Husk Katherine E, Leong Karissa, Rogers Rebecca G, Deverdis Erin C
From the Albany Medical Center, Albany, NY.
Urogynecology (Phila). 2023 Feb 1;29(2):260-265. doi: 10.1097/SPV.0000000000001257.
Obesity is a risk factor for pelvic floor disorders (PFDs), but limited information exists about the public awareness of this association.
Our primary objective was to assess awareness of the association between obesity and PFDs, comparing 2 cohorts of women with body mass index (BMI) <30 versus BMI ≥30.
We conducted a cross-sectional, survey-based cohort study. The survey included questions about demographics, height and weight self-assessment, and the risk of PFDs with obesity. Our primary outcome was the rate of women correctly identifying that obesity increases the risk of PFDs.
Of 377 eligible participants 272 (72.1%) completed the survey, with 266 analyzed. Of these, 159 (59.8%) had a BMI <30 and 107 (40.2%) had a BMI ≥30. Comparing the cohorts, the lower BMI cohort was older (mean age of 54.4 ± 18.3 vs 48.4 ± 17.5 years, P = 0.008) and had higher rates of graduate/professional school (35.2% vs 19.6%, P = 0.04). Both groups had similarly high rates of PFDs. There was no difference in identifying obesity as a risk factor for PFDs, although the lower BMI group was less likely to identify the implications of weight loss on urinary incontinence (UI) (27.7% vs 45.8%, P = 0.002). Controlling for potential confounders, obesity remained positively associated with knowledge about the implications of weight loss on UI (odds ratio, 2.5; 95% confidence interval, 1.5-4.4).
Few women identified the increased risk of PFDs with obesity. Obese women may have increased awareness of the implications of weight loss on UI.
肥胖是盆底功能障碍（PFDs）的一个风险因素，但关于公众对这种关联的认识的信息有限。
我们的主要目的是评估对肥胖与PFDs之间关联的认识，比较两组体重指数（BMI）<30与BMI≥30的女性。
我们进行了一项基于调查的横断面队列研究。该调查包括有关人口统计学、身高和体重自我评估以及肥胖导致PFDs的风险的问题。我们的主要结果是正确识别肥胖会增加PFDs风险的女性比例。
在377名符合条件的参与者中，272名（72.1%）完成了调查，对266名进行了分析。其中，159名（59.8%）BMI<30，107名（40.2%）BMI≥30。比较这两组人群，BMI较低的组年龄较大（平均年龄54.4±18.3岁对48.4±17.5岁，P = 0.008），且研究生/专业学校学历的比例较高（35.2%对19.6%，P = 0.04）。两组PFDs的发生率都同样高。在将肥胖识别为PFDs的风险因素方面没有差异，尽管BMI较低的组不太可能识别出体重减轻对尿失禁（UI）的影响（27.7%对45.8%，P = 0.002）。在控制了潜在混杂因素后，肥胖与对体重减轻对UI影响的认识仍呈正相关（优势比为2.5；95%置信区间为1.5 - 4.4）。
很少有女性认识到肥胖会增加PFDs的风险。肥胖女性可能对体重减轻对UI的影响有更高的认识。
