Is there an association between aspects of the metabolic syndrome and overactive bladder? A prospective cohort study in women with lower urinary tract symptoms
The aim of our study was to determine whether there is a link between aspects of the metabolic syndrome (MetS) and overactive bladder (OAB) in women with lower urinary tract symptoms (LUTS). A single-centre prospective study. We evaluated a cohort of consecutive women with LUTS attending a tertiary...
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Veröffentlicht in: | European journal of obstetrics & gynecology and reproductive biology 2017-10, Vol.217, p.1-5 |
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container_title | European journal of obstetrics & gynecology and reproductive biology |
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creator | Zacche, M.M. Giarenis, I. Thiagamoorthy, G. Robinson, D. Cardozo, L. |
description | The aim of our study was to determine whether there is a link between aspects of the metabolic syndrome (MetS) and overactive bladder (OAB) in women with lower urinary tract symptoms (LUTS).
A single-centre prospective study. We evaluated a cohort of consecutive women with LUTS attending a tertiary referral urodynamic clinic from October 2012 to January 2015. Obesity, diabetes, hypertension and dyslipidaemia were used as markers of MetS. OAB and detrusor overactivity (DO) were defined according to the International Urogynaecological Association/International Continence Society terminology.
Eight hundred and forty women were enrolled. Three hundred and eight (36.6%) had normal weight, 260 (31%) were overweight and 272 (32.4%) obese. We identified 168 women (20%) with hypertension, 64 (7.6%) with diabetes mellitus, and 98 (11.7%) with dyslipidaemia. Seven hundred and four (83.8%) women were diagnosed symptomatically with OAB and 305 (36.3%) were diagnosed urodynamically with DO. Obesity (p |
doi_str_mv | 10.1016/j.ejogrb.2017.08.002 |
format | Article |
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A single-centre prospective study. We evaluated a cohort of consecutive women with LUTS attending a tertiary referral urodynamic clinic from October 2012 to January 2015. Obesity, diabetes, hypertension and dyslipidaemia were used as markers of MetS. OAB and detrusor overactivity (DO) were defined according to the International Urogynaecological Association/International Continence Society terminology.
Eight hundred and forty women were enrolled. Three hundred and eight (36.6%) had normal weight, 260 (31%) were overweight and 272 (32.4%) obese. We identified 168 women (20%) with hypertension, 64 (7.6%) with diabetes mellitus, and 98 (11.7%) with dyslipidaemia. Seven hundred and four (83.8%) women were diagnosed symptomatically with OAB and 305 (36.3%) were diagnosed urodynamically with DO. Obesity (p<0.001) was the only independent predictor for OAB (OR 1.09, 95% CI 1.05–1.13) and DO (OR 1.06, 95% CI 1.03–1.08), respectively.
Our study demonstrates a correlation between obesity and OAB/DO in female patients. However, other components of MetS do not appear to be associated with either OAB and DO. Weight reduction should be strongly recommended in women with OAB.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/j.ejogrb.2017.08.002</identifier><identifier>PMID: 28826038</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adult ; Aged ; Detrusor overactivity ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - physiopathology ; Female ; Humans ; Metabolic syndrome ; Metabolic Syndrome - complications ; Metabolic Syndrome - physiopathology ; Middle Aged ; Overactive bladder ; Overweight - complications ; Overweight - physiopathology ; Prospective Studies ; Urinary Bladder, Overactive - complications ; Urinary Bladder, Overactive - physiopathology ; Urodynamics - physiology</subject><ispartof>European journal of obstetrics & gynecology and reproductive biology, 2017-10, Vol.217, p.1-5</ispartof><rights>2017</rights><rights>Copyright © 2017. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-13f67faa72e89626ec5b78a6558e75edcb710bbbbc261272bbe5109b362a84b93</citedby><cites>FETCH-LOGICAL-c408t-13f67faa72e89626ec5b78a6558e75edcb710bbbbc261272bbe5109b362a84b93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S030121151730372X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28826038$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zacche, M.M.</creatorcontrib><creatorcontrib>Giarenis, I.</creatorcontrib><creatorcontrib>Thiagamoorthy, G.</creatorcontrib><creatorcontrib>Robinson, D.</creatorcontrib><creatorcontrib>Cardozo, L.</creatorcontrib><title>Is there an association between aspects of the metabolic syndrome and overactive bladder? A prospective cohort study in women with lower urinary tract symptoms</title><title>European journal of obstetrics & gynecology and reproductive biology</title><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><description>The aim of our study was to determine whether there is a link between aspects of the metabolic syndrome (MetS) and overactive bladder (OAB) in women with lower urinary tract symptoms (LUTS).
