肥胖与 II 期或更严重脱垂之间的关联。

The association between obesity and stage II or greater prolapse.

机构信息

Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Women and Infants Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA.

出版信息

Am J Obstet Gynecol. 2010 May;202(5):503.e1-4. doi: 10.1016/j.ajog.2010.01.016. Epub 2010 Feb 20.

DOI:10.1016/j.ajog.2010.01.016

PMID:20171604

Abstract

OBJECTIVE

We sought to evaluate the association between obesity and vaginal prolapse as well as pelvic organ prolapse symptoms.

STUDY DESIGN

This was a cross-sectional study of women referred for urogynecologic care. The exposure was obesity and outcome, stage>or=II prolapse. Secondary outcomes were symptom bother and disease-specific quality of life.

RESULTS

Our study included 721 women. No difference in stage>or=II prolapse was observed between obese (n/N 58/721 [35.8%]) and nonobese (n/N=463/721 [64.2%]) women (50.8% vs 52.7%; P=.62). Obesity was associated with increased distress on the Pelvic Floor Distress Inventory-20 (100 [+/-57.3] vs 87.4 [+/-53.1]; P=.003) due to higher scores on the Colorectal-Anal Distress Inventory-8 (22.9 [+/-21.5] vs 18.3 [+/-19.7]; P=.003) and the Urinary Distress Inventory-6 (48.8 [+/-27] vs 42.4 [+/-26.1]; P=.002).

CONCLUSION

Obesity was not associated with stage>or=II prolapse but was associated with increased pelvic floor symptoms secondary to urinary and anal incontinence subscales.

摘要

目的

我们旨在评估肥胖与阴道脱垂以及盆腔器官脱垂症状之间的关联。

研究设计

这是一项针对接受泌尿妇科护理的女性的横断面研究。暴露因素为肥胖，结局为脱垂程度≥Ⅱ期。次要结局为症状困扰和疾病特异性生活质量。

结果

我们的研究纳入了 721 名女性。肥胖组（n/N=58/721[35.8%]）和非肥胖组（n/N=463/721[64.2%]）之间的脱垂程度≥Ⅱ期无差异（50.8%比52.7%；P=.62）。肥胖与盆腔器官脱垂严重度问卷-20 得分升高（100[+/-57.3]比 87.4[+/-53.1]；P=.003）有关，这是由于肛肠不适量表-8（22.9[+/-21.5]比 18.3[+/-19.7]；P=.003）和尿失禁困扰量表-6（48.8[+/-27]比 42.4[+/-26.1]；P=.002）得分更高。