Richter Holly E, Burgio Kathryn L, Clements Ronald H, Goode Patricia S, Redden David T, Varner R Edward
Division of Medical Surgical Gynecology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Alabama 35233, USA.
Obstet Gynecol. 2005 Dec;106(6):1272-7. doi: 10.1097/01.AOG.0000187299.75024.c4.
To estimate prevalence and correlates of urinary and anal incontinence in morbidly obese women undergoing evaluation for laparoscopic weight loss surgery.
From October 2003 to February 2005, 180 women with body mass index (BMI) of 40 or greater underwent evaluation for laparoscopic weight loss surgery. Using an established Web site, questionnaires were completed to assess symptoms of urinary incontinence, including the Medical, Epidemiological, and Social Aspects of Aging Questionnaire (MESA). Anal incontinence was assessed by asking, "Do you have any uncontrolled anal leakage?" A number of clinical and demographic variables were examined as potential risk factors for urinary incontinence and anal incontinence.
Mean age was 39.8 years (range 16-55). Body mass index ranged from 40 to 81 (mean 49.5). Prevalence of urinary incontinence was 66.9% and anal incontinence was 32.0% (45.6% loss of gas only, 21.1% liquid stool only, 24.6% gas and liquid stool only, 8.8% solid stool). In simple logistic regression, presence of urinary incontinence was associated with age (odds ratio [OR] 1.05, 95% confidence interval [CI] 1.01-1.09), number of children (OR 1.54, 95% CI 1.15-2.07), anal incontinence (OR 6.34, 95% CI 2.52-15.93), arthritis (OR 6.04, 95% CI 1.76-20.78), and sleep apnea (OR 2.30, 95% CI 1.21-4.37). Multivariable logistic regression identified 3 factors independently associated with urinary incontinence: number of children (OR 1.55, 95% CI 1.12-2.12), arthritis (OR 5.46, 95% CI 1.51-19.73), and anal incontinence (OR 6.27, 95% CI 2.42-16.26). Presence of anal incontinence was associated only with the presence of urinary incontinence (OR 6.34, 95% CI 2.52-15.93).
Prevalence of urinary and anal incontinence is high in this group of morbidly obese women as compared with the general population. Studies are needed to determine the effect of weight loss on urinary and anal incontinence symptoms in the morbidly obese woman.
评估接受腹腔镜减肥手术评估的病态肥胖女性尿失禁和肛门失禁的患病率及其相关因素。
2003年10月至2005年2月，180名体重指数（BMI）为40或更高的女性接受了腹腔镜减肥手术评估。通过一个既定的网站，她们完成了问卷以评估尿失禁症状，包括衰老的医学、流行病学和社会方面问卷（MESA）。通过询问“您是否有无法控制的肛门渗漏？”来评估肛门失禁。研究了一些临床和人口统计学变量作为尿失禁和肛门失禁的潜在危险因素。
平均年龄为39.8岁（范围16 - 55岁）。体重指数范围为40至81（平均49.5）。尿失禁患病率为66.9%，肛门失禁患病率为32.0%（仅气体失禁占45.6%，仅液体粪便失禁占21.1%，气体和液体粪便失禁占24.6%，固体粪便失禁占8.8%）。在简单逻辑回归中，尿失禁的存在与年龄（比值比[OR]1.05，95%置信区间[CI]1.01 - 1.09）、子女数量（OR 1.54，95% CI 1.15 - 2.07）、肛门失禁（OR 6.34，95% CI 2.52 - 15.93）、关节炎（OR 6.04，95% CI 1.76 - 20.78）和睡眠呼吸暂停（OR 2.30，95% CI 1.21 - 4.37）相关。多变量逻辑回归确定了3个与尿失禁独立相关的因素：子女数量（OR 1.55，95% CI 1.
