Prevalence of Urinary Incontinence and Its Association with Body Mass Index Among Women in Puerto Rico

Overview

Journal J Womens Health (Larchmt)

Specialty Gynecology & Obstetrics

Date 2009 Oct 1

PMID 19788409

Citations 6

Authors

Magdalena Lopez

Ana P Ortiz

Rodolfo Vargas

Affiliations

Soon will be listed here.

Abstract

Objective: Urinary incontinence (UI) affects the quality of life of millions of women world-wide. Prevalence estimates for UI range from 10% to 40%, but information on young and mid-life women, especially among Hispanics, is limited. This study estimated UI prevalence and its association with body mass index (BMI) in a population-based sample of 276 female residents of Bayamón, Puerto Rico (PR) aged 21-64 years.

Methods: A cluster sampling design was employed. Women were interviewed to gather data on sociodemographic, clinical, gynecologic, and UI characteristics. Descriptive statistics were used to characterize the study sample. Bivariate analyses of factors potentially associated with UI and BMI were conducted using generalized linear models (GLM). Multivariate GLM was used to determine the covariate adjusted association between BMI and UI.

Results: The prevalence of UI was 34.8% (95% confidence interval [CI]: 29.4-40.6%). Among women with UI, stress incontinence was most frequent (46.8%), followed by mixed (41.5%) and urge incontinence (11.7%). More than 45% of participants were either overweight (25 kg/m(2) <or= BMI <or= 29.9 kg/m(2)) or obese (BMI >or= 30 kg/m(2)). The adjusted analysis revealed that women with a BMI >or= 30 kg/m(2) had 1.96 (p = 0.06) times the probability of having UI compared to women with a BMI < 25 kg/m(2).

Conclusions: UI is a public health problem among this population, and obesity marginally increases the possibility of having this condition. Public health efforts should focus on reducing obesity in PR, in order to have an impact on UI morbidity.

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References

. Research on the menopause in the 1990s. Report of a WHO Scientific Group. World Health Organ Tech Rep Ser. 1996; 866:1-107. View

Townsend M, Danforth K, Rosner B, Curhan G, Resnick N, Grodstein F . Body mass index, weight gain, and incident urinary incontinence in middle-aged women. Obstet Gynecol. 2007; 110(2 Pt 1):346-53. DOI: 10.1097/01.AOG.0000270121.15510.57. View

Subak L, Whitcomb E, Shen H, Saxton J, Vittinghoff E, Brown J . Weight loss: a novel and effective treatment for urinary incontinence. J Urol. 2005; 174(1):190-5. PMC: 1557356. DOI: 10.1097/01.ju.0000162056.30326.83. View

Melville J, Katon W, Delaney K, Newton K . Urinary incontinence in US women: a population-based study. Arch Intern Med. 2005; 165(5):537-42. DOI: 10.1001/archinte.165.5.537. View

Lambert D, Marceau S, Forse R . Intra-abdominal pressure in the morbidly obese. Obes Surg. 2005; 15(9):1225-32. DOI: 10.1381/096089205774512546. View

Baessler K, Schuessler B . Childbirth-induced trauma to the urethral continence mechanism: review and recommendations. Urology. 2003; 62(4 Suppl 1):39-44. DOI: 10.1016/j.urology.2003.08.001. View

Foldspang A, Hvidman L, Mommsen S, Nielsen J . Risk of postpartum urinary incontinence associated with pregnancy and mode of delivery. Acta Obstet Gynecol Scand. 2004; 83(10):923-7. DOI: 10.1111/j.0001-6349.2004.00353.x. View

Hunskaar S, Lose G, Sykes D, Voss S . The prevalence of urinary incontinence in women in four European countries. BJU Int. 2004; 93(3):324-30. DOI: 10.1111/j.1464-410x.2003.04609.x. View

van der Vaart C, de Leeuw J, Roovers J, Heintz A . The effect of urinary incontinence and overactive bladder symptoms on quality of life in young women. BJU Int. 2002; 90(6):544-9. DOI: 10.1046/j.1464-410x.2002.02963.x. View

10.

Hunskaar S, Arnold E, Burgio K, Diokno A, Herzog A, Mallett V . Epidemiology and natural history of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2000; 11(5):301-19. DOI: 10.1007/s001920070021. View

11.

Waetjen L, Feng W, Ye J, Johnson W, Greendale G, Sampselle C . Factors associated with worsening and improving urinary incontinence across the menopausal transition. Obstet Gynecol. 2008; 111(3):667-77. PMC: 3598598. DOI: 10.1097/AOG.0b013e31816386ce. View

12.

Bush T, Castellucci D, Phillips C . Exploring women's beliefs regarding urinary incontinence. Urol Nurs. 2002; 21(3):211-8. View

13.

Sugerman H, Windsor A, Bessos M, Kellum J, Reines H, DeMaria E . Effects of surgically induced weight loss on urinary bladder pressure, sagittal abdominal diameter and obesity co-morbidity. Int J Obes Relat Metab Disord. 1998; 22(3):230-5. DOI: 10.1038/sj.ijo.0800574. View

14.

Al-Hayek S, Abrams P . Women's lower urinary tract function and dysfunction: definitions and epidemiology. Minerva Ginecol. 2004; 56(4):311-25. View

15.

Visscher T, Seidell J . The public health impact of obesity. Annu Rev Public Health. 2001; 22:355-75. DOI: 10.1146/annurev.publhealth.22.1.355. View

16.

Sampselle C, Harlow S, Skurnick J, Brubaker L, Bondarenko I . Urinary incontinence predictors and life impact in ethnically diverse perimenopausal women. Obstet Gynecol. 2002; 100(6):1230-8. DOI: 10.1016/s0029-7844(02)02241-x. View

17.

Peyrat L, Haillot O, Bruyere F, Boutin J, Bertrand P, Lanson Y . Prevalence and risk factors of urinary incontinence in young and middle-aged women. BJU Int. 2002; 89(1):61-6. DOI: 10.1046/j.1464-4096.2001.01813.x. View

18.

Sandvik H, Hunskaar S, Seim A, Hermstad R, Vanvik A, BRATT H . Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. J Epidemiol Community Health. 1993; 47(6):497-9. PMC: 1059866. DOI: 10.1136/jech.47.6.497. View

19.

Kinchen K, Lee J, Fireman B, Hunkeler E, Nehemiah J, Curtice T . The prevalence, burden, and treatment of urinary incontinence among women in a managed care plan. J Womens Health (Larchmt). 2007; 16(3):415-22. DOI: 10.1089/jwh.2006.0122. View

20.

Hannestad Y, Rortveit G, Sandvik H, Hunskaar S . A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trøndelag. J Clin Epidemiol. 2000; 53(11):1150-7. DOI: 10.1016/s0895-4356(00)00232-8. View