Effect of Pelvic Floor Muscle Training on Urinary Incontinence Reports in Obese Women Undergoing a Low Calorie Diet Prior to Bariatric Surgery: an Assessor Blinded Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Urinary Incontinence
- Sponsor
- University of Sao Paulo
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Self report of urinary incontinence by women
- Status
- Recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
The purpose of this study is to assess the efficacy of pelvic floor muscle training (PFMT) on urinary incontinence reports in obese women undergoing a low calorie diet prior to bariatric surgery for obesity. The study will also assess and compare rates of adherence to treatments, pelvic floor muscle function and women´s self perception of their PFM function, and satisfaction with treatment.
Detailed Description
According to the World Health Organization (WHO), the adult overweight rate in 2014 reached 20%, with the highest prevalence among women. In addition to metabolic diseases, obesity can cause musculoskeletal disorders, including pelvic floor muscle (PFM) disorders and urinary incontinence (UI) is the most prevalent one. Conservative intervention can be medication, lifestyle changes, but pelvic floor muscle training (PFMT) is considered the first-line conservative therapy for urinary incontinence in women and it is effective when delivered both individually or in group.
Investigators
Pauliana Carolina de Souza Mendes
Physiotherapist
University of Sao Paulo
Eligibility Criteria
Inclusion Criteria
- •Patients of the outpatient bariatric surgery service that will start a low calorie diet program as part of the bariatric presurgery routine of the service
- •Over 18 years old
- •With body mass index greater than 30kg / m2
- •Who have reported urinary incontinence in the last four weeks
- •Who have the ability to contract the pelvic floor muscles
- •No report of neurological disease, no cognitive impairment
- •That are not pregnant.
Exclusion Criteria
- •Women who do not wish to continue participating in the research.
Outcomes
Primary Outcomes
Self report of urinary incontinence by women
Time Frame: Women will be evaluated at baseline
Self report of urinary incontinence measured using question 3 of the ICIQ-SF. Women will be considered incontinent if they choose option 1,2,3,4,5 of question 3. Women will be considered continent if they choose option 0 of question 3.
Severity and impact of Urinary incontinence in women´s quality of life
Time Frame: Women will be evaluated at baseline
the severity and impact of Urinary incontinence in women´s quality of life will be measured using the ICIQ-SF score
Secondary Outcomes
- participants self-perception of their PFM function(Women will be evaluated at baseline)
- Satisfaction with treatment(only after 12 weeks from the baseline assessment)
- Participants' adherence to the PFMT protocol(Women will be evaluated at baseline and right after 12 weeks)
- PFM function(Women will be evaluated at baseline)
- Identification of barriers for the treatment(only after 12 weeks from the baseline assessment)
- Subjective satisfaction with treatment(only after 12 weeks from the baseline assessment)