Urinary Incontinence in Young Female Athletes of Taiwan

年青女性運動員尿失禁探討

黃美涓(Alice M. K. Wong) ； 裴育晟(Yu-Cheng Pei) ； 黃彬彬(Pin-Pin Huang) ； 鄭鴻衛(Hung-Wei Cheng) ； 周適偉(Shi-Wei Chou) ； 李佳穎(Chia-Yin Li)

《中華民國復健醫學會雜誌》 30卷4期 (2002/12) Pp. 201-206

摘要

To determine whether women participated in sport, even these young nulliparous female athletes, are more prone to have urinary incontinence in Taiwan. Four hundred and forty- six young female students were included in this study. All of them were nulliparous. Our subjects consisted of 260 varsity athletes, 106 athletes of high school, and 80 varsity non-athletes. They were requested to complete questionnaires on the type of major sport, intensity of training, menstrual history, sport injury, and urinary incontinence. The results showed that the athletes group had a greater body height and weight and a higher prevalence of urinary incontinence (10.0% in varsity athletes, 15% in high school athletes, and 5% in varsity non athletes) than the non-athlete group.
The varsity athlete group revealed a significantly delayed menarche than their high-school counterpart (13.0 1.3yrs vs 12.6 1.2yrs). Among the high school athletes, daily training intensities were longer in the incontinence group than the continence group (p＜0.01). The prevalence of urinary incontinence was 12% in high impact athletes, and 6.3% in low impact athletes. Among them, the prevalence of incontinence was 62.5% in handball, 25.0% in judo and tennis, 14.6% in badminton, 10% in track & field, 9.1% in football and weight-lifting, 7.1% in basketball, 6.7% in softball, 5.4% in volleyball, 3.0% in Taekwondo and 33.3% in swimming. Among all athletes, only one athlete went to the clinic for management, none had informed their coaches about the incontinence.
In this study, we found that young nulliparous athletes, who participated in regular and stressful sports, had a higher incidence of urinary incontinence than the non-athletes. Further studies are necessary in making adequate clinical diagnosis and to advice strategies to prevent urinary incontinence in young female athletes.

關鍵字

尿失禁 ； 年輕女運動員 ； 運動相關尿失禁

並列摘要

To determine whether women participated in sport, even these young nulliparous female athletes, are more prone to have urinary incontinence in Taiwan. Four hundred and forty- six young female students were included in this study. All of them were nulliparous. Our subjects consisted of 260 varsity athletes, 106 athletes of high school, and 80 varsity non-athletes. They were requested to complete questionnaires on the type of major sport, intensity of training, menstrual history, sport injury, and urinary incontinence. The results showed that the athletes group had a greater body height and weight and a higher prevalence of urinary incontinence (10.0% in varsity athletes, 15% in high school athletes, and 5% in varsity non athletes) than the non-athlete group.
The varsity athlete group revealed a significantly delayed menarche than their high-school counterpart (13.0 1.3yrs vs 12.6 1.2yrs). Among the high school athletes, daily training intensities were longer in the incontinence group than the continence group (p＜0.01). The prevalence of urinary incontinence was 12% in high impact athletes, and 6.3% in low impact athletes. Among them, the prevalence of incontinence was 62.5% in handball, 25.0% in judo and tennis, 14.6% in badminton, 10% in track & field, 9.1% in football and weight-lifting, 7.1% in basketball, 6.7% in softball, 5.4% in volleyball, 3.0% in Taekwondo and 33.3% in swimming. Among all athletes, only one athlete went to the clinic for management, none had informed their coaches about the incontinence.
In this study, we found that young nulliparous athletes, who participated in regular and stressful sports, had a higher incidence of urinary incontinence than the non-athletes. Further studies are necessary in making adequate clinical diagnosis and to advice strategies to prevent urinary incontinence in young female athletes.

並列關鍵字

urinary incontinence ； young female athletes ； sport-related incontinence