Prevalência de disfunção sexual e incontinência urinária em indivíduos cardiopatas candidatos à reabilitação cardíaca e indivíduos sem evento cardíaco prévio
DOI:
https://doi.org/10.5902/2236583461875Keywords:
Sexualidade, Incontinência Urinária, Cardiopatias, Reabilitação Cardíaca.Abstract
Objetivo: Analisar a prevalência de disfunção sexual e incontinência urinária em sujeitos cardiopatas candidatos a um programa de reabilitação cardíaca (PRC), assim como comparar os achados a sujeitos sem evento cardíaco prévio (n=25) e correlacionar com as variáveis capacidade funcional (CF) e qualidade de vida (QV). Métodos: Trata-se de um estudo transversal com avaliação dos seguintes desfechos: disfunção sexual (Female Sexual Function Index e Índice Internacional de Função Erétil Simplificado), incontinência urinária (International Consultation Incontinence Questionnaire – Short Form, Incontinence Severity Index), qualidade de vida (Minnesota Living with Heart Failure Questionnaire e MacNew Heart Disease Health-Related Quality of Life Questionnaire para sujeitos cardiopatas e Medical Outcomes Study 36-Item Short-Form Health Survey e Notthingam Health Profile para sujeitos sem evento cardíaco prévio) e CF (teste de caminhada de 6 minutos). Resultados: A amostra foi composta por 25 indivíduos cardiopatas candidatos a um PRC (59,88 ± 8,53 anos, 19 homens) e 25 indivíduos sem evento cardíaco prévio (57,88 ± 9,54 anos, 19 homens). Não houve diferença significativa na prevalência de disfunção sexual e incontinência urinária entre os grupos. Houve correlação inversa e forte (r=-0,803; p=0,005) entre disfunção sexual e CF nos homens cardiopatas. Os pacientes cardiopatas demonstraram uma menor capacidade funcional quando comparados aos sujeitos sem evento cardíaco prévio. Considerações Finais: Ressalta-se a importância da abordagem de temas como disfunção sexual e incontinência urinária dentro de um PRC, sobretudo em função do manejo precoce dos seus fatores de risco.
Downloads
References
OMS, Organização Mundial da Saúde. World health statistics 2018: monitoring health for the SDGs, sustainable development goals. 2018.
Pratesi A et al. Cardiac surgery in the elderly: what goals of care? Monaldi Archives for Cheast Disease. 2017;87(2):12-15.
Carvalho T et al. Diretriz Brasileira de Reabilitação Cardiovascular. Arquivos Brasileiros de Cardiologia. 2020;114(5):943-987.
Lindau ST et al. Sexual activity and function in the year after an acute myocardial infarction among younger women and men in the United States and Spain. JAMA Cardiology. 2016;1(7):754-64.
Poole K, Kerlin, M, Wynne, R. Prevalence and characteristics of urinary incontinence in a cohort of patients with a chronic heart failure. Heart & Lung. 2017;46(2):67-73.
Araújo CGS, Stein R, Sardinha A. Sexual counselling in cardiac rehabilitation: an urgent need for more consideration and study. Canadian Journal of Cardiology. 2018;34(12):1546-8.
Neiman A, Ginde S, Earing MG, Bartz PJ, Cohen S. The prevalence of sexual dysfunction and its association with quality of life in adults with congenital heart disease. International Journal of Cardiology. 2017;228:953-7.
Malik RN, Hess DS, Christie A, Carmel ME, Zimmern PE. Domain comparison between 6 validated questionnaires administered to women with urinary incontinence. Urology. 2019;132:75-80.
Swainson MG, Ingle L, Carroll S. Cardiorespiratory fitness as a predictor of short-term and lifetime estimated cardiovascular disease risk. Scandinavian Journal of Medicine & Science in Sports. 2019;29(9):1402-13.
ATS, American Thoracic Society. ATS statement: guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine. 2002;166(1):111-7.
