Does physical activity affect urinary incontinence in women with multiple sclerosis?
Makaleler > Tam Makale · 2025
Yazarlar: Miray Baser, Fatih Özden, Mehmet ÖZKESKİN, Kadir Özkan, Ayşe Nur YÜCEYAR
Physiotherapy Theory and Practice, Uluslararası, Wos, 2025, cilt 42, ss 887-894
DOI: 10.1080/09593985.2025.2601187
Özet
Objective This study examined the associations between urinary incontinence (UI), physical activity, and disease burden among women with multiple sclerosis (MS).Methods A cross-sectional study was conducted with 574 women with MS. Participants completed questionnaires including demographic data, as well as the International Physical Activity Questionnaire – Short Form (IPAQ-SF), Incontinence Impact Questionnaire-7 (IIQ-7), Urogenital Distress Inventory-6 (UDI-6), and Multiple Sclerosis Impact Scale-29 (MSIS-29).Results Mean age was 38.48 ± 10.10 years, mean body mass index 24.90 ± 4.86 kg/m2, and median time since diagnosis 7 years. Median moderate and vigorous physical activity was 0.00 log-MET, while sitting and walking were 6.11 and 6.21 log-MET, respectively; total IPAQ-SF median was 7.20 log-MET. Correlations showed negligible associations between total IPAQ-SF and UI scores (IIQ-7: r = −0.036, p = .386; UDI-6: r = 0.010, p = .808) and significant positive correlations with MSIS-29 physical (r = 0.622, p < .001) and mental scores (r = 0.426, p < .001). Hierarchical regression indicated socio-demographic variables explained 2.3% of variance in physical activity (R2 = 0.023, p = .020). Final model significant predictors were education (B = −0.106, β = −0.100, p = .030), MSIS-29 physical (B = −0.006, β = −0.151, p = .030), UDI-6 score (B = 0.031, β = 0.174, p = .024), childbirth status (B = 0.416, β = 0.293, p = .033), and birth weight of heaviest child (B = 0.000, β = −0.213, p = .047). Age, body mass index, marital status, living condition, chronic disease, and menopausal status were not significant. Full model explained 5.6% of variance (R2 = 0.056).Conclusion Physical activity in women with MS is influenced by education, MS-related physical impact, UI, and reproductive factors, while moderate and vigorous activity levels remain particularly low. These findings highlight the need for tailored interventions addressing socio-demographic, clinical, and reproductive determinants to promote activity in this population.Clinical Trial This study was conducted as a cross-sectional study, and thus no clinical trial registration was undertaken.