abdollahi I, Biglarian A, Bazaz Behbahani R, Zargoosh M. Effect of strength and endurance training on the pelvic floor muscles in women with stress urinary incontinence. J Rehabil 2016; 17(3): 222-31.
[http://dx.doi.org/10.21859/jrehab-1703222]
[30]
Torkzadeh A, Pormomeny A, Zargham M. The Effect of Two Types of Exercise Therapy on Improvement of Stress Urinary Incontinence in Women. Majallah-i Danishkadah-i Pizishki-i Isfahan 2016; 34(378): 341-6.
[31]
Porta-Roda O, Vara-Paniagua J, Díaz-López MA, et al. Effect of vaginal spheres and pelvic floor muscle training in women with urinary incontinence: A randomized, controlled trial. Neurourol Urodyn 2015; 34(6): 533-8.
[http://dx.doi.org/10.1002/nau.22640] [PMID: 25130167]
[32]
Hoseini DM, Garousi S, Boostani D. The relationship of the perception of neighborhood and social participation of the elderly in Kerman, 2019. J Gerontol 2021; 5(4): 43-53.
[33]
Lai DWL, Bai X, Guo A. Mediating effect of social participation on the relationship between incontinence and depressive symptoms in older Chinese women. Health Soc Work 2017; 42(2): e94-e101.
[http://dx.doi.org/10.1093/hsw/hlx018] [PMID: 28431101]
[34]
Barzegary M, Vahidi B, Safarinejad M. Investigating stress urinary incontinence in women using computational methods and clinical data. Modares Mechanical Engineering 2017; 17(5): 419-29.
[35]
Vo K, Forder PM, Byles JE. Urinary incontinence and social function in older Australian women. J Am Geriatr Soc 2016; 64(8): 1646-50.
[http://dx.doi.org/10.1111/jgs.14250] [PMID: 27352176]

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