The relationship between the presence of lower urinary tract symptoms and waist circumference.
The relationship between the presence of lower urinary tract symptoms and waist circumference.
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DOI：
10.2147/dmso.s106221
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Micussi MT
中科院分区：
文献类型：
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作者：
de Oliveira MC;Varella LR;Angelo PH;Micussi MT
该研究的目的是根据腰围 (WC) 评估盆底肌肉 (PFM) 的压力，并将尿路症状 (UTS) 的存在与腰围相关联。该研究是观察性和横断面研究。对一百六十四名年龄在 45 岁至 65 岁之间的女性进行了评估。根据WC将样本分为两组：≤80（G≤80）组由女性组成，其中WC达到80厘米；组>80（G>80）由WC高于80厘米的女性组成。对受试者的社会人口统计学数据、既往病史、泌尿妇科和产科病史、下UTS (LUTS) 的存在情况以及体检、腰围、身高和体重的测量进行评估。 PFM 评估是通过会阴测量法进行的。为了比较组间的平均值，应用了独立样本 t 检验，并且为了将 WC 与会阴测量和 LUTS 相关联，使用了 Pearson 相关性检验。最终样本由 156 名患者组成。 G≤80的参与者的平均年龄为55.21（±24.5）岁，G>80的参与者的平均年龄为57.23（±6.12）岁。各组间 LUTS 的存在情况存在显着差异（P<0.05）；会阴测量方面，组间差异显着（P=0.03）：G≤80为38.68±13.63 cmH2O，G>80为30.11±11.20 cmH2O。尿急（r=0.7；P=0.00）、夜尿（r=0.7；P=0.00）和尿失禁（r=0.9；P=0.00）与WC之间存在相关性。腹径较大的女性，尿失禁、夜尿、尿急等 LUTS 患病率较高，PFM 压力较低。此外，还观察到 LUTS 与 WC 之间的关系。
The aim of the study is to evaluate the pressure of the pelvic floor muscles (PFM) according to waist circumference (WC) and correlate the presence of urinary tract symptoms (UTS) with WC. The study was observational and cross-sectional. One-hundred and sixty-four females between 45 and 65 years of age were evaluated. The sample was divided into two groups, according to WC: Group ≤80 (G≤80) was composed of females in whom WC was up to 80 cm; and Group >80 (G>80) was composed of females with WC above 80 cm. The subjects were assessed in terms of sociodemographic data, pre-existing conditions, urogynecological and obstetric history, and the presence of lower UTS (LUTS), as well as physical examination, measurement of WC, height, and weight. The PFM assessment was made by perineometry. To compare the mean between groups, the independent samples t-test was applied, and to correlate the WC with perineometry and LUTS, the Pearson’s correlation test was used. The final sample was composed of 156 patients. The average age of participants was 55.21 (±24.5) years in G≤80 and 57.23 (±6.12) years in G>80. There were significant differences regarding the presence of LUTS between the groups (P<0.05); as to the perineometry, there was a significant difference (P=0.03) between the groups: 38.68±13.63 cmH2O for G≤80 and 30.11±11.20 cmH2O for G>80. There was a correlation between the presence of urinary urgency (r=0.7; P=0.00), nocturia (r=0.7; P=0.00), and urinary incontinence (r=0.9; P=0.00) with WC. Females with larger abdominal diameter have a higher prevalence of LUTS such as urinary incontinence, nocturia, and urinary urgency, as well as a lower PFM pressure. Furthermore, a relationship between LUTS with WC was also observed.