Impacto de um programa de exercícios aeróbicos e resistidos associados ou não a isoflavonas na qualidade de vida, incapacidade e incontinência urinária de mulheres menopausadas

Abstract

OBJECTIVE: To evaluate the impact of aerobic and resisted exercises on general quality of life, disability and urinary incontinence (UI) in menopausal women. METHODS: Randomized, controlled and overt clinical trial. The evaluated outcomes were: presence and severity of UI using the ICIQ-SF questionnaire, presence and severity of disability (Oswestry questionnaire), and general quality of life, using the SF- 36 questionnaire. The volunteers were randomized to two groups: Group exercises associated with isoflavone supplementation and group exercises associated with placebo. The volunteers underwent 12 weeks of training on alternate days. The training included 30 minutes of aerobic activity on treadmill, with slope increment over time and 30 minutes of resistance exercises in bodybuilding apparatus for the main muscle groups. RESULTS: The groups were homogeneous with respect to age, menopausal time, number of pregnancies and number of gynecological surgeries. There were no differences between groups at baseline in relation to the analyzed variables, except for the SF-36 Mental Health domain. At the end of treatment, there was no difference between the groups in any of the outcomes evaluated; however, when compared individually, before and after treatment, only the placebo group showed improvement in four SF-36 domains: Functional Capacity, Vitality, Social Aspects And Mental Health. CONCLUSION: Adding isoflavones to an aerobic and resistance training program was no more effective than the program itself in relation to overall quality of life, urinary incontinence, and disabilities.