Public Awareness of Obesity and Risk of Pelvic Floor Disorders: A Cohort Study.
Journal
Urogynecology (Philadelphia, Pa.)
ISSN: 2771-1897
Titre abrégé: Urogynecology (Phila)
Pays: United States
ID NLM: 9918452588006676
Informations de publication
Date de publication:
01 02 2023
01 02 2023
Historique:
entrez:
3
2
2023
pubmed:
4
2
2023
medline:
8
2
2023
Statut:
ppublish
Résumé
Obesity is a risk factor for pelvic floor disorders (PFDs), but limited information exists about the public awareness of this association. Our primary objective was to assess awareness of the association between obesity and PFDs, comparing 2 cohorts of women with body mass index (BMI) <30 versus BMI ≥30. We conducted a cross-sectional, survey-based cohort study. The survey included questions about demographics, height and weight self-assessment, and the risk of PFDs with obesity. Our primary outcome was the rate of women correctly identifying that obesity increases the risk of PFDs. Of 377 eligible participants 272 (72.1%) completed the survey, with 266 analyzed. Of these, 159 (59.8%) had a BMI <30 and 107 (40.2%) had a BMI ≥30. Comparing the cohorts, the lower BMI cohort was older (mean age of 54.4 ± 18.3 vs 48.4 ± 17.5 years, P = 0.008) and had higher rates of graduate/professional school (35.2% vs 19.6%, P = 0.04). Both groups had similarly high rates of PFDs. There was no difference in identifying obesity as a risk factor for PFDs, although the lower BMI group was less likely to identify the implications of weight loss on urinary incontinence (UI) (27.7% vs 45.8%, P = 0.002). Controlling for potential confounders, obesity remained positively associated with knowledge about the implications of weight loss on UI (odds ratio, 2.5; 95% confidence interval, 1.5-4.4). Few women identified the increased risk of PFDs with obesity. Obese women may have increased awareness of the implications of weight loss on UI.
Identifiants
pubmed: 36735442
doi: 10.1097/SPV.0000000000001257
pii: 02273501-202302000-00023
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
260-265Informations de copyright
Copyright © 2023 American Urogynecologic Society. All rights reserved.
Déclaration de conflit d'intérêts
The authors have declared they have no conflicts of interest.
Références
Hales CM, Carroll MD, Fryar CD, et al. Prevalence of obesity among adults and youth: United States, 2015–2016. NCHS Data Brief 2017;288:1–8.
Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008;300(11):1311–1316. doi: 10.1001/jama.300.11.1311.
doi: 10.1001/jama.300.11.1311
Lai HH, Helmuth ME, Smith AR, et al. Relationship between central obesity, general obesity, overactive bladder syndrome and urinary incontinence among male and female patients seeking care for their lower urinary tract symptoms. Urology 2019;123:34–43. doi: 10.1016/j.urology.2018.09.012.
doi: 10.1016/j.urology.2018.09.012
Ballard AC, Richter HE. The impact of obesity and weight loss on urinary and bowel incontinence symptoms in women. Menopausal Med 2011;19(3):S1–S7.
Subak LL, Richter HE, Hunskaar S. Obesity and urinary incontinence: epidemiology and clinical research update. J Urol 2009;182(6 Suppl):S2–S7. doi: 10.1016/j.juro.2009.08.071.
doi: 10.1016/j.juro.2009.08.071
Pomian A, Lisik W, Kosieradzki M, et al. Obesity and pelvic floor disorders: a review of the literature. Med Sci Monit 2016;22:1880–1886. doi: 10.12659/msm.896331.
doi: 10.12659/msm.896331
Richter HE, Burgio KL, Brubaker L, et al. Factors associated with incontinence frequency in a surgical cohort of stress incontinent women. Am J Obstet Gynecol 2005;193(6):2088–2093. doi: 10.1016/j.ajog.2005.07.068.
doi: 10.1016/j.ajog.2005.07.068
Kapoor DS, Davila GW, Rosenthal RJ, et al. Pelvic floor dysfunction in morbidly obese women: pilot study. Obes Res 2004;12(7):1104–1107. doi: 10.1038/oby.2004.138.
doi: 10.1038/oby.2004.138
Jain PPM. The effects of obesity on the pelvic floor. Obstetrician Gynaecologist 2011;13:133–142.
Giri A, Hartmann KE, Hellwege JN, et al. Obesity and pelvic organ prolapse: a systematic review and meta-analysis of observational studies. Am J Obstet Gynecol 2017;217(1):11–26 e3. doi: 10.1016/j.ajog.2017.01.039.
doi: 10.1016/j.ajog.2017.01.039
Subak LL, Wing R, West DS, et al. Weight loss to treat urinary incontinence in overweight and obese women. N Engl J Med 2009;360(5):481–490. doi: 10.1056/NEJMoa0806375.
doi: 10.1056/NEJMoa0806375
Montenegro M, Slongo H, Juliato CRT, et al. The impact of bariatric surgery on pelvic floor dysfunction: a systematic review. J Minim Invasive Gynecol 2019;26(5):816–825. doi: 10.1016/j.jmig.2019.01.013.
