Department of Urology, Gifu University Graduate School of Medicine, Gifu-City, Gifu, Japan.
Maturitas. 2010 Jul;66(3):305-9. doi: 10.1016/j.maturitas.2010.04.002.
Studies focusing on lifestyle and health factors and stress urinary incontinence (SUI) are scarce in Japan. The aim of this study is to examine the association of lifestyle and health factors in SUI.
Study subjects were retrieved from Japanese women participating in a health checkup program provided by a general hospital between October 2003 and March 2006. The presence of SUI was confirmed by responses to a self-administered questionnaire assessing lower urinary tract symptoms. The questionnaire included other questions on lifestyle and health factors. Each subject underwent weight and height measurements.
A total of 823 women completed the questionnaire and were included in the analyses (the response rate was 62.6%). Of them, 70 (8.5%) women had SUI. BMI and parity were significantly positively associated with SUI (OR=3.47 and 7.17, 95% CI 1.65-7.33 and 1.71-30.04, respectively). Multiple logistic regression analysis controlling for age, parity, and BMI showed that first delivery at age >27 (OR=1.82, 95% CI 0.97-3.41), past estrogen use (OR=2.50, 95% CI 1.14-5.47), and unilateral ovariectomy (OR=3.07, 95% CI 1.16-8.13) were also significantly associated with SUI.
The data suggested that lifestyle and health factors such as parity, BMI, age at first delivery, past estrogen use, and unilateral ovariectomy were associated with SUI in Japanese women.
专注于生活方式和健康因素与压力性尿失禁（SUI）的研究在日本较为少见。本研究旨在探讨生活方式和健康因素与 SUI 的相关性。
研究对象选自于 2003 年 10 月至 2006 年 3 月期间参加某综合医院健康检查计划的日本女性。通过对一项评估下尿路症状的自我管理问卷的回答来确认 SUI 的存在。该问卷还包括其他关于生活方式和健康因素的问题。每位受试者都进行了体重和身高的测量。
共有 823 名女性完成了问卷并被纳入分析（应答率为 62.6%）。其中，70 名（8.5%）女性患有 SUI。BMI 和产次与 SUI 显著正相关（OR=3.47 和 7.17，95%CI 1.65-7.33 和 1.71-30.04）。在控制年龄、产次和 BMI 的多因素逻辑回归分析中，首次分娩年龄>27 岁（OR=1.82，95%CI 0.97-3.41）、过去使用雌激素（OR=2.50，95%CI 1.14-5.47）和单侧卵巢切除术（OR=3.07，95%CI 1.16-8.13）也与 SUI 显著相关。
数据表明，生活方式和健康因素，如产次、BMI、初产年龄、过去使用雌激素和单侧卵巢切除术，与日本女性的 SUI 相关。