A single-centre prospective study. We evaluated a cohort of consecutive women with LUTS attending a tertiary referral urodynamic clinic from October 2012 to January 2015. Obesity, diabetes, hypertension and dyslipidaemia were used as markers of MetS. OAB and detrusor overactivity (DO) were defined according to the International Urogynaecological Association/International Continence Society terminology.
Eight hundred and forty women were enrolled. Three hundred and eight (36.6%) had normal weight, 260 (31%) were overweight and 272 (32.4%) obese. We identified 168 women (20%) with hypertension, 64 (7.6%) with diabetes mellitus, and 98 (11.7%) with dyslipidaemia. Seven hundred and four (83.8%) women were diagnosed symptomatically with OAB and 305 (36.3%) were diagnosed urodynamically with DO. Obesity (p<0.001) was the only independent predictor for OAB (OR 1.09, 95% CI 1.05–1.13) and DO (OR 1.06, 95% CI 1.03–1.08), respectively.
Our study demonstrates a correlation between obesity and OAB/DO in female patients. However, other components of MetS do not appear to be associated with either OAB and DO. Weight reduction should be strongly recommended in women with OAB.</description><subject>Adult</subject><subject>Aged</subject><subject>Detrusor overactivity</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Female</subject><subject>Humans</subject><subject>Metabolic syndrome</subject><subject>Metabolic Syndrome - complications</subject><subject>Metabolic Syndrome - physiopathology</subject><subject>Middle Aged</subject><subject>Overactive bladder</subject><subject>Overweight - complications</subject><subject>Overweight - physiopathology</subject><subject>Prospective Studies</subject><subject>Urinary Bladder, Overactive - complications</subject><subject>Urinary Bladder, Overactive - physiopathology</subject><subject>Urodynamics - physiology</subject><issn>0301-2115</issn><issn>1872-7654</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Uc1u1DAQtipQuy28AUI-ckmwncR2LqCqoqVSJS5wtvwzYb1K4sV2drVPw6vidAtH5mBLo-9nZj6E3lFSU0L5x10Nu_AzmpoRKmoia0LYBdpQKVgleNe-QhvSEFoxSrsrdJ3SjpRqmv4SXTEpGSeN3KDfjwnnLUTAesY6pWC9zj7M2EA-Aqy9PdiccBhWHJ4gaxNGb3E6zS6GaSU6HA4Qtc3-ANiM2jmIn_Et3sfwzF7bNmxDzDjlxZ2wn_GxUMvr8xaP4QgRL9HPOp5wXoWK-rTPYUpv0OtBjwnevvw36Mf9l-93X6unbw-Pd7dPlW2JzBVtBi4GrQUD2XPGwXZGSM27ToLowFkjKDGlLOOUCWYMdJT0puFMy9b0zQ36cNYtM_9aIGU1-WRhHPUMYUmK9g1lLS9mBdqeobaslyIMah_9VEZXlKg1GrVT52jUGo0iUpVoCu39i8NiJnD_SH-zKIBPZwCUPQ8eokrWw2zB-ViOqFzw_3f4A5rxpZs</recordid><startdate>201710</startdate><enddate>201710</enddate><creator>Zacche, M.M.</creator><creator>Giarenis, I.</creator><creator>Thiagamoorthy, G.</creator><creator>Robinson, D.</creator><creator>Cardozo, L.</creator><general>Elsevier 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>7X8</scope></search><sort><creationdate>201710</creationdate><title>Is there an association between aspects of the metabolic syndrome and overactive bladder? A prospective cohort study in women with lower urinary tract symptoms</title><author>Zacche, M.M. ; Giarenis, I. ; Thiagamoorthy, G. ; Robinson, D. ; Cardozo, L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-13f67faa72e89626ec5b78a6558e75edcb710bbbbc261272bbe5109b362a84b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Detrusor overactivity</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Female</topic><topic>Humans</topic><topic>Metabolic syndrome</topic><topic>Metabolic Syndrome - complications</topic><topic>Metabolic Syndrome - physiopathology</topic><topic>Middle Aged</topic><topic>Overactive bladder</topic><topic>Overweight - complications</topic><topic>Overweight - physiopathology</topic><topic>Prospective Studies</topic><topic>Urinary Bladder, Overactive - complications</topic><topic>Urinary Bladder, Overactive - physiopathology</topic><topic>Urodynamics - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zacche, M.M.