Li Dongmei, Xu Yi, Nie Qingbin, Li Yan, Mao Gengsheng
a Department of Neurovascular Surgery , The General Hospital of Chinese People's Armed Police Forces , Beijing , China.
b Department of Neurosurgery, Liangxiang Teaching Hospital , Capital Medical University , Beijing , China.
Postgrad Med. 2017 Sep;129(7):747-755. doi: 10.1080/00325481.2017.1357419. Epub 2017 Aug 4.
To investigate factors that may be associated with urinary incontinence (UI) in abdominal obese and non-obese adult males.
Data were analyzed for 2671 men (≥40 years of age) who participated in the National Health and Nutrition Examination Survey (2005-2008). We define abdominal obesity as a waist circumference >102 cm. Men with Incontinence Severity Index ≥3 were defined as having UI. Logistic regression analyses were used to identify factors associated with stress and urge UI.
Multivariate analysis found that in abdominal obese men, stress UI was associated with enlarged prostate (odds ratio [OR] = 2.20, 95% confidence interval [CI]: 1.16-4.16), chronic respiratory tract disease (OR = 2.78, 95% CI: 1.55-4.97), and major depression (OR = 4.79, 95% CI: 1.79-12.84). In non-obese men, arthritis was associated with stress UI (odds ratio = 3.37, 95% CI: 1.06-10.73). Urge UI in abdominally obese men was associated with age ≥65 years (OR = 1.67, 95% CI: 1.05-2.67), being non-Hispanic black (OR = 1.63, 95% CI: 1.06-2.52), and with enlarged prostate (OR = 2.30, 95% CI: 1.54-3.40), arthritis (OR = 1.39, 95% CI: 1.03-1.88), and major depression (OR = 2.96, 95% CI: 1.89-4.64). Urge UI in non-obese men was associated with current smoking (OR = 1.79, 95% CI: 1.01-3.17), major depression (OR = 2.60, 95% CI: 1.33-5.09) and vitamin D deficiency (OR = 1.61, 95% CI: 1.01-2.59).
Factors associated with urinary incontinence varied with abdominal obesity status and type of UI. The findings identify important contributors to urinary incontinence that clinicians should consider to help manage and effectively treat the condition.
研究腹部肥胖和非肥胖成年男性中可能与尿失禁（UI）相关的因素。
对参加2005 - 2008年国家健康与营养检查调查的2671名男性（≥40岁）的数据进行分析。我们将腹部肥胖定义为腰围>102厘米。尿失禁严重程度指数≥3的男性被定义为患有尿失禁。采用逻辑回归分析来确定与压力性和急迫性尿失禁相关的因素。
多变量分析发现，在腹部肥胖男性中，压力性尿失禁与前列腺肿大（优势比[OR]=2.20，95%置信区间[CI]：1.16 - 4.16）、慢性呼吸道疾病（OR = 2.78，95% CI：1.55 - 4.97）和重度抑郁症（OR = 4.79，95% CI：1.79 - 12.84）相关。在非肥胖男性中，关节炎与压力性尿失禁相关（优势比 = 3.37，95% CI：1.06 - 10.73）。腹部肥胖男性的急迫性尿失禁与年龄≥65岁（OR = 1.67，95% CI：1.05 - 2.67）、非西班牙裔黑人（OR = 1.63，95% CI：1.06 - 2.52）、前列腺肿大（OR = 2.30，95% CI：1.54 - 3.40）、关节炎（OR = 1.39，95% CI：1.03 - 1.88）和重度抑郁症（OR = 2.96，95% CI：1.89 - 4.64）相关。非肥胖男性的急迫性尿失禁与当前吸烟（OR = 1.79，95% CI：1.01 - 3.17）、重度抑郁症（OR = 2.60，95% CI：1.33 - 5.09）和维生素D缺乏（OR = 1.61，95% CI：1.01 - 2.59）相关。
与尿失禁相关的因素因腹部肥胖状况和尿失禁类型而异。这些发现确定了尿失禁的重要促成因素，临床医生应予以考虑，以帮助管理和有效治疗该疾病。
