FUNCTIONAL CONSTIPATION AND OVERACTIVE BLADDER IN WOMEN: A POPULATION-BASED STUDY

التفاصيل البيبلوغرافية
العنوان: FUNCTIONAL CONSTIPATION AND OVERACTIVE BLADDER IN WOMEN: A POPULATION-BASED STUDY
المؤلفون: Danielle de Novais Alves, Eneida Regis Dourado, Glícia Estevam de Abreu, Milly Queiroz de Araujo, Natália Souza Paes Mendonça, Ubirajara Barroso Junior
المصدر: Arquivos de Gastroenterologia, Issue: ahead, Published: 30 AUG 2018
Arquivos de Gastroenterologia, Iss 0 (2018)
Arquivos de Gastroenterologia v.55 suppl.1 2018
Arquivos de gastroenterologia
Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia
instacron:IBEPEGE
بيانات النشر: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE., 2018.
سنة النشر: 2018
مصطلحات موضوعية: Adult, medicine.medical_specialty, Constipation, Urinary system, 030232 urology & nephrology, Urinary incontinence, urologic and male genital diseases, Frequent urination, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Overactive urinary bladder, Internal medicine, Surveys and Questionnaires, medicine, Prevalence, Nocturia, Humans, Sintomas do trato urinário inferior, complicações, Women, lcsh:RC799-869, Adult health, Urinary bladder, business.industry, Urinary Bladder, Overactive, Gastroenterology, Middle Aged, medicine.disease, Constipação intestinal, female genital diseases and pregnancy complications, Saúde do adulto, Mulheres, medicine.anatomical_structure, Cross-Sectional Studies, Overactive bladder, Functional constipation, 030211 gastroenterology & hepatology, Female, lcsh:Diseases of the digestive system. Gastroenterology, medicine.symptom, business, Lower urinary tract symptoms, complications, Brazil, Bexiga urinária hiperativa
الوصف: BACKGROUND: An association between urinary disorders and functional constipation has been registered in children and adults, with functional constipation being a common complaint in individuals with overactive bladder. OBJECTIVE: To evaluate the prevalence of functional constipation, overactive bladder and its dry/wet subtypes in women and to determine which bowel symptoms predict overactive bladder. METHODS: A cross-sectional study of women randomly approached in public spaces. Exclusion criteria: neurological/anatomical abnormalities of the bowel or urinary tract. Constipation was defined as ≥2 positive symptoms of those listed in the Rome criteria. Urinary abnormalities (frequent urination, urgency, incontinence, nocturia) were defined by a score ≥2 in the respective item of the International Consultation on Incontinence Questionnaire - Overactive Bladder. Dry overactive bladder was defined as urgency without incontinence, while wet overactive bladder included incontinence. RESULTS: A total of 516 women with a mean age of 35.8±6 years were interviewed. Rates of functional constipation, overactive bladder, dry overactive bladder and wet overactive bladder were 34.1%, 15.3%, 8.9% and 6.4%, respectively. Functional constipation was associated with overactive bladder and dry overactive bladder, with functional constipation predicting dry overactive bladder (OR=2.47). Quality of life was poorer in constipated women compared to non-constipated and even worse in constipated women with wet overactive bladder (median 22.5; 95%CI: 17.25-35.25). Manual maneuvers were significantly associated with both overactive bladder subtypes. Independent predictive factors for overactive bladder were manual maneuvers (OR=2.21) and
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