본문 바로가기
KERD
논문KCI 등재

Effect of Long-term Exercise on Voiding Functions in Obese Elderly Women

2

조회

0

다운로드

8

인용

0

참고문헌

초록

Purpose: An overactive bladder (OAB) may be defined as urgency that is a sudden, compelling, difficult to defer desire to pass urine that is usually accompanied by frequency and nocturia and possibly by incontinence. Obesity and old age are two factors in various causes of OAB. Several epidemiologic studies have identified positive associations among obesity, old age, urinary incontinence, and OAB. However, although exercise has been known to improve obesity and reduce incontinent urine loss, little research has been done in elderly women. Therefore, we investigated the effects of exercise on obesity-related metabolic factors, blood lipid factors, and OAB symptoms in elderly Korean women. Methods: Twenty-one women aged between 69 and 72 years were recruited from the Seoul senior towers in Korea. All subjects worked out on a motorized treadmill and stationary cycle for 40 minutes, respectively, and performed resistance exercise for 30 minutes once a day for 52 weeks. Body composition, blood pressure, blood lipids, OAB symptom score, and King’s health questionnaire were investigated and analyzed. Results: Before performing physical exercise, all subjects showed increased OAB symptoms in association with enhanced body mass index (BMI), percentage fat, and blood lipid profiles. However, physical exercise for 52 weeks suppressed BMI, percentage fat, and blood lipid profiles and thus improved OAB symptoms. Conclusions: We suggest that long-term physical exercise can be a valuable tool for remarkable improvement of OAB.

Abstract

Purpose: An overactive bladder (OAB) may be defined as urgency that is a sudden, compelling, difficult to defer desire to pass urine that is usually accompanied by frequency and nocturia and possibly by incontinence. Obesity and old age are two factors in various causes of OAB. Several epidemiologic studies have identified positive associations among obesity, old age, urinary incontinence, and OAB. However, although exercise has been known to improve obesity and reduce incontinent urine loss, little research has been done in elderly women. Therefore, we investigated the effects of exercise on obesity-related metabolic factors, blood lipid factors, and OAB symptoms in elderly Korean women. Methods: Twenty-one women aged between 69 and 72 years were recruited from the Seoul senior towers in Korea. All subjects worked out on a motorized treadmill and stationary cycle for 40 minutes, respectively, and performed resistance exercise for 30 minutes once a day for 52 weeks. Body composition, blood pressure, blood lipids, OAB symptom score, and King’s health questionnaire were investigated and analyzed. Results: Before performing physical exercise, all subjects showed increased OAB symptoms in association with enhanced body mass index (BMI), percentage fat, and blood lipid profiles. However, physical exercise for 52 weeks suppressed BMI, percentage fat, and blood lipid profiles and thus improved OAB symptoms. Conclusions: We suggest that long-term physical exercise can be a valuable tool for remarkable improvement of OAB.

참고문헌 (33)

