Keywords
Quality of Life
Tobacco Use Disorder
Urinary Incontinence
Women's Health
How to Cite
Abstract
Objective: To investigate the association between smoking and urinary symptoms in women, with a focus on its impact on urinary incontinence (UI) and quality of life.
Methods: A cross-sectional observational study involving 54 women aged 20 to 60, recruited via social media over a three-month period. The study included 37 female smokers with urinary symptoms. Sociodemographic, gynecological, obstetric, and smoking-related data were collected through an electronic form. UI was assessed using the ICIQ-SF questionnaire, with participants scoring ≥1 considered incontinent. Data analysis was performed using Jamovi software, applying Spearman's correlation (p<0.05).
Results: The average age was 35 years, and the mean BMI was 26.5 kg/m², indicating overweight. The average smoking load was 5.40 pack-years, with a daily consumption of 10 cigarettes over 10 years. Smoking was frequently associated with stress and anxiety. Regarding UI, 16.2% reported frequent leakage, while 32.4% reported occasional leakage. The mean ICIQ-SF score was 3, indicating mild symptoms.
Discussion: A mild yet significant association was found between smoking and urinary symptoms in women. Although the correlation was weak, the findings reinforce smoking as a risk factor for UI, linked to hormonal changes and pelvic floor overload. The association with stress and anxiety highlights the need for a multidisciplinary approach in smoking cessation programs.
Conclusion: Smoking was shown to be associated with mild urinary symptoms in women, reinforcing its harmful effects on urogynecological health.
References
ALVES, Camila Amâncio et al. Prevalência de incontinência urinária, impacto na qualidade de vida e fatores associados em usuárias de Unidades de Atenção Primária à Saúde. Fisioterapia em Movimento, v. 35, spe, 2022. Disponível em: https://doi.org/10.1590/fm.2022.35604.0.
BATISTA, Roberta Leopoldino de Andrade et al. Revisão sistemática das influências do hipoestrogenismo e do treinamento sobre a incontinência urinária. Femina, v. 38, n. 3, p. 135-140, 2010.
BERNARDES, Nicole De Oliveira. Incontinência urinária feminina e fatores de risco.
Fisioterapia Brasil, v. 7, n. 4, p. 301, 20 mar. 2018. Disponível em: https://doi.org/10.33233/fb.v7i4.1921.
BUMP, Richard C.; MCCLISH, Donna K. Cigarette smoking and urinary incontinence in women. American Journal of Obstetrics and Gynecology, v. 167, n. 5, p. 1213-1218, nov. 1992. Disponível em: https://doi.org/10.1016/s0002-9378(11)91691-3.
CARDOSO, T. C. A. et al. Aspectos associados ao tabagismo e os efeitos sobre a saúde. Research, Society and Development, v. 10, n. 3, p. e11210312975, 8 mar. 2021.
CARVALHO, Maitê Peres de et al. O impacto da incontinência urinária e seus fatores associados em idosas. Revista Brasileira de Geriatria e Gerontologia, v. 17, n. 4, p. 721-730, dez. 2014. Disponível em: https://doi.org/10.1590/1809-9823.2014.13135.
FUGANTI, Paulo Emilio; GOWDY, John Michael; SANTIAGO, Nilton Cesar. Obesity and smoking: Are they modulators of cough intravesical peak pressure in stress urinary incontinence? International braz j urol, v. 37, n. 4, p. 528-533, ago. 2011. Disponível em: https://doi.org/10.1590/s1677-55382011000400013.
GAO, J. et al. Unveiling the depths of pelvic organ prolapse: From risk factors to therapeutic methods (Review). Experimental and Therapeutic Medicine, v. 29, n. 1, 8 nov. 2024.
GEOFFRION, Roxana. Women’s knowledge of pelvic floor disorders. Expert Review of Obstetrics & Gynecology, v. 5, n. 4, p. 471-477, jul. 2010. Disponível em: https://doi.org/10.1586/eog.10.32.
GUARISI, Telma et al. Procura de Serviço Médico por Mulheres com Incontinência Urinária. Revista Brasileira de Ginecologia e Obstetrícia, v. 23, n. 7, ago. 2001. Disponível em: https://doi.org/10.1590/s0100-72032001000700005.
