Weight loss improves fecal incontinence severity in overweight and obese women with urinary incontinence
Weight loss improves fecal incontinence severity in overweight and obese women with urinary incontinence
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DOI：
10.1007/s00192-011-1444-x
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发表时间：
2011-09-01
影响因子：
1.8
通讯作者：
Subak, Leslee L.
中科院分区：
文献类型：
--
作者：
Markland, Alayne D.;Richter, Holly E.;Subak, Leslee L.
引言/假设为了评估体重减轻对超重和肥胖女性尿失禁（FI）严重程度的影响，我们分析了随机分配到减肥干预或对照condition.Methods的妇女的数据，在6个月，12个月和18个月的338名妇女的改良粪便失禁严重程度指数（FISI）。重复测量分析确定了基线评分> 0的妇女中FISI评分改善的相关因素。结果完成试验的291名妇女（87%）中45名（13%）在所有时间点FISI评分改善。改善的评分与下尿路症状（LUTS）评分相关，p < 0.01。液体粪便FI频率的改善与每千日元5公斤体重减轻（p = 0.001）、纤维摄入量增加10 g（p = 0.05）和LUTS下降（p = 0.003）相关。结论FI严重程度随着体重减轻而改善。女性液体粪便FI失去至少5公斤和/或增加膳食纤维的摄入量，改善FI频率。
Introduction/hypothesis To estimate the effect of weight loss on fecal incontinence (FI) severity among overweight and obese women with urinary incontinence, we analyzed data from women randomized to a weight loss intervention or control condition.Methods The modified Fecal Incontinence Severity Index (FISI) was administered at 6, 12, and 18 months in 338 women. Repeated measures analyses identified factors associated with improved FISI scores among women with baseline scores > 0.Results FISI scores improved in 45 (13%) across all time points among the 291 women (87%) completing the trial. Improved scores were associated with a one-point lower urinary tract symptoms (LUTS) score, p < 0.01. Improved liquid stool FI frequency was associated with a parts per thousand yen5 kg weight loss (p = 0.001), 10-g increase in fiber intake (p = 0.05), and decreased LUTS (p = 0.003).Conclusions FI severity improved with weight loss. Women with liquid stool FI losing at least 5 kg and/or increased dietary fiber intake had improved FI frequency.