In obesity even young women suffer from urogynecological symptoms
Purpose To evaluate the occurrence of urogynecological symptoms in obese women treated in a university outpatient clinic for obesity, setting a focus on younger women. Methods In this explorative, prospective, cross-sectional, single-center, multidisciplinary clinical trial, all consecutively recruited women received the Prolapse Quality of Life questionnaire (P-QOL) for data acquisition. The total study population (TSP) and a subgroup (SG) aged 18–49 years were evaluated descriptively regarding symptom demonstration. Results Of the TSP (n = 166, mean age 40.2, standard deviation (SD) 12.98, mean body mass index (BMI) 45 kg/$ m^{2} $, SD 8.44) 105 (63%) and of the SG (n = 125, mean age 34.6, SD 9.29, mean BMI 44.9 kg/$ m^{2} $, SD 8.26) 72 (58%) women suffered from urinary incontinence (UI) being most impaired by stress urinary incontinence (SUI; TSP: 25%; SG: 27%) and least by urge urinary incontinence (UUI; TSP: 15%; SG: 11%). A significant correlation in the TSP between UI and age was detectable (p < 0.001, rφ = 0.37), but not between UI and BMI (p = 0.296, rφ = 0.08). The highest QOL impairment is detected for the domain general health perceptions [GHP; TSP & SG score >50 (score scale 0–100)]. Women with UI are significantly more affected than women with pelvic organ prolapse (GHP UI: TSP p = 0.04, SG p = 0.037; GHP POP: TSP p = 0.081, SG p = 0.659). Conclusions A remarkable number of young obese women mentioned urogynecological symptoms and quality-of-life impairment. The P-QOL questionnaire proved to be an easily applicable tool to scan for concerned obese women. Its use in non-urogynecological departments, as performed, enables an early introduction of symptomatic women to urogynecologists, possibly preventing future growing urogynecological health issues..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:296 |
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| Enthalten in: |
Archives of gynecology and obstetrics - 296(2017), 5 vom: 05. Sept., Seite 947-956 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Brucker, Janina [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
Obesity |
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| Anmerkungen: |
© Springer-Verlag GmbH Germany 2017 |
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| doi: |
10.1007/s00404-017-4514-6 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
OLC2105253202 |
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| 520 | |a Purpose To evaluate the occurrence of urogynecological symptoms in obese women treated in a university outpatient clinic for obesity, setting a focus on younger women. Methods In this explorative, prospective, cross-sectional, single-center, multidisciplinary clinical trial, all consecutively recruited women received the Prolapse Quality of Life questionnaire (P-QOL) for data acquisition. The total study population (TSP) and a subgroup (SG) aged 18–49 years were evaluated descriptively regarding symptom demonstration. Results Of the TSP (n = 166, mean age 40.2, standard deviation (SD) 12.98, mean body mass index (BMI) 45 kg/$ m^{2} $, SD 8.44) 105 (63%) and of the SG (n = 125, mean age 34.6, SD 9.29, mean BMI 44.9 kg/$ m^{2} $, SD 8.26) 72 (58%) women suffered from urinary incontinence (UI) being most impaired by stress urinary incontinence (SUI; TSP: 25%; SG: 27%) and least by urge urinary incontinence (UUI; TSP: 15%; SG: 11%). A significant correlation in the TSP between UI and age was detectable (p < 0.001, rφ = 0.37), but not between UI and BMI (p = 0.296, rφ = 0.08). The highest QOL impairment is detected for the domain general health perceptions [GHP; TSP & SG score >50 (score scale 0–100)]. Women with UI are significantly more affected than women with pelvic organ prolapse (GHP UI: TSP p = 0.04, SG p = 0.037; GHP POP: TSP p = 0.081, SG p = 0.659). Conclusions A remarkable number of young obese women mentioned urogynecological symptoms and quality-of-life impairment. The P-QOL questionnaire proved to be an easily applicable tool to scan for concerned obese women. Its use in non-urogynecological departments, as performed, enables an early introduction of symptomatic women to urogynecologists, possibly preventing future growing urogynecological health issues. | ||
| 650 | 4 | |a Obesity | |
| 650 | 4 | |a Pelvic organ prolapse | |
| 650 | 4 | |a Quality-of-life evaluation | |
| 650 | 4 | |a Stress urinary incontinence | |
| 650 | 4 | |a Urge urinary incontinence | |
| 700 | 1 | |a Wagner, Ina |4 aut | |
| 700 | 1 | |a Rudofsky, Gottfried |4 aut | |
| 700 | 1 | |a Rauch, Geraldine |4 aut | |
| 700 | 1 | |a Sohn, Christof |4 aut | |
| 700 | 1 | |a Brocker, Kerstin A. |0 (orcid)0000-0002-3543-4381 |4 aut | |
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