Ingela Melin1, Christian Falconer2, Stephan Rössner2, Daniel Altman2. 1. Department of Medical Epidemiology and Biostatistics Karolinska Institutet, Sweden. Electronic address:ingela.melin@ki.se. 2. Department of Medical Epidemiology and Biostatistics Karolinska Institutet, Sweden.
Abstract
AIMS: To estimate the prevalence and severity of nocturia and lower urinary tract symptoms in obese women and to identify risk factors associated with nocturia in an obese population. METHODS: We performed a case-control study based on the registry of a university hospital obesity unit. A consecutive sample of women with body mass index ≥30 (obese) was randomly matched by age, gender and residential county to control subjects using the computerised register of the total population. Data were collected by a self-reported postal survey. RESULTS: The questionnaire was completed and returned by 279/446 of the patients (62%) and 430/892 control subjects (48%). Compared to the non-obese control group, obese women reported a significantly increased prevalence and bother of nocturia (p < 0.001), frequent urination (p < 0.001) and bothersome experience of urination (p = 0.037). Moreover, they experienced significantly increased frequency of urinary urgency (p < 0.001), of urge urinary incontinence (p < 0.001) and of bladder emptying difficulties (p = 0.002). The adjusted odds ratio (95% CI) in obese women was 2.8 (1.0-7.9) for nocturia, 4.7 (1.5-14.6) for frequent urination, 5.5 (1.7-17.2) for strong urge to empty bladder and 7.2 (2.2-23.3) for urine leakage related to the feeling of urgency. CONCLUSION: Obese women are at substantially increased risk for nocturia and overactive bladder symptoms. Â
AIMS: To estimate the prevalence and severity of nocturia and lower urinary tract symptoms in obesewomen and to identify risk factors associated with nocturia in an obese population. METHODS: We performed a case-control study based on the registry of a university hospital obesity unit. A consecutive sample of women with body mass index ≥30 (obese) was randomly matched by age, gender and residential county to control subjects using the computerised register of the total population. Data were collected by a self-reported postal survey. RESULTS: The questionnaire was completed and returned by 279/446 of the patients (62%) and 430/892 control subjects (48%). Compared to the non-obese control group, obesewomen reported a significantly increased prevalence and bother of nocturia (p < 0.001), frequent urination (p < 0.001) and bothersome experience of urination (p = 0.037). Moreover, they experienced significantly increased frequency of urinary urgency (p < 0.001), of urge urinary incontinence (p < 0.001) and of bladder emptying difficulties (p = 0.002). The adjusted odds ratio (95% CI) in obesewomen was 2.8 (1.0-7.9) for nocturia, 4.7 (1.5-14.6) for frequent urination, 5.5 (1.7-17.2) for strong urge to empty bladder and 7.2 (2.2-23.3) for urine leakage related to the feeling of urgency. CONCLUSION:Obesewomen are at substantially increased risk for nocturia and overactive bladder symptoms. Â
Authors: Benjamin N Breyer; Jennifer M Creasman; Holly E Richter; Deborah Myers; Kathryn L Burgio; Rena R Wing; Delia Smith West; John W Kusek; Leslee L Subak Journal: J Urol Date: 2017-08-12 Impact factor: 7.450
Authors: A Oberbach; N Schlichting; M Heinrich; Y Kullnick; S Lehmann; V Adams; J-W Stolzenburg; J Neuhaus Journal: Urologe A Date: 2014-12 Impact factor: 0.639