The association of diet and other lifestyle factors with overactive bladder and stress incontinence: a longitudinal study in women

Dallosso, Helen; McGrother, Catherine W.; Matthews, Ruth; Donaldson, Madeleine M. K.

doi:10.1046/j.1464-410x.2003.04271.x

Cited by 282 publications

(252 citation statements)

References 40 publications

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“…Stress induced urine entering the urethra could also trigger detrusor overactivity, leading to urgency and frequency. 7 Another study also supports the mechanical hypothesis, reinforcing the correlation between BMI and intra-abdominal pressure, suggesting that obesity may create an increased intra-abdominal pressure and thus expose the pelvic support structures and organs to a chronic state of stress and pelvic floor muscle fatigue secondary to that increased pressure. Possible nerve damage may be introduced to the pudendal nerve secondary to the chronic state of increased intra-abdominal pressure.…”

Section: Resultsmentioning

confidence: 53%

“…4 The high prevalence of OAB and its impact in quality of life justify the proposal of further related studies, so that new policies can be developed regarding information, treatment and improvement of quality of life in peo-ple affected by the condition. Strong associations between obesity and overactive bladder have been reported, [6][7][8][9][10] which led to the development of a deeper analysis regarding each individual symptom in our study.…”

Section: Introductionmentioning

confidence: 69%

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

Palma¹,

Raimondi²,

Souto³

et al. 2014

Rev. Assoc. Med. Bras.

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Correlation between body mass index and overaCtive bladder symptoms in pre-menopausal women rev assoC med bras 2014; 60 (2) Conflict of interest: noneObjective: The aim of the study was to establish a correlation between Overactive Bladder (OAB) symptoms and Body Mass Index (BMI) in women aged 20-45. Methods: We interviewed 1.050 women aged 20-45 in the area of Campinas, Brazil, to investigate the prevalence of overactive bladder symptoms. In this study, we used the ICIQ-OAB questionnaire (ICS standard), in its validated portuguese version and a specific questionnaire for the demographics, which includes information about BMI. Results: Overall, women with BMI ≥30 presented a significantly higher score than women with a lower BMI (18.5 -24.9) (p=0.0066). In the analysis of individual symptoms, no significant differences were found regarding urinary frequency (p=0.5469). Women with BMI ≥30 presented more nocturia than women with BMI ranging between 18.5 and 24.9 (p=0.0154). Women in the group of BMI 25 -29.9 presented more urgency than women with BMI 18.5 -24.9 (p=0.0278). Significant difference was also found regarding urge-incontinence; women with BMI 25 -29.9 presented a higher score than women in the group 18.5 -24.9 (p= 0.0017). Analysis was also performed on the visual analogue scale regarding how much each symptom bothers the women (quality of life). There were no significant differences regarding frequency, nocturia or urgency but urgency incontinence bother was significant. Women with BMI 25 -29.9 were more bothered by incontinence than women with BMI 18.5 -24.9 (p=0.002). Conclusion:In conclusion, this study reinforces the correlation between BMI and OAB symptoms. Obese women present more OAB symptoms than non-obese women.

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Section: Resultsmentioning

confidence: 53%

Section: Introductionmentioning

confidence: 69%

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

Palma¹,

Raimondi²,

Souto³

et al. 2014

Rev. Assoc. Med. Bras.

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“…The pattern of Diet as a risk factor for stress urinary incontinence H Dallosso et al prevalence with age followed this with the highest rates in the 50-59 y group and the very elderly (80 y plus). Earlier analysis on the study data (Dallosso et al, 2003b) showed that being overweight or obese were both significantly associated with an increased risk of SUI (OR:1.42; 95% CI: 1.09-1.84 and OR: 1.91; 95% CI: 1.38-2.63, respectively).…”

Section: Resultsmentioning

confidence: 98%

“…Nutrients were divided into quintiles for analysis. Separate models were fitted for each nutrient, adjusting for energy intake, age and baseline reporting of overactive bladder, which is associated with SUI and certain food groups (Dallosso et al, 2003b).The modelling was repeated with additional adjustment for BMI, with missing values imputed to the mean BMI for each 10 y age group. Likelihood ratio tests were used to test whether nutrients were significantly associated with the onset of SUI.…”

Section: Discussionmentioning

confidence: 99%

Diet as a risk factor for the development of stress urinary incontinence: a longitudinal study in women

et al. 2004

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Objective: To assess the association between diet and the onset of stress urinary incontinence (SUI) in women aged 40 y plus. Design and setting: The Leicestershire MRC Incontinence Study -a prospective longitudinal study of the prevalence, incidence and aetiology of urinary symptoms. Subjects and methods: A total of 5816 women aged 40 y plus and living in the community. Urinary symptoms were reported in a postal questionnaire at baseline and at 1-y follow-up. Dietary intake was assessed in a food frequency questionnaire at baseline. Results: Intakes of total fat, saturated fatty acids and monounsaturated fatty acids were associated with an increased risk of SUI onset 1 y later. Of the micronutrients studied, zinc and vitamin B12 were positively associated with SUI onset. Conclusion:The results from this prospective study suggest there may be an aetiological association between certain components of the diet and the onset of SUI. The findings need confirming and possible mechanisms to explain these associations need further investigation.

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“…The study was part of the Leicestershire MRC Incontinence Study of the prevalence and incidence of incontinence and other lower urinary tract symptoms in community-dwelling men and women aged 40 years plus 10 . A random sample of 19 355 men aged 40 years plus was drawn from the Leicestershire Health Authority's lists of 108 general practices.…”

Section: Sample and Study Outlinementioning

confidence: 99%

The association of diet and other lifestyle factors with the onset of overactive bladder: a longitudinal study in men

Dallosso

Matthews

McGrother

et al. 2004

Public Health Nutr.

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Objective: To investigate associations between diet and non-dietary lifestyle factors and the onset of overactive bladder (OAB) in men. Subjects: Random sample of community-dwelling men aged 40 years plus. Design and methods: Baseline data on urinary symptoms and diet were collected from 5454 men using a postal questionnaire and a food-frequency questionnaire. Followup data on urinary symptoms were collected from 4887 men in a postal survey one year later. Logistic regression analysis was used to investigate diet and lifestyle factors associated with onset of OAB in the men without OAB at baseline. Results: There was a highly significant negative association between beer intake at baseline and subsequent OAB onset (P ¼ 0.001), with reduced risk at all levels of intake compared with those who seldom/never drank beer. Adjustment for total alcohol intake (g ethanol day -1 ) reduced the significance of the association (P ¼ 0.02). None of the food groups studied was associated with OAB onset, with the possible exception of potatoes (P ¼ 0.05), which showed an increased risk of onset at the highest level of consumption. Physical activity, smoking and obesity were not significantly associated. Conclusions: While most diet and lifestyle factors were not associated with OAB onset, the evidence from this prospective longitudinal study suggests that beer may have a protective role in the development of OAB. This could be due to a nonalcoholic ingredient as well as the alcohol content.

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The association of diet and other lifestyle factors with overactive bladder and stress incontinence: a longitudinal study in women

Cited by 282 publications

References 40 publications

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

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

Diet as a risk factor for the development of stress urinary incontinence: a longitudinal study in women

The association of diet and other lifestyle factors with the onset of overactive bladder: a longitudinal study in men

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