</creatorcontrib><creatorcontrib>Giarenis, I.</creatorcontrib><creatorcontrib>Thiagamoorthy, G.</creatorcontrib><creatorcontrib>Robinson, D.</creatorcontrib><creatorcontrib>Cardozo, L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zacche, M.M.</au><au>Giarenis, I.</au><au>Thiagamoorthy, G.</au><au>Robinson, D.</au><au>Cardozo, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is there an association between aspects of the metabolic syndrome and overactive bladder? A prospective cohort study in women with lower urinary tract symptoms</atitle><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><date>2017-10</date><risdate>2017</risdate><volume>217</volume><spage>1</spage><epage>5</epage><pages>1-5</pages><issn>0301-2115</issn><eissn>1872-7654</eissn><abstract>The aim of our study was to determine whether there is a link between aspects of the metabolic syndrome (MetS) and overactive bladder (OAB) in women with lower urinary tract symptoms (LUTS).
A single-centre prospective study. We evaluated a cohort of consecutive women with LUTS attending a tertiary referral urodynamic clinic from October 2012 to January 2015. Obesity, diabetes, hypertension and dyslipidaemia were used as markers of MetS. OAB and detrusor overactivity (DO) were defined according to the International Urogynaecological Association/International Continence Society terminology.
Eight hundred and forty women were enrolled. Three hundred and eight (36.6%) had normal weight, 260 (31%) were overweight and 272 (32.4%) obese. We identified 168 women (20%) with hypertension, 64 (7.6%) with diabetes mellitus, and 98 (11.7%) with dyslipidaemia. Seven hundred and four (83.8%) women were diagnosed symptomatically with OAB and 305 (36.3%) were diagnosed urodynamically with DO. Obesity (p<0.001) was the only independent predictor for OAB (OR 1.09, 95% CI 1.05–1.13) and DO (OR 1.06, 95% CI 1.03–1.08), respectively.
Our study demonstrates a correlation between obesity and OAB/DO in female patients. However, other components of MetS do not appear to be associated with either OAB and DO. Weight reduction should be strongly recommended in women with OAB.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>28826038</pmid><doi>10.1016/j.ejogrb.2017.08.002</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Detrusor overactivity Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - physiopathology Female Humans Metabolic syndrome Metabolic Syndrome - complications Metabolic Syndrome - physiopathology Middle Aged Overactive bladder Overweight - complications Overweight - physiopathology Prospective Studies Urinary Bladder, Overactive - complications Urinary Bladder, Overactive - physiopathology Urodynamics - physiology |
title | Is there an association between aspects of the metabolic syndrome and overactive bladder? A prospective cohort study in women with lower urinary tract symptoms |
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