Female urinary incontinence and obesity assessed by anthropometry and dual‐energy X‐ray absorptiometry: Analysis from the 2008–09 Korean National Health and Nutrition Examination Survey

Park, Yeon Won; Lee, Jun Ho

doi:10.1111/luts.12207

Cited by 8 publications

(6 citation statements)

References 37 publications

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“…Furthermore, the authors thought that atrophy and decreased pelvic floor muscle (especially the transverse perineal muscle) may disrupt the pelvic architecture angle resulting in urinary incontinence easily (4). According to the current research, increased fat mass which was accurately measured by dual-energy X-ray absorptiometry is closely linked to urinary incontinence (5). Change in body composition like as the muscle mass diminished and fat mass increased simultaneously is a common phenomenon in the elderly and it is called sarcopenic obesity (6).…”

Section: Introductionmentioning

confidence: 67%

Association between urinary incontinence and bone health in Korean elderly women based on data from the Korea National Health and Nutrition Examination Survey

Kong

Huh

et al. 2019

Electron J Gen Med

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Background: Urinary incontinence and impaired bone health are significant health problems among the elderly. We evaluated the impact of urinary incontinence on bone health in the elderly. Material and Methods: Our study used data from the Korea National Health and Nutrition Examination. We included 901 women aged ≥ 65 years. The bone mineral density was measured by dual-energy X-ray absorptiometry. Impaired bone health was characterized by lumbar spine, femoral neck, or total femur T-scores of ≤ −1.0 SD. Each participant's incontinence status was recorded using constructed questionnaires. Results: The prevalence of self-reported urinary incontinence in the women aged ≥ 65 years was 9.5%. After adjustments for age, height, and weight, the T-scores for the lumbar spine of the urinary incontinence and the no urinary continence groups were −2.48 ± 0.11 and −2.37 ± 0.03, respectively and didn't show the difference between them (p = 0.390). Likewise, the T-scores for the total femur and femoral neck were not significantly different. After adjusting for covariates, we found no statistically significant association between impaired bone health with urinary incontinence. Conclusions: This study found urinary incontinence was not an independent risk factor of impaired bone health in the elderly women.

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Section: Introductionmentioning

confidence: 67%

Association between urinary incontinence and bone health in Korean elderly women based on data from the Korea National Health and Nutrition Examination Survey

Kong

Huh

et al. 2019

Electron J Gen Med

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“…In addition to the BMI, an anthropometric indicator commonly related to urinary symptoms is WC. 16,17 An increase of 10 cm in WC, increases by 1.27 times the chance of having SUI. 11 Maserejian et al 18 had already observed that for every centimeter of increased WC, the chance of UI increased by 1.03 times.…”

Section: Discussionmentioning

confidence: 99%

“…Other studies also identified a relationship between UI and increased body fat percentage. 16,17 The total body fat percentage and percentage trunk fat were related to UI, however, the percentage of trunk fat was considered a more important risk factor. 19 The WHR because it was a health indicator, 20 was evaluated in the present study and we verified its relation with urinary symptoms, however, no studies were found that showed this relation.…”

Section: Discussionmentioning

confidence: 99%

Anthropometric indicators as predictors of pelvic floor muscle distress in young women

Scarabelot

Pereira

Pelegrini

et al. 2020

Neurourology and Urodynamics

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Aim To identify anthropometric indicators that could predict pelvic floor muscle distress (PFMD) in young women. Method A cross‐sectional study was conducted, whose sample consisted of 54 women aged between 18 and 35 years. The Pelvic Floor Distress Inventory was used to assess the PFMD. The anthropometric indicators evaluated were body mass index (BMI) being measured the weight and height, body fat percentage (skinfolds), waist circumference (WC), waist‐to‐hip ratio (WHR), and relative fat mass (RFM), which is calculated from height and WC. Descriptive and inferential statistics (Spearman correlation, simple linear regression, and receiver operating characteristic curve) were used, with a significance level of 5%. Results The PFMD and the anthropometric indicators BMI (r = .43), body fat percentage (r = .42), WC (r = .46), WHR (r = .49), and RFM (r = .48) showed a positive and moderate correlation (P < .01). In all, 24%, 23%, 20%, and 18% of the PFMD can be credited to RFM, WC, WHR, and body fat percentage, respectively. The cut‐off point for RFM was 38.44 for the symptom of pressure in the lower abdomen and 36.24 for symptom of stress urinary incontinence and incomplete emptying of the bladder. Conclusion Anthropometric indicators of body fat percentage, WC, WHR, and RFM can be predictors of PFMD in young women minimally symptomatic.

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“…Overall, several studies have focused on voiding or storage symptoms, whereas the feeling of incomplete voiding has received relatively little attention [6,7]. Uroflowmwtry (UFM) and postvoid residual (PVR) volume are recommended as indispensable first-line objective screening tools [4].…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence is known to increase at the age of 40 years and remains at a steady level of 10% in older individuals. Overall, several studies have focused on voiding or storage symptoms, whereas the feeling of incomplete voiding has received relatively little attention [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical Factors Associated With the Feeling of Incomplete Bladder Emptying in Women With Little Postvoided Residue

Lee

Koo

2020

Int Neurourol J

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Purpose: To investigate the clinical factors associated with the feeling of incomplete bladder emptying in female patients with lower urinary tract symptoms (LUTS).Methods: Records were obtained from a prospectively maintained database for 353 female patients without a history of treatment for LUTS. Patients with comorbidities that may affect voiding function and with postvoid residual (PVR) volume >20 mL or PVR volume-to-bladder capacity ratio of >10% were excluded. Finally, 211 patients were eligible for the study.Results: Patients were stratified according to the severity of the feeling of incomplete emptying: non-severe group (n=147, 69.7%) and severe group (n=64, 30.3%). The severe group showed longer time to maximum flow rate (Qmax) and greater total overactive bladder symptom score (OABSS). No differences in age, PVR volume, and diagnosis of overactive bladder (OAB) were found between the 2 severity groups. Multivariable analysis identified the severity of the feeling of incomplete emptying to be significantly associated with time to Qmax and minimum volume of voids. Time to Qmax was identified as a significant predictor of severe symptoms in women with OAB. In addition, the feeling of incomplete emptying, total OABSS, and minimum volume of voids were significantly associated with quality of life.Conclusions: Female patients with the feeling of incomplete emptying who have insignificant PVR volume exhibited severe voiding symptoms and low quality of life. The treatment strategy should be focused on improving the minimum volume of voids and shortening the time to Qmax.

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Female urinary incontinence and obesity assessed by anthropometry and dual‐energy X‐ray absorptiometry: Analysis from the 2008–09 Korean National Health and Nutrition Examination Survey

Cited by 8 publications

References 37 publications

Association between urinary incontinence and bone health in Korean elderly women based on data from the Korea National Health and Nutrition Examination Survey

Association between urinary incontinence and bone health in Korean elderly women based on data from the Korea National Health and Nutrition Examination Survey

Anthropometric indicators as predictors of pelvic floor muscle distress in young women

Clinical Factors Associated With the Feeling of Incomplete Bladder Emptying in Women With Little Postvoided Residue

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