Department of Obstetrics and Gynecology, College of Medicine, Kuwait University, Kuwait City, Kuwait.
Ministry of Health, Kuwait City, Kuwait.
Med Princ Pract. 2024;33(1):47-55. doi: 10.1159/000534651. Epub 2023 Oct 17.
Urinary incontinence (UI) is an involuntary leakage of urine and affects the social, physical, and psychological aspects of many individuals worldwide. The purpose of our study was to examine the prevalence, quality of life (QoL), severity, and different types of UI in overweight and obese women.
We conducted a cross-sectional study of 1,351 consecutive patients, who were recruited between June 2021 and May 2022.
The mean age of the patients was 39.7 ± 14.2 years with less than a half in the 19-35-year age group (46.9%); 65% of the subjects were overweight or obese. The overall prevalence of UI was 61.2%. Overweight and obesity accounted to 70.2% of patients with mild to very severe UI. The risk estimates to have UI were 1.84 in overweight and 5.4 in obese group. The risk estimate for severe and very severe UI was 2.33 in overweight and 10.34 in obese group. When considering all subtypes, 67.9% of women with overweight and obesity had any of the subtypes, urge UI, stress UI, and mixed UI. Overweight and obesity were significantly associated with poor QoL in women with UI (p < 0.0001). Among 36.1% of all patients with poor QoL, 79.9% were overweight and obese.
Overweight and obesity are important risk factors of UI affecting daily activity and QOL considerably. As the number of people with obesity is increasing, the prevalence of UI with increased severity is likely to increase in young to mid-aged women. Weight loss should be considered as first-line treatment for this patient population.
尿失禁（UI）是一种无意识的尿液泄漏，影响着全球许多人的社会、身体和心理方面。我们研究的目的是检查超重和肥胖女性中 UI 的患病率、生活质量（QoL）、严重程度和不同类型。
我们进行了一项横断面研究，共纳入 1351 例连续患者，他们于 2021 年 6 月至 2022 年 5 月期间招募。
患者的平均年龄为 39.7 ± 14.2 岁，不到一半（46.9%）在 19-35 岁年龄组；65%的受试者超重或肥胖。总体 UI 患病率为 61.2%。超重和肥胖占轻度至重度 UI 患者的 70.2%。患有 UI 的风险估计值为超重的 1.84 倍，肥胖的 5.4 倍。患有严重和非常严重 UI 的风险估计值在超重患者中为 2.33，在肥胖患者中为 10.34。当考虑所有亚型时，67.9%的超重和肥胖女性有任何一种亚型，即急迫性 UI、压力性 UI 和混合性 UI。超重和肥胖与患有 UI 的女性 QoL 较差显著相关（p < 0.0001）。在所有 QoL 较差的患者中，有 36.1%，79.9%为超重和肥胖。
超重和肥胖是 UI 的重要危险因素，会极大地影响日常活动和 QoL。随着肥胖人数的增加，年轻至中年女性中 UI 的严重程度可能会增加。对于这一患者群体，应考虑减肥作为一线治疗。
