Correlation between body mass index and overactive bladder symptoms in pre-menopausal women

Palma, T.; Raimondi, M.; Souto, S.; Fozzatti, Celina; Palma, Paulo; Riccetto, Cássio

doi:10.1590/1806-9282.60.02.007

Cited by 19 publications

(16 citation statements)

References 21 publications

(31 reference statements)

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“…This will explain the decrease of SUI and increase of MUI with enhancing BMI. However, this is uncertain since inconsistent results exist regarding the association between the different subtypes of UI and BMI . This diversity is probably due to pure differentiation between the subtypes of UI, and systematic bias, due to self‐reporteding of weight and height.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark

Pedersen

Lose

Høybye

et al. 2017

Acta Obstet Gynecol Scand

146

111

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Section: Discussionmentioning

confidence: 99%

Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark

Pedersen

Lose

Høybye

et al. 2017

Acta Obstet Gynecol Scand

146

111

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“…Women with BMI ≥30 presented more nocturia and more urgency cases than women with normal BMI. A significant difference was also found regarding urge-incontinence; women with BMI 25–29.9 presented a higher score than women in the 18.5–24.9 group (p=0.0017) [ 33 ].…”

Section: Obesity As a Risk Factor Of Urinary Incontinence And Pelvic mentioning

confidence: 99%

Obesity and Pelvic Floor Disorders: A Review of the Literature

et al. 2016

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Overweight and obesity are becoming a worldwide health problem associated with numerous co-morbidities. National costs of obesity and pelvic flor disorders have been rising since the 1950s across the world. Obesity is thought to have a very strong effect on pelvic floor disorders, and, considering the high prevalence of both problems worldwide, it is of utmost importance to evaluate the association between these pathologies as well as the impact of obesity on treatment efficacy. This review is based on a selection of reports in the literature (PubMed search), including guidelines and Cochrane reviews.Obesity seems to be a well-documented risk factor for lower urinary tract symptoms (LUTS) and is a predictor of exacerbation of stress urinary incontinence (SUI) and overactive bladder (OAB). Weight loss is also associated with improvement or resolution of SUI and OAB. In the case of pelvic organ prolapse (POP), weight loss is associated with improvement in quality of life. Although obesity is associated with POP in general, the exact role of obesity in symptomatic POP remains uncertain. While outcomes of anti-incontinence surgery among obese women are similar to those in non-obese women, postoperative urge incontinence is more likely to occur. It seems that obesity is not a risk factor for postoperative complications or short-term efficacy of POP surgical treatment. Long-term effects are still uncertain.Obesity is a strong risk factor for LUTS, but in most cases it does not affect efficacy of operative treatment. It may be associated with some post-operative complications. Weight loss in many cases allows avoiding surgical intervention.

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“…Palma et al showed a correlation between overactive bladder symptoms and BMI among 1050 middle-aged women. They reported a statistically significant difference in terms of nocturia, urgency, and urge incontinence in women with a BMI ≥ 30 compared with women with a BMI < 25 [ 19 ]. Similarly, Chang et al stated that children with a higher BMI had higher urgency symptoms [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of a Carbohydrate-Rich Diet on Rat Detrusor Smooth Muscle Contractility: An Experimental Study

Bolat

Bilge

Akdeniz

et al. 2017

BioMed Research International

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Objectives We aimed to investigate the effect of a carbohydrate-rich diet on detrusor contractility in rats. Materials and Methods Sprague-Dawley rats were randomized into two groups. The control group received regular food and water. The study group received carbohydrate-rich diet for six weeks. The rats' detrusor muscle was isolated for pharmacological and histopathological examinations. Results In the control and study groups, mean body weights were 431.5 ± 27.6 g and 528.0 ± 36.2 g, respectively (p < 0.001). Electrical stimulation of the detrusor strips of the control group resulted in gradual contraction. A decreased contractile response was shown in the study group. Acetylcholine in 10-7-10-3 molar concentration produced a decreased contractile response in the study group, compared to the control group (p < 0.01). The study group showed marked subepithelial and intermuscular fibrosis in the bladder. Conclusion Carbohydrate-rich diet causes marked subepithelial and extracellular fibrosis and changes in contractility in the detrusor within a six-week period. Changes have higher costs in therapeutic choices and correction of these changes remains difficult. Putting an end to carbohydrate-rich diet would seem to be more cost-effective than dealing with the effects of consuming it in high proportions which should be the national policy worldwide.

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Correlation between body mass index and overactive bladder symptoms in pre-menopausal women

Cited by 19 publications

References 21 publications

Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark

Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark

Obesity and Pelvic Floor Disorders: A Review of the Literature

Effect of a Carbohydrate-Rich Diet on Rat Detrusor Smooth Muscle Contractility: An Experimental Study

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