Low trunk muscle mass could predict severe stress urinary incontinence in Asian women.

IF 2.4 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International Pub Date : 2025-01-12 DOI:10.1111/ggi.15064

Weiming Cheng, Sheng-Wen Chen, Yi-Chun Chiu, Yu-Hua Fan

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引用次数: 0

Abstract

Aim: Adequate pelvic floor support for the urethra is crucial for preventing stress urinary incontinence (SUI). Obesity is an established risk factor for SUI. This study aimed to explore the relationship between SUI and body composition, specifically focusing on muscle and fat mass.

Methods: This single-center, prospective, cross-sectional study enrolled women who visited the genitourinary clinic of Taipei City Hospital-Zhongxiao Branch between 1 February 2020 and 31 January 2021. SUI severity was classified according to the type of daily activity in which SUI occurred. Potential risk factors for SUI, including age, labor and history of hysterectomy, were also included. All participants underwent a bioelectric impedance analysis of their body composition. Independent t-tests and Pearson's χ²-tests were used to compare the differences in continuous and categorical parameters between groups. Logistic regression analysis was used to characterize the predictive value of body composition for severe SUI.

Results: Of the 256 included patients, 37 had severe SUI. The participants with severe SUI were older and were more likely to have undergone a hysterectomy. They also had a considerably higher prevalence of sarcopenia. In the univariate analysis, a sarcopenia diagnosis was associated with severe SUI. Furthermore, a history of hysterectomy correlated with severe SUI, although with borderline significance. In the multivariate analysis, a history of hysterectomy and lower trunk muscle mass index were found to be independent predictors of severe SUI.

Conclusions: A history of hysterectomy and a lower trunk muscle mass index are correlated with severe SUI. Geriatr Gerontol Int 2025; ••: ••-••.

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低躯干肌肉量可以预测亚洲女性严重的压力性尿失禁。

目的：充分的骨盆底对尿道的支持是预防压力性尿失禁（SUI）的关键。肥胖是SUI的危险因素。本研究旨在探讨SUI与身体成分之间的关系，特别关注肌肉和脂肪质量。方法：这项单中心、前瞻性、横断面研究纳入了2020年2月1日至2021年1月31日在台北市医院忠孝分院泌尿生殖科就诊的女性。SUI的严重程度根据SUI发生的日常活动类型进行分类。SUI的潜在危险因素包括年龄、产程和子宫切除术史。所有参与者都对他们的身体成分进行了生物电阻抗分析。采用独立t检验和Pearson χ2检验比较组间连续参数和分类参数的差异。采用Logistic回归分析表征体成分对重度SUI的预测价值。结果：256例患者中，37例有严重SUI。患有严重SUI的参与者年龄较大，并且更有可能接受子宫切除术。他们的肌肉减少症患病率也高得多。在单变量分析中，肌肉减少症诊断与严重SUI相关。此外，子宫切除术史与严重SUI相关，尽管具有边缘性意义。在多变量分析中，子宫切除术史和下干肌肉质量指数被发现是严重SUI的独立预测因素。结论：子宫切除史和下干肌肉质量指数与严重SUI相关。Geriatr Gerontol 2025；••: ••-••.

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatrics & Gerontology International 医学-老年医学

CiteScore

5.50

自引率

6.10%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.