  1. 김성은, "Effects of Tamsulosin on Urinary Bladder Function and Neuronal Activity in the Voiding Centers of Rats with Cyclophosphamide-induced Overactive Bladder", International Neurourology Journal, 16(1), pp.13~22 (2012), 대한배뇨장애요실금학회
  2. Abrams P, "The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society", Am J Obstet Gynecol, 187, pp.116~126 (2002)
  3. Milsom I, "How widespread are the symptoms of an overactive bladder and how are they managed? A population-based prevalence study", BJU Int, 87, pp.760~766 (2001)
  4. Radomski SB, "Medical management of overactive bladder", Can J Urol, 19(Suppl 1), pp.2~9 (2012)
  5. Cummings JM, "Urinary stress incontinence among obese women: review of pathophysiology therapy", Int Urogynecol J Pelvic Floor Dysfunct, 11, pp.41~44 (2000)
  6. Auwad W, "Moderate weight loss in obese women with urinary incontinence: a prospective longitudinal study", Int Urogynecol J Pelvic Floor Dysfunct, 19, pp.1251~1259 (2008)
  7. Hunskaar S., "A systematic review of overweight and obesity as risk factors and targets for clinical intervention for urinary incontinence in women", Neurourol Urodyn, 27, pp.749~757 (2008)
  8. Uzun H, "Metabolic syndrome in female patients with overactive bladder", Urology, 79, pp.72~75 (2012)
  9. Samsioe G, "Urogenital symptoms in women aged 50-59 years. Women’s Health in Lund Area (WHILSA) Study Group", Gynecol Endocrinol, 13, pp.113~117 (1999)
  10. Schmidbauer J, "Risk factors for urinary incontinence in both sexes. Analysis of a health screening project", Eur Urol, 39, pp.565~570 (2001)
  11. Dallosso HM, "The association of diet and other lifestyle factors with overactive bladder and stress incontinence: a longitudinal study in women", BJU Int, 92, pp.69~77 (2003)
  12. Dallosso HM, "The association of diet and other lifestyle factors with the onset of overactive bladder: a longitudinal study in men", Public Health Nutr, 7, pp.885~891 (2004)
  13. Hannestad YS, "Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study", BJOG, 110, pp.247~254 (2003)
  14. Stewart WF, "Prevalence and burden of overactive bladder in the United States", World J Urol, 20, pp.327~336 (2003)
  15. Duscha BD, "Effects of exercise training amount and intensity on peak oxygen consumption in middle-age men and women at risk for cardiovascular disease", Chest, 128, pp.2788~2793 (2005)
  16. Church TS, "Effects of different doses of physical activity on cardiorespiratory fitness among sedentary, overweight or obese postmenopausal women with elevated blood pressure: a randomized controlled trial", JAMA, 297, pp.2081~2091 (2007)
  17. Kelley GA, "Aerobic exercise and resting blood pressure in older adults: a meta-analytic review of randomized controlled trials", J Gerontol A Biol Sci Med Sci, 56, pp.M298~M303 (2001)
  18. Kraus W, "Metabolic syndrome: recognition, etiology and physical fitness as a component, In Nutrition & diabetes: pathophysiology and management", pp.57~78 (2006), Taylor & Francis
  19. Johnson JL, "Exercise training amount and intensity effects on metabolic syndrome (from Studies of a Targeted Risk Reduction Intervention through Defined Exercise)", Am J Cardiol, 15(100), pp.1759~1766 (2007)
  20. de Groot PC, "Magnitude and time course of arterial vascular adaptations to inactivity in humans", Exerc Sport Sci Rev, 34, pp.65~71 (2006)
  21. Hamilton MT, "Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease", Diabetes, 56, pp.2655~2667 (2007)
  22. 고일규, "Swimming: Effects on Stress Urinary Incontinence and the Expression of Nerve Growth Factor in Rats Following Transabdominal Urethrolysis", International Neurourology Journal, 15(2), pp.74~81 (2011), 대한배뇨장애요실금학회
  23. Aukee P, "The effect of home biofeedback training on stress incontinence", Acta Obstet Gynecol Scand, 83, pp.973~977 (2004)
  24. 정성진, "Korean Version of the Overactive Bladder Symptom Score Questionnaire: Translation and Linguistic Validation", International Neurourology Journal, 15(3), pp.135~142 (2011), 대한배뇨장애요실금학회
  25. Kelleher CJ, "A new questionnaire to assess the quality of life of urinary incontinent women", Br J Obstet Gynaecol, 104, pp.1374~1379 (1997)
  26. Lee KY, "Short term rehabilitation and ankle instability", Int J Sports Med, 33, pp.485~496 (2012)
  27. Chapman IM, "Obesity paradox during aging", Interdiscip Top Gerontol, 37, pp.20~36 (2010)
  28. Noblett KL, "The relationship of body mass index to intra-abdominal pressure as measured by multichannel cystometry", Int Urogynecol J Pelvic Floor Dysfunct, 8, pp.323~326 (1997)
  29. Chancellor MB, "Obesity is associated with a more severe overactive bladder disease state that is effectively treated with once-daily administration of trospium chloride extended release", Neurourol Urodyn, 29, pp.551~554 (2010)
  30. Grady D, "Postmenopausal hormones and incontinence: the Heart and Estrogen", Progestin Replacement Study, 2001, pp.97, 116~120
  31. Soto PF, "Exercise training impacts the myocardial metabolism of older individuals in a gender-specific manner", Am J Physiol Heart Circ Physiol, 295, pp.H842~H850 (2008)
  32. Nicklas BJ, "Effect of exercise intensity on abdominal fat loss during calorie restriction in overweight and obese postmenopausal women: a randomized, controlled trial", Am J Clin Nutr, 89, pp.1043~1052 (2009)
  33. Bo K, "Nonpharmacologic treatments for overactive bladder-pelvic floor exercises", Urology, 55(5A Suppl), pp.7~11 (2000)

관련 논문AI추천

이 간행물의 다른 논문 (9건)