Rajati F, Feizi A, Tavakol K, Mostafavi F, Sadegui M, Sharifirad Gholamreza. Comparative evaluation of health-related quality of life questionnaires in patients with heart failure undergoing cardiac rehabilitation – a psychometric study. Physical Medicine and Rehabilitation. 2016;97(11):1953-62.
Kalka D et al. Association between physical exercise and quality of erection in men with ischaemic heart disease and erectile dysfunction subjected to physical training. Kardiologia Polska. 2013;71(6):573-80.
John G, Bardini C, Combescure C, Dällenbach P. Urinary incontinence as a predictor of death: a systematic review and meta-analysis. PLoS One. 2016;11(7):1-19.
Hatzichristou D et al. Diagnosing sexual dysfunction in men and women: sexual history taking and the role of symptom scales and questionnaires. The Journal of Sexual Medicine. 2016;13(8):1166-82.
Klovining A, Avery K, Sandvik H, Hunskaar S. Comparison of two questionnaires for assessing the severity of urinary incontinence: the ICIQ-UI SF versus the Incontinence Severity Index. Neurology and Urodynamics. 2009;28(5):411-15.
Enright PL, Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med. 1998;158(5):1384-87.
Thompson DR, Ski CF, Garside J, Astin F. A Review of health – related quality of life patient – reported outcome measures in cardiovascular nursing. European Journal of Cardiovascular Nursing. 2016;15(2):114-25.
Busija L, Pausenberger E, Haines TP, Haymes S, Bichbindr R, Osborne RH. Adult measures of general health and health-related quality of life. Arthritis Care & Research. 2011;63(11):S383-412.
Ruano-Ravina A et al. Participation and adherence to cardiac rehabilitation programs. A systematic review. International Journal of Cardiology. 2016;223:436-443.
Rusiecki L et al. Sexual health in Polish elderly men with coronary artery disease: importance, expectations and reality. Asian Journal of Andrology. 2020;22:1-6.
Polland AR, Davis M, Zeymo A, Iglesia CB. Association between comorbidities and female sexual dysfunction: findings from the third National Survey of Sexual Attittudes and Lifestyles (Natsal-3). International Urogynecology Journal. 2019;30(3):377-83.
Molaiolli D et al. Lifestyles and sexuality in men and women: the gender perspective in sexual medicine. Reproductive Biology and Endocrinology. 2020;18(10):1-11.
Jackson SE, Yang L, Koyanagi A, Stubbs B, Veronese N, Smith L. Declines in sexual activity and function predict incident health problems in older adults: prospective findings from the English longitudinal study of ageing. Archives of Sexual Behavior. 2020;49(3):929-40.
Piepoli MF et al. 2016 European guidelines on cardiovascular disease prevention in clinical practice: the sixth joint task force of the European Society of Cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of 10 societies and by invited experts) developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). European Heart Journal Advance Access. 2016;37(29):2315-2381.
Roushias S, Ossei-Gerning N. Sexual function and cardiovascular disease: what the general cardiologist needs to know. Education in Heart. 2018;105(2):160-8.
Lunelli RP, Irigoyen MC, Goldmeier S. Hypertension as a risk factor for female sexual dysfunction: cross-sectional study. Revista Brasileira de Enfermagem. 2018;71(5):2477-82.
Daugirdas SP, Markossian T, Mueller ER, Durazo-Arvizu R, Cao G, Kramer H. Urinary incontinence and chronic conditions in the US population age 50 years and older. International Urogynecology Journal. 2020;31(5):1013-20.
Sumarsono B et al. The prevalence of urinary incontinence in men and women aged 40 years or over in China, Taiwan and South Korea: a cross-sectional, prevalence-based study. Lower Urinary Tract Symptoms. 2020:1-12.
John G. Urinary incontinence and cardiovascular disease: a narrative review. International Urogynecology Journal. 2019;31(5):857-63.
Baert A et al. Sexual activity in heart failure patients: information needs and association with health-related quality of life. International Journal of Environment Research and Public Health. 2019;16(9):1-11.