Urinary incontinence in obese adolescent girls

Schwartz, Betsy; Wyman, Jean F.; Thomas, William; Schwarzenberg, Sarah Jane

doi:10.1016/j.jpurol.2009.07.005

Cited by 24 publications

(15 citation statements)

References 33 publications

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“…16 Schwartz et al, described UI symptoms in 40 obese and 20 non-obese adolescent girls where 12.5% of obese girls and 0% of non-obese reported any UI symptoms. 17 Our slightly lower reported rates may be due to the use of validated means compared to other studies.…”

Section: Discussionmentioning

confidence: 59%

Prevalence, Awareness, and Understanding of Pelvic Floor Disorders in Adolescent and Young Women

Parden¹,

Griffin²,

Hoover³

et al. 2016

Female Pelvic Med Reconstr Surg

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Objectives The objective of this study was to characterize symptom prevalence, awareness of pelvic floor disorders in family/friends, and understanding of factors contributing to the development of pelvic floor disorders (PFDs) in women ages 19–30. Methods A cross-sectional study via online questionnaire survey of female students ages 19–30 enrolled at the University of Alabama at Birmingham. Results of “adolescent women” ages 19–24 were compared to “young women” age 25–30. Results 1092 questionnaires were completed with the mean age being 23.5 ± 3.1 years old. The overall rate of urinary incontinence (UI) was 10.3% without a difference between adolescent and young women (p=0.61). There were no differences in rates of urgency urinary incontinence (UUI) (p=0.061), stress urinary incontinence (SUI) (p=0.29), or pelvic organ prolapse (POP) symptoms (p=0.56) between groups. There was no difference between groups in awareness of family members with UI, fecal incontinence (FI) or POP symptoms (p≥0.24). However, logistic regression showed that the young women were more likely to have received education regarding UI (aOR 2.6, 95% CI 1.8–3.6), FI (aOR 3.3, 95% CI 2.2–4.8), POP (aOR 2.9, 95% CI 2.1–4.2) and have greater understanding regarding causes of UI (aOR 2.9, 95% CI 1.7–4.8), FI (aOR 1.6, 95% CI 1.1–2.3 and POP (aOR 1.9, 95% CI 1.3–2.9). Conclusions Women ages 25–30 had more awareness and understanding of pelvic floor disorders compared to adolescent females. These data may have implications for primary prevention strategies of pelvic floor disorders.

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Section: Discussionmentioning

confidence: 59%

Prevalence, Awareness, and Understanding of Pelvic Floor Disorders in Adolescent and Young Women

Parden¹,

Griffin²,

Hoover³

et al. 2016

Female Pelvic Med Reconstr Surg

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show abstract

“…Similar to what is observed in obese adult women, obesity is associated with stress urinary incontinence (SUI) in obese adolescents [34,35]. The exact prevalence of this complication among obese girls is not known but may be approximately 10% in contrast to its virtual absence among normal-weight healthy girls [34].…”

Section: Lower Urinary Tract Symptomsmentioning

confidence: 83%

“…The exact prevalence of this complication among obese girls is not known but may be approximately 10% in contrast to its virtual absence among normal-weight healthy girls [34]. Severe adolescent female SUI, which is estimated to be rare, has also been reported as a comorbidity of obesity in adolescent girls [35].…”

Section: Lower Urinary Tract Symptomsmentioning

confidence: 99%

Urogenital Complications: Renal Disease, Urolithiasis and Lower Urinary Tract Symptoms

Morandi¹,

Maffeis²

2015

Metabolic Syndrome and Obesity in Childhood and Adolescence

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The chapter contains a critical review of the current literature pertaining to the consequences of childhood and adolescent obesity/metabolic syndrome on the urogenital system, with a particular focus on microalbuminuria, renal disease, urolithiasis and lower urinary tract symptoms. The clinical implications of the current evidence with regard to the relationship between early obesity/ metabolic syndrome and the above-mentioned conditions are discussed. © 2015 S. Karger AG, Basel Renal DiseaseObesity and metabolic syndrome (MS) have been associated with renal damage in adults [1]. Obesity directly favors renal damage through several mechanisms [1] ( fig. 1). The obesity-related activation of the renin-angiotensin-aldosterone system is one of the most extensively studied mechanisms explaining renal injury driven by obesity [1]. Adipocytes possess a renin-angiotensin system and produce angiotensin II, thus stimulating the production of aldosterone [1]. Moreover, adipose tissue also secretes angiotensin-independent mineralocorticoid-releasing factors [1]. Thus, obesity is associated with a state of hyperaldosteronism leading to plasma expansion, glomerular hyperfiltration and damage and proteinuria, which often occurs in parallel with a state of pre-hypertension [1]. Aldosterone has also been shown to have direct negative glomerular effects in animal models, independent of blood pressure and plasma expansion [1].An obesity-associated decrease in adiponectin levels is another mechanism of renal damage because of the resultant reduced AMP-activated protein kinase in glomerular

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“…58 Similarly, 12.5% of obese adolescent girls aged 12-17 years had marked DUI, whereas none of the controls did. 59 Obesity is also associated with a wide spectrum of functional gastrointestinal disorders. Children with obesity (BMI in ≥95 th percentile) had significantly higher rates of functional constipation (23.0%), faecal incontinence (25.4%), gastroesophageal reflux disease (30.0%) and irritable bowel syndrome (24.8%).…”

Section: Obesitymentioning

confidence: 99%

Urinary incontinence in children with special needs

Gontard

2013

Nat Rev Urol

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Nocturnal enuresis, daytime urinary incontinence, lower urinary tract symptoms and faecal incontinence are more common in children with special needs than in typically developing children. Children with intellectual disability, which can be attributed to a range of causes, are particularly affected. Indeed, the epidemiological and clinical studies conducted to date show clear associations that children with special needs have higher rates of urinary (and faecal) incontinence than children without development, physical or cognitive impairments. For example, low intelligence quotient (IQ)-associated physical disability and conditions such as Fragile X and Rett syndromes increase the risk for incontinence, which can persist into adulthood if left untreated. Although the association of attention deficit hyperactivity disorder and incontinence has been shown in many studies, further research is needed on other specific disorders, such as autism. As many children are not receiving adequate care, specific multimodal treatments based on rigorous assessment of the incontinence, underlying condition and associated comorbid disorders should be actively offered.

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Urinary incontinence in obese adolescent girls

Cited by 24 publications

References 33 publications

Prevalence, Awareness, and Understanding of Pelvic Floor Disorders in Adolescent and Young Women

Prevalence, Awareness, and Understanding of Pelvic Floor Disorders in Adolescent and Young Women

Urogenital Complications: Renal Disease, Urolithiasis and Lower Urinary Tract Symptoms

Urinary incontinence in children with special needs

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