[Impact of body mass index on lower urinary tract disorders in multiple sclerosis]. / Influence de l'indice de masse corporelle sur les troubles urinaires de la sclérose en plaques.
Prog Urol
; 29(7): 366-370, 2019 Jul.
Article
em Fr
| MEDLINE
| ID: mdl-31133495
ABSTRACT
INTRODUCTION:
Lower urinary tract symptoms (LUTS), and principally overactive bladder, are common in multiple sclerosis (MS). However, their origin is not necessarily unique. Obesity is widely recognized as a risk factor for stress urinary incontinence (SUI) and overactive bladder (OAB) in the general population. We wanted to evaluate the influence of body mass index (BMI) on LUTS in the MS population. MATERIALS ANDMETHODS:
We conducted an uncontrolled monocentric retrospective study in 260 subjects classified into 4 BMI groups underweight, normal weight, overweight, obese people. Comparisons by Mann-Whitney test were made between different BMI groups, in the overall population and then by gender. LUTS (SUI, OAB, BOO (bladder outlet obstruction) were assessed using USP questionnaire.RESULTS:
In women, the mean OAB score was higher for obese women, 10.27 (SD=4.5) than for normal weight women, 7.96 (SD=4.58), P=0.024. The SUI score was lower for normal weight, 1.69 (SD=2.38) than for overweight, 3.19 (SD=2.91), P=0.002 and obese subjects, 3.80 (SD=3.23), P=0.0005. As in the overall population, the BOO score was higher in subjects with normal weight, 4.09 (SD=3.33) than in subjects with overweight, 1.91 (SD=2.03), P=0.0003 and in obese subjects, 2.33 (SD=2.37), P=0.013. The same comparisons in men were not significant.CONCLUSION:
In this series, increased BMI was associated with higher OAB and SUI USP questionnaire scores, in women presenting with MS. LEVEL OF EVIDENCE 4.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Incontinência Urinária por Estresse
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Índice de Massa Corporal
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Bexiga Urinária Hiperativa
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Sintomas do Trato Urinário Inferior
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Esclerose Múltipla
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Obesidade
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
Fr
Revista:
Prog Urol
Ano de publicação:
2019
Tipo de documento:
Article