Kim Catherine, McEwen Laura N, Sarma Aruna V, Piette John D, Herman William H
Department of Internal Medicine, Division of General Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
J Womens Health (Larchmt). 2008 Jun;17(5):783-92. doi: 10.1089/jwh.2007.0616.
Stress urinary incontinence may serve as a barrier to lifestyle modification among women at high risk for diabetes, but the prevalence of stress urinary incontinence among women with histories of gestational diabetes mellitus (hGDM) is unknown. The purpose of this study was to examine the prevalence of stress incontinence among women with hGDM and to examine its association with their current physical activity.
We surveyed women with hGDM within the past 5 years who were currently enrolled in a managed care plan (n = 228). In a cross-sectional analysis, self-reported weekly or more frequent stress incontinence was the primary independent variable and measures of physical activity and body mass index (BMI) were the outcomes of interest. We constructed multivariable models that adjusted for participant characteristics associated with the measure of incontinence or outcomes in bivariate analyses.
Of the 228 women with hGDM, 49% reported weekly or more frequent incontinence during pregnancy, and 28% reported that incontinence affected their activities during pregnancy. Fifty percent reported weekly or more frequent incontinence after delivery, with 27% reporting interference of incontinence with activity. Less than a third of women reported optimal physical activity, and 42% were obese. After adjustment for characteristics associated with measures of activity and incontinence, there was minimal association between levels of activity and stress urinary incontinence; similarly, there was no association between BMI and measures of stress incontinence.
Stress urinary incontinence is common among women with hGDM but does not appear to be associated with physical activity levels or BMI.
压力性尿失禁可能成为糖尿病高危女性生活方式改变的障碍，但妊娠糖尿病史（hGDM）女性中压力性尿失禁的患病率尚不清楚。本研究的目的是调查hGDM女性中压力性尿失禁的患病率，并探讨其与她们当前身体活动的关联。
我们对过去5年内患有hGDM且目前参加管理式医疗计划的女性（n = 228）进行了调查。在横断面分析中，自我报告的每周或更频繁的压力性尿失禁是主要自变量，身体活动和体重指数（BMI）的测量值是感兴趣的结果。我们构建了多变量模型，对双变量分析中与尿失禁测量值或结果相关的参与者特征进行了调整。
在228名hGDM女性中，49%报告在怀孕期间每周或更频繁出现尿失禁，28%报告尿失禁影响了她们在孕期的活动。50%报告产后每周或更频繁出现尿失禁，27%报告尿失禁干扰了活动。不到三分之一的女性报告有最佳身体活动，42%为肥胖。在对与活动和尿失禁测量值相关的特征进行调整后，活动水平与压力性尿失禁之间的关联极小；同样，BMI与压力性尿失禁测量值之间也无关联。
压力性尿失禁在hGDM女性中很常见，但似乎与身体活动水平或BMI无关。
