Weight loss with bariatric surgery or behaviour modification and the impact on female obesity-related urine incontinence: A comprehensive systematic review and meta-analysis.

Tytuł:: Weight loss with bariatric surgery or behaviour modification and the impact on female obesity-related urine incontinence: A comprehensive systematic review and meta-analysis.
Autorzy:: Sheridan W; Faculty of Life Sciences and Medicine, School of Life Course Sciences, King's College London, London, UK.
Da Silva AS; Department of Urogynaecology, King's College Hospital NHS Foundation Trust, Denmark Hill, London, UK.
Leca BM; University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
Ostarijas E; Institute for Translational Medicine, University of Pecs Medical School, Pécs, Hungary.
Patel AG; Department of Minimal Access Surgery, King's College Hospital NHS Foundation Trust, Denmark Hill, London, UK.
Aylwin SJ; Department of Endocrinology ASO/EASO COM, King's College Hospital NHS Foundation Trust, Denmark Hill, London, UK.
Vincent RP; Faculty of Life Sciences and Medicine, School of Life Course Sciences, King's College London, London, UK.; Department of Clinical Biochemistry, King's College Hospital NHS Foundation Trust, Denmark Hill, London, UK.
Panagiotopoulos S; Department of Minimal Access Surgery, King's College Hospital NHS Foundation Trust, Denmark Hill, London, UK.
El-Hasani S; Minimal Access and Bariatric Unit, Princess Royal University Hospital, King's College Hospital NHS Foundation Trust, Orpington, UK.
le Roux CW; Diabetes Complication Research Centre, School of Medicine and Medical Science, UCD Conway Institute, University College Dublin, Belfield, Ireland.
Miras AD; Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
Cardozo L; Department of Urogynaecology, King's College Hospital NHS Foundation Trust, Denmark Hill, London, UK.
Dimitriadis GK; Faculty of Life Sciences and Medicine, School of Life Course Sciences, King's College London, London, UK.; Department of Endocrinology ASO/EASO COM, King's College Hospital NHS Foundation Trust, Denmark Hill, London, UK.
Źródło:: Clinical obesity [Clin Obes] 2021 Aug; Vol. 11 (4), pp. e12450. Date of Electronic Publication: 2021 May 06.
Typ publikacji:: Journal Article; Meta-Analysis; Systematic Review
Język:: English
Imprint Name(s):: Original Publication: Oxford : Wiley-Blackwell
MeSH Terms:: Bariatric Surgery*
Obesity*/complications
Obesity*/epidemiology
Obesity*/surgery
Urinary Incontinence*/epidemiology
Urinary Incontinence*/etiology
Weight Loss*
Behavior Therapy ; Female ; Humans ; Quality of Life
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Grant Information:: G0902002 United Kingdom MRC_ Medical Research Council
Contributed Indexing:: Keywords: bariatric surgery; behaviour modification; meta-analysis; obesity; systematic review; urinary incontinence; weight loss
Entry Date(s):: Date Created: 20210506 Date Completed: 20211025 Latest Revision: 20220310
Update Code:: 20240104
DOI:: 10.1111/cob.12450
PMID:: 33955687
: Czasopismo naukowe

Pełny tekst

Women with obesity are at risk of pelvic floor dysfunction with a 3-fold increased incidence of urge urinary incontinence (UUI) and double the risk of stress urinary incontinence (SUI). The National Institute for Health and Care Excellence (NICE) and European Association of Urology (EAU) recommend that women with a body mass index ≥30 kg/m 2 should consider weight loss prior to consideration for incontinence surgery. This systematic review and meta-analysis will assess this recommendation to aid in the counselling of women with obesity-related urinary incontinence (UI). Medical Literature Analysis and Retrieval System online (MEDLINE), EMBASE, Cochrane, ClinicalTrials.gov, and SCOPUS were systematically and critically appraised for all peer reviewed manuscripts that suitably fulfilled the inclusion criteria established a priori and presented original, empirical data relevant to weight loss intervention in the management of urinary incontinence. Thirty-three studies and their outcomes were meta-analysed. Weight loss interventions were associated in a decreased prevalence in UI (OR 0.222, 95% CI [0.147, 0.336]), SUI (OR 0.354, 95% CI [0.256, 0.489]), UUI (OR 0.437, 95% CI [0.295, 0.649]) and improved quality of life (PFDI-20, SMD -0.774 (95% CI [-1.236, -0.312]). This systematic review and meta-analysis provide evidence that weight loss interventions are effective in reducing the prevalence of obesity-related UI symptoms in women. Bariatric surgery in particular shows greater sustained weight loss and improvements in UI prevalence. Further large scale, randomized control trials assessing the effect of bariatric surgery on women with obesity-related UI are needed to confirm this study's findings.
(© 2021 The Authors. Clinical Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation.)

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