Comparing the effect of electroacupuncture treatment on obese and non-obese women with stress urinary incontinence or stress-predominant mixed urinary incontinence : A secondary analysis of two randomised controlled trials

© 2019 John Wiley & Sons Ltd..

OBJECTIVE: To explore whether obesity patients with a body mass index (BMI) of ≥25 kg/m2 who suffer from stress urinary incontinence (SUI) or stress-predominant mixed urinary incontinence (S-MUI) show less improvement in urinary incontinence (UI) symptoms after electroacupuncture (EA) treatment compared with non-obese counterparts.

METHODS: This study was a secondary analysis of existing data. About 252 SUI patients and 250 S-MUI patients treated with the same EA regimen were assigned to one of the two groups: the obesity group for BMI ≥25 kg/m2 and the non-obesity group for BMI <25 kg/ m2 . The primary outcome was the proportion of treatment responders, defined as patients exhibiting a ≥50% reduction in 72-hours incontinence episode frequency, as measured by a 72-hours bladder diary at week 6 compared with baseline.

RESULTS: Of the 1004 randomised women, 129 obese women (86 SUI and 43 S-MUI) and 255 non-obese women (166 SUI and 89 S-MUI) treated with EA were included in a secondary analysis. The primary outcome was that 58.3% (74/127) of patients in the obesity group and 60.7% (150/247) of patients in the non-obesity group (difference 0.55%; 95% confidence interval, -10.01 to 11.11; P = .919) responded to treatment.

CONCLUSION: This study suggests that EA treatment may safely improve UI symptoms in both obese and non-obese patients, regardless of BMI category. Additionally, obesity status may not affect the efficacy of EA treatment on SUI or S-MUI among Chinese women.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - year:2019

Enthalten in:

International journal of clinical practice - (2019) vom: 17. Okt., Seite e13435

Sprache:

Englisch

Beteiligte Personen:

Wang, Weiming [VerfasserIn]
Liu, Yan [VerfasserIn]
Su, Tongsheng [VerfasserIn]
Sun, Yuanjie [VerfasserIn]
Liu, Zhishun [VerfasserIn]

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Journal Article

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Date Revised 27.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1111/ijcp.13435

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM302283560