Urodynamic characterization of obese women with urinary incontinence undergoing a weight loss program: the Program to Reduce Incontinence by Diet and Exercise (PRIDE) trial
The purpose of this study was to describe urodynamic characteristics of overweight or obese women with urinary incontinence and explore the relationship between urodynamic parameters, body mass index (BMI), and abdominal circumference (AC). One hundred ten women underwent a standardized cough stress...
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| Veröffentlicht in: | International Urogynecology Journal 2008-12, Vol.19 (12), p.1653-1658 |
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| creator | Richter, Holly E. Creasman, Jennifer M. Myers, Deborah L. Wheeler, Thomas L. Burgio, Kathryn L. Subak, Leslee L. |
| description | The purpose of this study was to describe urodynamic characteristics of overweight or obese women with urinary incontinence and explore the relationship between urodynamic parameters, body mass index (BMI), and abdominal circumference (AC). One hundred ten women underwent a standardized cough stress test and urodynamic study. Eighty-six percent of women had urodynamic stress incontinence and 15% detrusor overactivity. Intra-abdominal pressure (Pabd) at maximum cystometric capacity (MCC) increased 0.4 cm H
2
O per kg/m
2
unit of BMI (95% confidence interval [CI] = 0.0,0.7,
p
= 0.04) and 0.4 cm H
2
O per 2 cm increase in AC (CI = 0.2, 0.7,
p
|
| doi_str_mv | 10.1007/s00192-008-0694-8 |
| format | Article |
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2
O per kg/m
2
unit of BMI (95% confidence interval [CI] = 0.0,0.7,
p
= 0.04) and 0.4 cm H
2
O per 2 cm increase in AC (CI = 0.2, 0.7,
p
< 0.01). Intravesical pressure (Pves) at MCC increased 0.4 cm H
2
O per 2 cm increase in AC (CI = 0.0, 0.8,
p
= 0.05) but was not associated with BMI (
p
= 0.18). BMI and AC had a stronger association with Pabd than with Pves, suggesting a possible mechanism for the association between obesity and urinary incontinence.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-008-0694-8</identifier><identifier>PMID: 18679560</identifier><language>eng</language><publisher>London: Springer-Verlag</publisher><subject>Aged ; Body Mass Index ; Comorbidity ; Female ; Gynecology ; Humans ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity - epidemiology ; Obesity - physiopathology ; Obesity - therapy ; Older people ; Original Article ; Urinary incontinence ; Urinary Incontinence - epidemiology ; Urinary Incontinence - physiopathology ; Urinary Incontinence - prevention & control ; Urodynamics ; Urology ; Waist Circumference - physiology ; Weight control ; Weight Loss ; Women</subject><ispartof>International Urogynecology Journal, 2008-12, Vol.19 (12), p.1653-1658</ispartof><rights>The International Urogynecological Association 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-5f4c42fd11efe48d676d73861361bd499708871534ab293bcf1145daa8cbc8b83</citedby><cites>FETCH-LOGICAL-c467t-5f4c42fd11efe48d676d73861361bd499708871534ab293bcf1145daa8cbc8b83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-008-0694-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-008-0694-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18679560$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Richter, Holly E.</creatorcontrib><creatorcontrib>Creasman, Jennifer M.</creatorcontrib><creatorcontrib>Myers, Deborah L.</creatorcontrib><creatorcontrib>Wheeler, Thomas L.</creatorcontrib><creatorcontrib>Burgio, Kathryn L.</creatorcontrib><creatorcontrib>Subak, Leslee L.</creatorcontrib><creatorcontrib>Program to Reduce Incontinence by Diet and Exercise (PRIDE) Research Group</creatorcontrib><creatorcontrib>for the Program to Reduce Incontinence by Diet and Exercise (PRIDE) Research Group</creatorcontrib><title>Urodynamic characterization of obese women with urinary incontinence undergoing a weight loss program: the Program to Reduce Incontinence by Diet and Exercise (PRIDE) trial</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J Pelvic Floor Dysfunct</addtitle><description>The purpose of this study was to describe urodynamic characteristics of overweight or obese women with urinary incontinence and explore the relationship between urodynamic parameters, body mass index (BMI), and abdominal circumference (AC). One hundred ten women underwent a standardized cough stress test and urodynamic study. Eighty-six percent of women had urodynamic stress incontinence and 15% detrusor overactivity. Intra-abdominal pressure (Pabd) at maximum cystometric capacity (MCC) increased 0.4 cm H
2
O per kg/m
2
unit of BMI (95% confidence interval [CI] = 0.0,0.7,
p
= 0.04) and 0.4 cm H
2
O per 2 cm increase in AC (CI = 0.2, 0.7,
p
< 0.01). Intravesical pressure (Pves) at MCC increased 0.4 cm H
2
O per 2 cm increase in AC (CI = 0.0, 0.8,
p
= 0.05) but was not associated with BMI (
p
