The Association Between Perception of Sensitive Skin and Objective and Subjective Measures in Women with Urinary Incontinence

M. M. Trowbridge, R. Cheng, M. Farage
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引用次数: 1

Abstract

Purpose: To determine the prevalence of perceived sensitive skin in urinary incontinent women, and explore associations with objective and subjective measures. Methods: A sensitive skin questionnaire was administered to 122 predominantly obese, frequent urinary incontinent women normally using protective underwear and recruited from the general population in St. Petersburg, Florida and San Antonio, Texas between October 2013 and February 2014. Their sensitive skin perception was compared with: 1) genital erythema, transepidermal water loss (TEWL) in the population, and subgroups of diabetic/menopausal status, and 2) product-related experiences. ]Results: Population of 72% postmenopausal, 82% non-diabetic women, reported overall (62%), facial (50%), genital (41%), and body (39%) skin sensitivity. No statistical differences or trends found with diabetic/menopausal profile. Sensitive skin perception corresponded to higher (worse) erythema and TEWL scores over time, with some statistically significant differences for TEWL: overall buttock site on Day 14 (p=0.02), non-diabetic buttock (p=0.03), postmenopausal buttock (p=0.01) and labia majora (p=0.03) sites at Day 7 and at the buttock (p=0.01) site on Day 14. There was a statistically discernable perceived irritation due to products used in the genital area for subjects with perceived sensitive skin (p<0.05), and sensitive skin subjects were more likely to avoid certain ingredients and look for claims related to sensitive skin (p<0.01). Conclusions: Based on this study, no association was seen between perception of sensitive skin and diabetic/ menopausal status. Skin sensitivity was associated numerically with higher (worse) erythema and TEWL scores, some reaching statistical significance. Sensitive skin consumers were more likely to experience product irritation used in the genital area, avoid certain ingredients, and look for sensitive skin claims. The diabetic population was small in this study, and a larger study is needed for final conclusion.m.
女性尿失禁患者敏感皮肤知觉与客观和主观测量之间的关系
目的:确定尿失禁女性敏感皮肤的患病率,并探讨其与客观和主观测量的关系。方法:2013年10月至2014年2月,在美国佛罗里达州圣彼得堡市和德克萨斯州圣安东尼奥市的普通人群中,对122名经常穿着防护内衣的肥胖、频繁尿失禁的女性进行敏感皮肤问卷调查。他们的敏感皮肤感知比较:1)生殖器红斑,经皮失水(TEWL)人群,糖尿病/绝经状态亚组,2)产品相关经验。结果:72%的绝经后妇女,82%的非糖尿病妇女,报告了总体(62%),面部(50%),生殖器(41%)和身体(39%)皮肤敏感性。没有发现糖尿病/绝经期的统计学差异或趋势。随着时间的推移,敏感皮肤感知与更高(更差)的红斑和TEWL评分相对应,TEWL有一些统计学上的差异:第14天的整个臀部部位(p=0.02),非糖尿病臀部(p=0.03),绝经后臀部(p=0.01)和第7天的大阴唇部位(p=0.03)和第14天的臀部部位(p=0.01)。对于敏感皮肤的受试者,在生殖器区域使用的产品有统计学上可辨别的刺激性(p<0.05),敏感皮肤的受试者更有可能避免使用某些成分,并寻找与敏感皮肤相关的声明(p<0.01)。结论:基于这项研究,没有发现敏感皮肤感知与糖尿病/绝经状态之间的关联。皮肤敏感性与较高(较差)红斑和TEWL评分相关,有些达到统计学意义。敏感皮肤的消费者更有可能体验到产品在生殖器区域使用的刺激,避免某些成分,并寻找敏感皮肤的声明。本研究中糖尿病人群较少,需要更大规模的研究才能得出最终结论。
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