Metabolic syndrome in women with and without stress urinary incontinence

Rlm, Ströher; Sartori, Marair Grácio Ferreira; Cc, Takano; Araújo, de; Girão, Mjbc

doi:10.1007/s00192-019-03880-6

Cited by 24 publications

(15 citation statements)

References 25 publications

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“…Physical indicators and biochemical parameters of study subjects. The physical and serum parameters of metabolic syndrome were associated with the symptoms of SUI 39 . We analyzed the physical indicators, including age, height, weight, waistline, body mass index (BMI), systolic pressure, diastolic pressure, and mean arterial pressure (MAP).…”

Section: Methodsmentioning

confidence: 99%

Therapeutic effects of Low intensity extracorporeal low energy shock wave therapy (LiESWT) on stress urinary incontinence

Long

Lin

Chuang

et al. 2020

Sci Rep

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This study aimed to evaluate the therapeutic effects of Low intensity extracorporeal low energy shock wave therapy (LiESWT) on stress urinary incontinence (SUI). The investigation was a single-arm, openlabel, multicentre study conducted in Taiwan. 50 female patients with SUI received LiESWT-treated with 0.25 mJ/mm 2 intensity, 3000 pulses, and 3 pulses/second, once weekly for 4-weeks (W4) and 8-weeks (W8). The pad test, uroflowmetry, life quality questionnaires, and 3-day urinary diary measurement were performed before and after LiESWT intervention. The results revealed that 8-week of LiESWT treatment meaningfully improved urine leakage (pad test), maximum flow rate, post-voided residual urine, average urine volume, functional bladder capacity, urinary frequency, urgency symptom, and nocturia, which also persisted to show significant improvements at 1-month follow up (F1). Moreover, bothersome questionnaires scores were significantly improved at W4, W8, and F1 as compared to the baseline (W0). These results indicated that 8 weeks of LiESWT attenuated SUI symptoms on physical activity, reduced bladder leaks and overactive bladder (OAB), implying that LiESWT brought significant improvement in the quality of life. (ClinicalTrials.gov number, NCT04059133). Stress urinary incontinence (SUI) is a prevalent urologic problem that is characterized by involuntary leakage of urine upon physical activity, such as exercise, exertion, sneezing, coughing, and lifting heavy objects, leading to affect a woman's physical, psychological and social activity, and impact on her quality of life (QoL). SUI is a prevalent gyneco-urological problem worldwide, with an estimate as high as 40% in adult women with urethral sphincter deficiency 1,2. Vaginal delivery, aging, obesity, and menopause are some known risk factors. SUI also causes great psychosocial and sexual distress that is both costly in terms of health care expense and the QoL. Chong and colleagues reported that approximately 13.12 billion US dollars were spent on SUI, including sanitary pads, disposable underwear, diapers, laundry, dry cleaning, treatment and diagnosis 3. A spectrum of management modalities is currently available: lifestyle intervention and pelvic floor muscle training might be effective for mild symptom; electro-stimulation, vaginal devices and urethral inserts are non-invasive and temporary symptom-control methods; bulking agents and botulinum injections are less invasive with short-term effectiveness; mid-urethral slings and colposuspension are corrective with long-term effectiveness 4. Each of these methods has its strengths and limitations that should be chosen according to individual

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Section: Methodsmentioning

confidence: 99%

Therapeutic effects of Low intensity extracorporeal low energy shock wave therapy (LiESWT) on stress urinary incontinence

Long

Lin

Chuang

et al. 2020

Sci Rep

View full text Add to dashboard Cite

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“…The authors excluded participants if they had gynecological or lower urinary tract surgery in the past three months or declined to participate. Trained volunteer medical students interviewed participants and distributed a standard questionnaire form (Arabic version of the International Consultation on Incontinence Questionnaire (ICIQ)-Urinary Incontinence Short Form [12,13].…”

Section: Methodsmentioning

confidence: 99%

Effect of Urinary Incontinence on the Quality of Life of Older Adults in Riyadh: Medical and Sociocultural Perspectives

Alyahya¹,

Allhidan²,

Assiry³

et al. 2020

Cureus

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The objective of the study is to determine the impact of urinary incontinence (UI) on the quality of life (QoL) of the Saudi elderly population. Besides, we investigated individuals' help-seeking behaviors and the religious and cultural aspects of UI among the Saudi elderly. Methods We conducted a cross-sectional study using a random sample of 150 Saudi older adults of both genders. The participants were outpatient clinics of government and private hospitals in Riyadh from January-March 2019. Volunteer medical students interviewed and distributed a standard questionnaire form (Arabic version of the ICIQ-SF [International Consultation on Incontinence Questionnaire] with 33 additional questions, four of which came from them from the King's Health Questionnaire (KHQ) to the targeted population. Results In this study, there were 124 elderly participants (response rate 83%), of whom 62.9% were women. The mean age was 71.9 (±7.8). The "moderate" and "severe" ICIQ scores account for 78 (62.9%) and 32 (25.8%), respectively. There was a significant association between the ICIQ scores severity of UI and increasing BMI, nocturnal diuresis, urinary tract infection, and lung diseases. However, 36.3% of participants did not seek help due to misconceptions about UI and aging, unavailability of treatment, and embarrassment of sharing such symptoms with others. The participants suffered from limitations of social life (36.3%), a negative impact on their physical activity (18.5%), personal hygiene (21.8%), and their self-esteem (32.3%). About 17% and 33.1% of participants repeat ablution and prayers of participants, respectively. Conclusions Urinary incontinence (UI) is a common and distressing problem in the elderly. A large proportion of the participants had a detrimental effect on their quality of life. A substantial percentage of older adults did not seek help. As a result, we recommended raising awareness about UI, QoL, the misconceptions, and encourage them to overcome the stigma of embarrassment and seek medical help.

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“…To the Editor, We read and carefully reviewed the study by Ströher et al 1 Authors aimed to investigate the occurrences of metabolic syndrome (MS) in female patients with and without stress urinary incontinence (SUI). It is well acknowledged that MS was characterized by increased waist circumference, elevated triglyceride levels, decreased high density lipoprotein (HDL) cholesterol levels, high blood pressure and hyperglycemia.…”

Section: E T T E R T O T H E E D I T O Rmentioning

confidence: 99%

“…Still, authors reveled that the MS diagnosis was more prevalent in SUI patients, with the frequency based on the IDF criteria being 69.4% in the case group with SUI and 38% in the control group, whereas according to the NCEPATPIII, MS was frequent in 64.7% of the cases and 25% of the controls. 1 We were afraid that the results were unscientific and unreliable regarding incorrect MS definition.…”

Section: E T T E R T O T H E E D I T O Rmentioning

confidence: 99%