= 0.18). BMI and AC had a stronger association with Pabd than with Pves, suggesting a possible mechanism for the association between obesity and urinary incontinence.</description><subject>Aged</subject><subject>Body Mass Index</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity - epidemiology</subject><subject>Obesity - physiopathology</subject><subject>Obesity - therapy</subject><subject>Older people</subject><subject>Original Article</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - epidemiology</subject><subject>Urinary Incontinence - physiopathology</subject><subject>Urinary Incontinence - prevention & control</subject><subject>Urodynamics</subject><subject>Urology</subject><subject>Waist Circumference - physiology</subject><subject>Weight control</subject><subject>Weight Loss</subject><subject>Women</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kcFu1DAURS0EotPCB7BBT6zoImDHTuywQ-0AI1Wiqug6cuyXjKuJXRxHw_BNfCQeZaSyYWVZvu9c24eQN4x-YJTKjxOlrCkLSlVB60YU6hlZMcF5wWnJn5MVbbgsuKjLM3I-TQ-UUkEr-pKcMVXLpqrpivy5j8EevB6dAbPVUZuE0f3WyQUPoYfQ4YSwDyN62Lu0hTk6r-MBnDfBJ-fRG4TZW4xDcH4ADXt0wzbBLkwTPMYwRD1-grRFuF02kALcoZ3z3OZfSHeAa4cJtLew_oXRuNz8_vZuc72-hBSd3r0iL3q9m_D1ab0g91_WP66-FTffv26uPt8URtQyFVUvjCh7yxj2KJStZW0lVzXjNeusaBpJlZKs4kJ3ZcM70zMmKqu1Mp1RneIX5N3Czdf_OeOU2ocwR58rW6VY2ZSyrHKILSET80sj9u1jdGP-mpbR9qinXfS0WU971NMewW9P4Lkb0T5NnHzkQLkEpnzkB4xPzf-n_gWg5Z1R</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>Richter, Holly E.</creator><creator>Creasman, Jennifer M.</creator><creator>Myers, Deborah L.</creator><creator>Wheeler, Thomas L.</creator><creator>Burgio, Kathryn L.</creator><creator>Subak, Leslee L.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20081201</creationdate><title>Urodynamic characterization of obese women with urinary incontinence undergoing a weight loss program: the Program to Reduce Incontinence by Diet and Exercise (PRIDE) trial</title><author>Richter, Holly E. ; Creasman, Jennifer M. ; Myers, Deborah L. ; Wheeler, Thomas L. ; Burgio, Kathryn L. ; Subak, Leslee L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-5f4c42fd11efe48d676d73861361bd499708871534ab293bcf1145daa8cbc8b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Body Mass Index</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Obesity - epidemiology</topic><topic>Obesity - physiopathology</topic><topic>Obesity - therapy</topic><topic>Older people</topic><topic>Original Article</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - epidemiology</topic><topic>Urinary Incontinence - physiopathology</topic><topic>Urinary Incontinence - prevention & control</topic><topic>Urodynamics</topic><topic>Urology</topic><topic>Waist Circumference - physiology</topic><topic>Weight control</topic><topic>Weight Loss</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Richter, Holly E.</creatorcontrib><creatorcontrib>Creasman, Jennifer M.</creatorcontrib><creatorcontrib>Myers, Deborah L.</creatorcontrib><creatorcontrib>Wheeler, Thomas L.</creatorcontrib><creatorcontrib>Burgio, Kathryn L.</creatorcontrib><creatorcontrib>Subak, Leslee L.</creatorcontrib><creatorcontrib>Program to Reduce Incontinence by Diet and Exercise (PRIDE) Research Group</creatorcontrib><creatorcontrib>for the Program to Reduce Incontinence by Diet and Exercise (PRIDE) Research Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Richter, Holly E.</au><au>Creasman, Jennifer M.</au><au>Myers, Deborah L.</au><au>Wheeler, Thomas L.</au><au>Burgio, Kathryn L.</au><au>Subak, Leslee L.</au><aucorp>Program to Reduce Incontinence by Diet and Exercise (PRIDE) Research Group</aucorp><aucorp>for the Program to Reduce Incontinence by Diet and Exercise (PRIDE) Research Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Urodynamic characterization of obese women with urinary incontinence undergoing a weight loss program: the Program to Reduce Incontinence by Diet and Exercise (PRIDE) trial</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J Pelvic Floor Dysfunct</addtitle><date>2008-12-01</date><risdate>2008</risdate><volume>19</volume><issue>12</issue><spage>1653</spage><epage>1658</epage><pages>1653-1658</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>The purpose of this study was to describe urodynamic characteristics of overweight or obese women with urinary incontinence and explore the relationship between urodynamic parameters, body mass index (BMI), and abdominal circumference (AC). One hundred ten women underwent a standardized cough stress test and urodynamic study. Eighty-six percent of women had urodynamic stress incontinence and 15% detrusor overactivity. Intra-abdominal pressure (Pabd) at maximum cystometric capacity (MCC) increased 0.4 cm H
2
O per kg/m
2
unit of BMI (95% confidence interval [CI] = 0.0,0.7,
p
= 0.04) and 0.4 cm H
2
O per 2 cm increase in AC (CI = 0.2, 0.7,
p
< 0.01). Intravesical pressure (Pves) at MCC increased 0.4 cm H
2
O per 2 cm increase in AC (CI = 0.0, 0.8,
p
= 0.05) but was not associated with BMI (
p
= 0.18). BMI and AC had a stronger association with Pabd than with Pves, suggesting a possible mechanism for the association between obesity and urinary incontinence.</abstract><cop>London</cop><pub>Springer-Verlag</pub><pmid>18679560</pmid><doi>10.1007/s00192-008-0694-8</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Body Mass Index Comorbidity Female Gynecology Humans Medicine Medicine & Public Health Middle Aged Obesity - epidemiology Obesity - physiopathology Obesity - therapy Older people Original Article Urinary incontinence Urinary Incontinence - epidemiology Urinary Incontinence - physiopathology Urinary Incontinence - prevention & control Urodynamics Urology Waist Circumference - physiology Weight control Weight Loss Women |
| title | Urodynamic characterization of obese women with urinary incontinence undergoing a weight loss program: the Program to Reduce Incontinence by Diet and Exercise (PRIDE) trial |
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