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International Urogynecology Journal
Erschienen in:

05.01.2022 | Review Article

Heart rate variability dynamics in women with urinary incontinence: a systematic review

verfasst von: Jordana Barbosa da Silva, Raphael Martins de Abreu, Juliana Falcão Padilha, Audrey Borghi-Silva, Aparecida Maria Catai, Patricia Driusso

Erschienen in: International Urogynecology Journal | Ausgabe 5/2022

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Abstract

Introduction and hypothesis

Sympathetic and parasympathetic pathways of the autonomic nervous system (ANS) regulate the lower urinary tract. The aim of the present study was to synthesize the evidence regarding ANS regulation in women with urinary incontinence (UI) evaluated through heart rate variability (HRV).

Methods

This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Five databases were researched in April 2021 (PubMed, CINHAL, Scopus, Web of Science and Cochrane Library) and included cross-sectional studies in full-length publications in the English language. Studies assessed the HRV during bladder filling (group A) and after voiding (group B). The Joanna Briggs Institute (JBI) checklist was applied for methodological quality assessment purposes.

Results

A total of 920 articles were identified and 5 studies were included. Most studies analyzed the HRV by linear indexes. Studies from group A (n = 2) presented fair methodological quality; one study from group B (n = 3) showed fair methodological quality (Im et al. Korean J Urol. 51:183, 2010) whereas the others presented high methodological quality. One study from group A found an increase in both modulations between women with overactive bladder (OAB) versus women with stress UI, whereas a decrease was reported between incontinent and continent women. Studies from group B showed a decreased sympathetic and parasympathetic modulation in AOB with detrusor overactivity (DO), whereas one study found an increase in both modulations in women with OAB compared with stress UI.

Conclusion

Parasympathetic and sympathetic modulation increased during bladder filling and rest in UI with OAB associated or not with DO. Both modulations decreased during bladder filling in incontinent women and during rest in OAB.
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Metadaten
Titel
Heart rate variability dynamics in women with urinary incontinence: a systematic review
verfasst von
Jordana Barbosa da Silva
Raphael Martins de Abreu
Juliana Falcão Padilha
Audrey Borghi-Silva
Aparecida Maria Catai
Patricia Driusso
Publikationsdatum
05.01.2022
Verlag
Springer International Publishing
Erschienen in
International Urogynecology Journal / Ausgabe 5/2022
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-021-05060-x

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