Prevalence of symptomatic pelvic floor disorders in US women.
Prevalence of symptomatic pelvic floor disorders in US women.
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DOI：
10.1001/jama.300.11.1311
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发表时间：
2008-09-17
影响因子：
120.7
通讯作者：
Brody, Debra J.
中科院分区：
文献类型：
--
作者：
Nygaard, Ingrid;Barber, Matthew D.;Burgio, Kathryn L.;Kenton, Kimberly;Meikle, Susan;Schaffer, Joseph;Spino, Cathie;Whitehead, William E.;Wu, Jennifer;Brody, Debra J.
骨盆底疾病（尿失禁、大便失禁和盆腔器官脱垂）影响许多女性。在美国，没有从同一人群样本中获得的关于女性多种盆底疾病的全国患病率估计值。提供美国女性有症状的盆底疾病的全国患病率估计值。对1961名参加2005-2006年全国健康和营养检查调查的非妊娠女性（≥20岁）进行横断面分析，该调查是美国非住院人群的全国代表性调查。妇女在家中接受面谈，然后在移动的体检中心接受标准化体检。评估了尿失禁（经验证的失禁严重程度指数评分≥3，构成中度至重度渗漏）、大便失禁（至少每月一次固体、液体或粘液便渗漏）和盆腔器官脱垂（看到/感觉到阴道内或阴道外隆起）症状。尿失禁、大便失禁和盆腔器官脱垂症状的加权患病率估计。至少有1种盆底疾病的加权患病率为23.7%（95%置信区间[CI]，21.2%-26.2%），15.7%的女性（95% CI，13.2%-18.2%）发生尿失禁，9.0%的女性（95% CI，7.3%-10.7%）发生大便失禁，2.9%的女性（95% CI，2.1%-3.7%）发生盆腔器官脱垂。报告至少有一种疾病的女性比例随着年龄的增长而递增，从9.7%（95% CI，7.8%-11.7%），年龄在20 - 39岁之间的女性为49.7%（95% CI，40.3%-59.1%），年龄≥ 80岁（P<0.001），（0、1、2和3次或更多次分娩分别为12.8% [95% CI，9.0%-16.6%]、18.4% [95% CI，12.9%-23.9%]、24.6% [95% CI，19.5%-29.8%]和32.4% [95% CI，27.8%-37.1%]; P<.001）。超重和肥胖女性比正常体重女性更可能报告至少1种盆底疾病（分别为26.3% [95% CI，21.7%-30.9%]，30.4% [95% CI，25.8%-35.0%]和15.1% [95% CI，11.6%-18.7%]; P<0.001）。我们没有发现不同种族/民族的患病率差异。骨盆底疾病影响到相当大比例的妇女，并随着年龄的增长而增加。
Pelvic floor disorders (urinary incontinence, fecal incontinence, and pelvic organ prolapse) affect many women. No national prevalence estimates derived from the same population-based sample exists for multiple pelvic floor disorders in women in the United States. To provide national prevalence estimates of symptomatic pelvic floor disorders in US women. A cross-sectional analysis of 1961 nonpregnant women (≥20 years) who participated in the 2005–2006 National Health and Nutrition Examination Survey, a nationally representative survey of the US noninstitutionalized population. Women were interviewed in their homes and then underwent standardized physical examinations in a mobile examination center. Urinary incontinence (score of ≥3 on a validated incontinence severity index, constituting moderate to severe leakage), fecal incontinence (at least monthly leakage of solid, liquid, or mucous stool), and pelvic organ prolapse (seeing/feeling a bulge in or outside the vagina) symptoms were assessed. Weighted prevalence estimates of urinary incontinence, fecal incontinence, and pelvic organ prolapse symptoms. The weighted prevalence of at least 1 pelvic floor disorder was 23.7% (95% confidence interval [CI], 21.2%–26.2%), with 15.7% of women (95% CI, 13.2%–18.2%) experiencing urinary incontinence, 9.0% of women (95% CI, 7.3%–10.7%) experiencing fecal incontinence, and 2.9% of women (95% CI, 2.1%–3.7%) experiencing pelvic organ prolapse. The proportion of women reporting at least 1 disorder increased incrementally with age, ranging from 9.7% (95% CI, 7.8%–11.7%) in women between ages 20 and 39 years to 49.7% (95% CI, 40.3%–59.1%) in those aged 80 years or older (P<.001), and parity (12.8% [95% CI, 9.0%–16.6%], 18.4% [95% CI, 12.9%–23.9%], 24.6% [95% CI, 19.5%–29.8%], and 32.4% [95% CI, 27.8%–37.1%] for 0, 1, 2, and 3 or more deliveries, respectively; P<.001). Overweight and obese women were more likely to report at least 1 pelvic floor disorder than normal weight women (26.3% [95% CI, 21.7%–30.9%], 30.4% [95% CI, 25.8%–35.0%], and 15.1% [95% CI, 11.6%–18.7%], respectively; P<.001). We detected no differences in prevalence by racial/ethnic group. Pelvic floor disorders affect a substantial proportion of women and increase with age.
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