International Urogynecology Journal

, 20:289

Prevalence and degree of bother from pelvic floor disorders in obese women

Authors

  • Emily L. Whitcomb
    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Reproductive MedicineUniversity of California
    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Reproductive MedicineUniversity of California
  • Jean M. Lawrence
    • Department of Research and EvaluationKaiser Permanente Southern California
  • Charles W. Nager
    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Reproductive MedicineUniversity of California
  • Karl M. Luber
    • Department of Female Pelvic Medicine and Reconstructive SurgeryKaiser Permanente San Diego Medical Center
Original Article

DOI: 10.1007/s00192-008-0765-x

Cite this article as:
Whitcomb, E.L., Lukacz, E.S., Lawrence, J.M. et al. Int Urogynecol J (2009) 20: 289. doi:10.1007/s00192-008-0765-x

Abstract

We aimed to determine the prevalence and bother from pelvic floor disorders (PFD) by obesity severity, hypothesizing that both would increase with higher degrees of obesity. We performed a secondary analysis of 1,155 females enrolled in an epidemiologic study that used a validated questionnaire to identify PFD. Prevalence and degree of bother were compared across three obesity groups. Logistic regression assessed the contribution of degree of obesity to the odds of having PFD. Prevalence of any PFD was highest in morbidly (57%) and severely (53%) obese compared to obese women (44%). Regression models demonstrated higher prevalence of pelvic organ prolapse, overactive bladder, stress urinary incontinence, and any PFD in morbidly compared to obese women and higher prevalence of stress urinary incontinence in severely obese compared to obese women. Degree of bother did not vary by degree of obesity. Prevalence of PFD increases with higher degrees of obesity.

Keywords

ObesityPelvic floor disorders

Abbreviations

POP

pelvic organ prolapse

SUI

stress urinary incontinence

OAB

overactive bladder

AI

anal incontinence

PFD

pelvic floor disorders

BMI

body mass index

KP CARES

Kaiser Permanente Continence-Associated Risk Epidemiology Study

EPIQ

Epidemiology of Prolapse and Incontinence Questionnaire

VAS

visual analog scale

Copyright information

© The International Urogynecological Association 2008