HANNESTAD, Yngvild S. et al. Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. BJOG: An International Journal of Obstetrics and Gynaecology, v. 110, n. 3, p. 247-254, mar. 2003. Disponível em: https://doi.org/10.1046/j.1471-0528.2003.02327.x.
HIGA, Rosângela; LOPES, Maria Helena Baena de Moraes; REIS, Maria José dos. Fatores de risco para incontinência urinária na mulher. Revista da Escola de Enfermagem da USP, v. 42, n. 1, p. 187-192, mar. 2008. Disponível em: https://doi.org/10.1590/s0080-62342008000100025.
HRISANFOW, Elisabet; HÄGGLUND, Doris. Impact of cough and urinary incontinence on quality of life in women and men with chronic obstructive pulmonary disease. Journal of Clinical Nursing, v. 22, n. 1-2, p. 97-105, 17 jul. 2012. Disponível em: https://doi.org/10.1111/j.1365-2702.2012.04143.x.
KAWAHARA, Takashi et al. Impact of smoking habit on overactive bladder symptoms and incontinence in women. International Journal of Urology, v. 27, n. 12, p. 1078-1086, set. 2020.
LAMERTON, T. J.; TORQUATI, L.; BROWN, W. J. Overweight and obesity as major, modifiable risk factors for urinary incontinence in young to mid-aged women: a systematic review and meta-analysis. Obesity Reviews, v. 19, n. 12, p. 1735-1745, 19 set. 2018..
LOPES, Maria Helena Baena de Moraes; HIGA, Rosângela. Restrições causadas pela incontinência urinária à vida da mulher. Revista da Escola de Enfermagem da USP, v. 40, n. 1, p. 34-41, mar. 2006. Disponível em: https://doi.org/10.1590/s0080-62342006000100005.
MAGALHÃES, D.; ROSILEIDE ALVES LIVRAMENTO. ASSOALHO PÉLVICO E SUA RELAÇÃO COM A INCONTINÊNCIA URINARIA: CAUSA E TRATAMENTO FISIOTERAPÊUTICO. Brazilian Journal of Implantology and Health Sciences, v. 5, n. 5, p. 4023–4034, 27 nov. 2023.
MUKAKA, M. M. Statistics corner: A guide to appropriate use of correlation coefficient in medical research. Malawi Medical Journal, v. 24, n. 3, p. 69-71, set. 2012.
NUNES, E. Consumo de tabaco. Efeitos na saúde. Revista Portuguesa de Medicina Geral e Familiar, v. 22, n. 2, p. 225-244, 2006. Disponível em: https://doi.org/10.32385/rpmgf.v22i2.10231.
PAINEL de Indicadores – PNS. Disponível em: https://www.pns.icict.fiocruz.br/painel-de-indicadores-mobile-desktop/.
PATEL, U. J. et al. Updated Prevalence of Urinary Incontinence in Women: 2015–2018 National Population-Based Survey Data. Female Pelvic Medicine & Reconstructive Surgery, v. 28, n. 4, p. 181–187, 12 jan. 2022.
ROCHA, Juliana et al. Avaliação da Incontinência Urinária na Gravidez e no Pós-Parto: Estudo Observacional. Acta Médica Portuguesa, v. 30, n. 7-8, p. 568, 31 ago. 2017. Disponível em: https://doi.org/10.20344/amp.7371.
SABOIA, Dayana Maia et al. Impacto dos tipos de incontinência urinária na qualidade de vida de mulheres. Revista da Escola de Enfermagem da USP, v. 51, 21 dez. 2017. Disponível em: https://doi.org/10.1590/s1980-220x2016032603266.
SUBAK, Leslee L.; RICHTER, Holly E.; HUNSKAAR, Steinar. Obesity and Urinary Incontinence: Epidemiology and Clinical Research Update. Journal of Urology, v. 182, n. 6S, dez. 2009. Disponível em: https://doi.org/10.1016/j.juro.2009.08.071.
VALENÇA, Alexandre M. et al. Transtorno de pânico e tabagismo. Revista Brasileira de Psiquiatria, v. 23, n. 4, p. 229-232, dez. 2001. Disponível em: https://doi.org/10.1590/s1516-44462001000400010.
VOLKMER, Cilene et al. Incontinência urinária feminina: revisão sistemática de estudos qualitativos. Ciência & Saúde Coletiva, v. 17, n. 10, p. 2703-2715, out. 2012. Disponível em: https://doi.org/10.1590/s1413-81232012001000019.