E-Posters-10252_Young

10252_Young_Lin

Pdf Summary

This study analyzed the association between weight change and urinary incontinence (UI) symptoms in postmenopausal women. It was found that obesity is a strong risk factor for UI, and weight reduction programs have been shown to improve UI in overweight and obese women. However, it is unclear if weight changes not associated with weight reduction programs have the same effect. <br /><br />The study included secondary analysis of the Women’s Health Initiative Dietary Modification (DM) study, which involved postmenopausal women assigned to a dietary intervention or control group. It reviewed demographic information, health evaluation, and self-reported symptom questionnaires of the participants. UI was categorized as stress UI (SUI), urge UI (UUI), mixed UI (MUI), or no UI (NUI). Changes in UI frequency and bother symptoms were calculated for the control group between baseline and 1 year. <br /><br />The results showed that weight change was associated with changes in UI symptoms in postmenopausal women. This suggests that weight change may be an effective treatment for UI. Baseline analysis showed that increased weight above normal body mass index (BMI) was associated with increased UUI and MUI symptoms. <br /><br />In the control group, women who lost more than 10% of body weight had the highest percentage of improvement in both SUI frequency and bother. Women who lost 5-10% of body weight had the highest percentage of improved UUI frequency, while those who gained 5-10% had the highest percentage of worsened UUI frequency. <br /><br />Overall, the study supports the need for a randomized clinical trial to determine the effectiveness of weight change as a treatment for UI.

Keywords

weight change

urinary incontinence

postmenopausal women

obesity

weight reduction programs

Women's Health Initiative

UI symptoms

body weight

BMI

clinical trial