doi: 10.1016/j.jmig.2019.01.013
Myers DL, Sung VW, Richter HE, et al. Prolapse symptoms in overweight and obese women before and after weight loss. Female Pelvic Med Reconstr Surg 2012;18(1):55–59. doi: 10.1097/SPV.0b013e31824171f9.
doi: 10.1097/SPV.0b013e31824171f9
Haggerty AF, Sarwer DB, Schmitz KH, et al. Obesity and endometrial cancer: a lack of knowledge but opportunity for intervention. Nutr Cancer 2017;69(7):990–995. doi: 10.1080/01635581.2017.1359313.
doi: 10.1080/01635581.2017.1359313
Soliman PT, Bassett RL Jr., Wilson EB, et al. Limited public knowledge of obesity and endometrial cancer risk: what women know. Obstet Gynecol 2008;112(4):835–842. doi: 10.1097/AOG.0b013e318187d022.
doi: 10.1097/AOG.0b013e318187d022
von Elm E, Altman DG, Egger M, et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg 2014;12(12):1495–1499. doi: 10.1016/j.ijsu.2014.07.013.
doi: 10.1016/j.ijsu.2014.07.013
Cook J, Caudell C, Cai B, et al. Perception of body mass index and health issues related to overweight/obesity in an outpatient women's clinic. Women Health 2021;61(2):171–177. doi: 10.1080/03630242.2020.1831684.
doi: 10.1080/03630242.2020.1831684
Cardozo ER, Neff LM, Brocks ME, et al. Infertility patients' knowledge of the effects of obesity on reproductive health outcomes. Am J Obstet Gynecol 2012;207(6):509.e1–509.e10. doi: 10.1016/j.ajog.2012.08.020.
doi: 10.1016/j.ajog.2012.08.020
Berenson AB, Pohlmeier AM, Laz TH, et al. Obesity risk knowledge, weight misperception, and diet and health-related attitudes among women intending to become pregnant. J Acad Nutr Diet 2016;116(1):69–75. doi: 10.1016/j.jand.2015.04.023.
doi: 10.1016/j.jand.2015.04.023
Winston GJ, Caesar-Phillips E, Peterson JC, et al. Knowledge of the health consequences of obesity among overweight/obese black and Hispanic adults. Patient Educ Couns 2014;94(1):123–127. doi: 10.1016/j.pec.2013.09.022.
doi: 10.1016/j.pec.2013.09.022
Rahman M, Justiss AA, Berenson AB. Racial differences in obesity risk knowledge among low-income reproductive-age women. J Am Coll Nutr 2012;31(6):397–400. doi: 10.1080/07315724.2012.10720465.
doi: 10.1080/07315724.2012.10720465
Rosenthal RJ, Morton J, Brethauer S, et al. Obesity in America. Surg Obes Relat Dis 2017;13(10):1643–1650. doi: 10.1016/j.soard.2017.08.002.
doi: 10.1016/j.soard.2017.08.002
Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric 2019;22(3):217–222. doi: 10.1080/13697137.2018.1543263.
doi: 10.1080/13697137.2018.1543263
Nuttall FQ. Body mass index: obesity, BMI, and health: a critical review. Nutr Today 2015;50(3):117–128. doi: 10.1097/NT.0000000000000092.
doi: 10.1097/NT.0000000000000092
Bhurosy T. Pitfalls of using body mass index (BMI) in assessment of obesity risk. Curr Res Nutr Food Sci J 2013;1(1):71–76.
Flegal KM, Shepherd JA, Looker AC, et al. Comparisons of percentage body fat, body mass index, waist circumference, and waist-stature ratio in adults. Am J Clin Nutr 2009;89(2):500–508. doi: 10.3945/ajcn.2008.26847.
doi: 10.3945/ajcn.2008.26847
Pursey K, Burrows TL, Stanwell P, et al. How accurate is web-based self-reported height, weight, and body mass index in young adults?J Med Internet Res 2014;16(1):e4. doi: 10.2196/jmir.2909.
doi: 10.2196/jmir.2909
Olfert MD, Barr ML, Charlier CM, et al. Self-reported vs. measured height, weight, and BMI in young adults. Int J Environ Res Public Health 2018;15(10):2216. doi: 10.3390/ijerph15102216.
doi: 10.3390/ijerph15102216
Bowring AL, Peeters A, Freak-Poli R, et al. Measuring the accuracy of self-reported height and weight in a community-based sample of young people. BMC Med Res Methodol 2012;12:175. doi: 10.1186/1471-2288-12-175.
doi: 10.1186/1471-2288-12-175
Hodge JM, Shah R, McCullough ML, et al. Validation of self-reported height and weight in a large, nationwide cohort of U.S. Adults. PLoS One 2020;15(4):e0231229. doi: 10.1371/journal.pone.0231229.
doi: 10.1371/journal.pone.0231229
Lin CJ, DeRoo LA, Jacobs SR, et al. Accuracy and reliability of self-reported weight and height in the sister study. Public Health Nutr 2012;15(6):989–999. doi: 10.1017/S1368980011003193.
doi: 10.1017/S1368980011003193
Lipsky LM, Haynie DL, Hill C, et al. Accuracy of self-reported height, weight, and BMI over time in emerging adults. Am J Prev Med 2019;56(6):860–868. doi: 10.1016/j.amepre.2019.01.004.
doi: 10.1016/j.amepre.2019.01.004