Department of Physiatry, Balneology, and Medical Rehabilitation, Faculty of Medicine, PJ Safarik University, Kosice, Slovak Republic.
Department of Urology, Jessenius Faculty of Medicine, Martin, Comenius University Bratislava, Slovak Republic.
Eur J Obstet Gynecol Reprod Biol. 2019 Jun;237:18-22. doi: 10.1016/j.ejogrb.2019.04.001. Epub 2019 Apr 2.
To compare body composition in young overweight women with OAB compared to women without OAB, and to determine the severity of the symptoms of OAB, as well as to investigate the impact of OAB on quality of life.
Cross-sectional study. The sample consisted of 1932 enrolled women classed as overweight (BMI:25-29.9).From this sample, 276 women were recruited. Of these, 206 women with an average age of 30.6 ± 20.4 years and an average BMI of 25.8 ± 3.0 were confirmed to be overweight. We used the Voiding Diary, the Overactive Bladder Questionnaire(OAB-q),and the Incontinence Quality of Life (I-QoL) scale. Body composition was measured using direct segmental multi-frequency bioelectrical impedance analysis, with assessment of: skeletal muscle mass(kg)(SMM), body fat mass (kg)(BFM), body fat percentage (%)(BFP), visceral fat area (cm/level)(VFA), and waist to hip ratio(WHR).
The voiding diary and OAB-q results confirmed OAB in 102 women. There was no significant difference in BMI between groups. The body composition analysis showed significant differences in BFP, VFA, and WHR, with higher values in the OAB group(p < 0.01). SMM, however, was higher in the group without OAB(p < 0.01). Recorded I-QoL scores showed worse parameters in the OAB group(p < 0.001). Women with a body fat percentage above 32% have a 1.95 times greater chance of developing OAB. Odds ratio [OR] = 1.95,(95%CI:1.09-3.52,p < 0.02).
Body fat percentage, visceral fat area, and waist to hip ratio were significantly higher in overweight women with OAB, compared with women without OAB and a comparable BMI.
比较患有 OAB 的年轻超重女性与无 OAB 的女性的身体成分，并确定 OAB 症状的严重程度，以及调查 OAB 对生活质量的影响。
横断面研究。样本包括 1932 名超重（BMI：25-29.9）的女性。从该样本中招募了 276 名女性。其中 206 名女性平均年龄为 30.6±20.4 岁，平均 BMI 为 25.8±3.0，被确诊为超重。我们使用了排尿日记、膀胱过度活动症问卷（OAB-q）和尿失禁生活质量（I-QoL）量表。身体成分使用直接节段多频生物电阻抗分析进行测量，评估：骨骼肌质量（kg）（SMM）、体脂肪质量（kg）（BFM）、体脂肪百分比（%）（BFP）、内脏脂肪面积（cm/级）（VFA）和腰臀比（WHR）。
排尿日记和 OAB-q 结果证实 102 名女性患有 OAB。两组之间 BMI 无显著差异。身体成分分析显示 BFP、VFA 和 WHR 存在显著差异，OAB 组的这些值较高（p<0.01）。然而，无 OAB 组的 SMM 较高（p<0.01）。记录的 I-QoL 评分显示 OAB 组的参数更差（p<0.001）。体脂肪百分比超过 32%的女性患 OAB 的风险增加 1.95 倍。比值比[OR] = 1.95（95%CI：1.09-3.52，p<0.02）。
与 BMI 相当但无 OAB 的女性相比，患有 OAB 的超重女性的体脂肪百分比、内脏脂肪面积和腰臀比显著更高。
