体重减轻能否改善中度肥胖女性的尿失禁问题？

Does weight loss improve incontinence in moderately obese women?

作者信息

Subak L L, Johnson C, Whitcomb E, Boban D, Saxton J, Brown J S

机构信息

Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, 94143-1688, USA.

出版信息

Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(1):40-3. doi: 10.1007/s001920200008.

DOI:10.1007/s001920200008

PMID:11999205

Abstract

The aim of this study was to evaluate the effect of weight reduction on urinary incontinence in moderately obese women. This prospective cohort study enrolled moderately obese women experiencing four or more incontinence episodes per week. BMI and a 7-day urinary diary were collected at baseline and on the completion of weight reduction. The study included 10 women with a mean (+/-SD) baseline BMI of 38.3 (+/-10.1) kg/m2 and 13 (+/-10) incontinent episodes per week. Participants had a mean BMI reduction of 5.3 (+/-6.2) kg/ m2 (P < 0.03). Among women achieving a weight loss of > or = 5%, 6/6 had > or = 50% reduction in incontinence frequency compared to 1 in 4 women with < 5% weight loss (P < 0.03). Incontinence episodes decreased to 8 (+/-10) per week following weight reduction (P < 0.07). The study demonstrated an association between weight reduction and improved urinary incontinence. Weight reduction should be considered for moderately obese women as part of non-surgical therapy for incontinence.

摘要

本研究的目的是评估体重减轻对中度肥胖女性尿失禁的影响。这项前瞻性队列研究纳入了每周经历四次或更多次尿失禁发作的中度肥胖女性。在基线时以及体重减轻完成时收集体重指数（BMI）和7天尿失禁日记。该研究包括10名女性，她们的平均（±标准差）基线BMI为38.3（±10.1）kg/m²，每周尿失禁发作13（±10）次。参与者的平均BMI降低了5.3（±6.2）kg/m²（P<0.03）。在体重减轻≥5%的女性中，6/6的尿失禁频率降低了≥50%，而体重减轻<5%的女性中这一比例为1/4（P<0.03）。体重减轻后，尿失禁发作次数降至每周8（±10）次（P<0.07）。该研究表明体重减轻与尿失禁改善之间存在关联。对于中度肥胖女性，应考虑将体重减轻作为尿失禁非手术治疗的一部分。