Department of Physiatry, Balneology, and Medical Rehabilitation, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia.
Department of Urology, Jessenius Faculty of Medicine, Martin, Comenius University Bratislava, University Hospital Martin, Martin, Slovakia ,
Obes Facts. 2020;13(3):297-306. doi: 10.1159/000506486. Epub 2020 May 12.
Several authors have investigated the relationship between obesity - assessed only by body mass index (BMI) - and overactive bladder (OAB) symptoms.
The objective of this study was to determine the relationship between body fat percentage (BFP) and the severity of OAB symptoms with an impact on quality of life.
Cross-sectional study. The sample consisted of 206 overweight women; they were university students (BMI = 25.8 ± 3.0) with an average age of 30.6 ± 2.4 years. Body composition analysis was used, including assessment of BFP, visceral fat area (cm2/level), and other parameters. OAB symptoms were evaluated with an OAB questionnaire (OAB-q), voiding diary, and quality of life scale (I-QoL).
Ninety women had a BFP >32% and 116 had a BFP <32%. The voiding diary and OAB-q confirmed significant differences in 24-h daytime and nighttime frequency of voiding and average urine volume during the day. The OAB-q symptom score was lower in the group with BFP <32%. I-QoL recorded significantly worse parameters in the group with BFP >32% (p < 0.01). The Patient Perception of Intensity of Urgency Scale significantly correlated with BFP (r = 0.466, p < 0.001). Women with a BFP above 32% had a 1.95 times greater chance of developing OAB (odds ratio = 1.95, 95% CI = 1.09-3.52, p < 0.02).
Young women with a BFP >32% were 95% more likely to have OAB than other young women with a BPF <32%.
已有多位作者研究了肥胖（仅通过体重指数 [BMI] 评估）与膀胱过度活动症（OAB）症状之间的关系。
本研究旨在确定体脂肪百分比（BFP）与 OAB 症状严重程度之间的关系，以及这些症状对生活质量的影响。
横断面研究。样本由 206 名超重女性组成；她们是大学生（BMI = 25.8 ± 3.0），平均年龄为 30.6 ± 2.4 岁。使用身体成分分析，包括评估 BFP、内脏脂肪面积（cm2/水平）和其他参数。使用 OAB 问卷（OAB-q）、排尿日记和生活质量量表（I-QoL）评估 OAB 症状。
90 名女性的 BFP >32%，116 名女性的 BFP <32%。排尿日记和 OAB-q 证实 24 小时白天和夜间排尿次数以及白天平均尿量存在显著差异。BFP <32%组的 OAB-q 症状评分较低。I-QoL 在 BFP >32%组记录的参数明显较差（p < 0.01）。急迫感患者感知强度量表与 BFP 显著相关（r = 0.466，p < 0.001）。BFP 超过 32%的女性发生 OAB 的可能性是 BFP 低于 32%的女性的 1.95 倍（比值比 = 1.95，95%置信区间 = 1.09-3.52，p < 0.02）。
BFP >32%的年轻女性发生 OAB 的可能性比 BPF <32%的其他年轻女性高 95%。
