Pelvic Floor Dysfunction in Morbidly Obese Women: Pilot Study

Kapoor, Dharmesh S.; Davila, G. Willy; Rosenthal, Raúl J.; Ghoniem, Gamal M.

doi:10.1038/oby.2004.138

Cited by 58 publications

(33 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Multivariable logistic regression analyses were performed to assess the interaction of covariables on the risk for anal incontinence symptoms. Selection of co-variables tried in the multivariable model was based on factors associated with anal incontinence in existing literature, including body mass index [12,13], overall parity [16], instrumental deliveries [17], obstetrical anal sphincter injury [18], smoking [19], menopausal status [9] and depression [20]. We also added variables with a significant association to anal incontinence symptoms at univariable analysis to the multivariable model.…”

Section: Discussionmentioning

confidence: 99%

“…Among numerous other risk factors for anal incontinence, obesity frequently is correlated to the presence of anal incontinence in crosssectional studies [8][9][10][11]. However, previous studies focusing on the specific association between obesity and anal incontinence are few, limited by small population samples and lack of non-obese control subjects [12,13]. Thus, the relationship between obesity and anal incontinence remain unconfirmed in controlled studies.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The risk of anal incontinence in obese women

et al. 2007

View full text Add to dashboard Cite

The objectives of this study was to estimate the risk of anal incontinence in morbidly obese women and to identify risk factors associated with anal incontinence in an obese population sample. A case-control study based on the registry of a university hospital obesity unit. A consecutive sample of women with body mass index > or = 35 (obesity class II) was randomly matched by age, gender and residential county to control subjects using the computerised Register of the Total Population. Data were collected by a self-reported postal survey including detailed questions on medical and obstetrical history, obesity history, socioeconomic indices, life style factors and the validated Cleveland Clinic Incontinence Score. The questionnaire was returned by 131/179 (73%) of the cases and 453/892 (51%) of the control subjects. Compared to the control group, obese women reported a significantly increased defecation frequency (p < 0.001), inability to discriminate between flatus and faeces (p < 0.001) and flatus incontinence (p < 0.001). Compared with non-obese women, the adjusted odds ratio (OR) for flatus incontinence in morbidly obese women was 1.5 [95% confidence interval (CI) 1.1-4.1]. A history of obstetric sphincter injury was independently associated with an increased risk of flatus incontinence (OR, 4.3; 95% CI, 2.0-9.2) and incontinence of loose stools (OR, 6.6; 95% CI, 1.4-31.4). Other medical and life style interactions did not remain at significant levels in an adjusted multivariable analysis. Obese women are at increased risk for mild to moderate flatus incontinence.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The risk of anal incontinence in obese women

et al. 2007

View full text Add to dashboard Cite

show abstract

“…10 Other studies have suggested higher intra-abdominal pressure chronically stresses the pelvic floor 22 and BMI is positively associated with lower urinary tract health conditions (eg, incontinence). 23 Also, overweight/obese people may be more likely to get screened because of more frequent health care provider use due to comorbid conditions associated with their weight. It is plausible that, given the very high prevalence of obesity among AI/ANs, 6,24 being overweight has become the norm.…”

Section: Discussionmentioning

confidence: 99%

Body Mass Index and Cancer Screening in Older American Indian and Alaska Native Men

Muus

Baker-Demaray

McDonald

et al. 2008

The Journal of Rural Health

View full text Add to dashboard Cite

However, the case mortalities for colorectal and prostate cancers among AI men in the Northern Plains exceed those for US men of all racial/ethnic populations by 59% and 48%, respectively.Recent studies have linked obesity with cancer, including colorectal and prostate cancer. [3][4][5] In the United States, 67% of all adult men and 77% of AI adult men are overweight/obese.6 Obesity is associated with decreased access to care and lower rates of some cancer screening behaviors. 7,8 The influence of obesity on receipt of colorectal cancer screening tests, however, is inconsistent but appears to vary with sex and test type. In 2 available studies on prostate specific antigen (PSA) testing, men with a higher body mass index (BMI) were more likely than their lighter counterparts to have had recent PSA testing. 10,11 Rurality is another barrier to health care access and cancer screening. 12,13 Rural residents are more likely to experience poor health and chronic conditions than their urban counterparts.

show abstract

“…There are also potential gender differences in the longer-term efficacy of bariatric surgery. For example, obesity is a known risk factor for several health conditions specific to and prevalent among women such as menstrual abnormalities, infertility 49 , and urinary incontinence 50 . It is hypothesized that menstrual abnormalities, fertility, urinary incontinence, and symptoms of polycystic ovarian diseases will improve following bariatric surgery.…”

Section: Gender Issuesmentioning

confidence: 99%

Safety and efficacy of bariatric surgery: Longitudinal Assessment of Bariatric Surgery

Belle

Berk

Courcoulas

et al. 2007

Surgery for Obesity and Related Diseases

232

210

View full text Add to dashboard Cite

Background-Obesity is a leading health concern in the United States. Since traditional treatment approaches for weight loss are generally unsuccessful long-term 1 , bariatric surgical procedures are increasingly being performed to treat extreme obesity. To facilitate research in this field, the National Institute of Diabetes and Digestive and Kidney Diseases responded to this knowledge gap by establishing the Longitudinal Assessment of Bariatric Surgery (LABS) consortium.

show abstract

Pelvic Floor Dysfunction in Morbidly Obese Women: Pilot Study

Abstract: KAPOOR, DHARMESH S., G. WILLY DAVILA, RAUL J. ROSENTHAL, AND GAMAL M. GHONIEM. Pelvic floor dysfunction in morbidly obese women: pilot study.

Cited by 58 publications

References 15 publications

The risk of anal incontinence in obese women

The risk of anal incontinence in obese women

Body Mass Index and Cancer Screening in Older American Indian and Alaska Native Men

Safety and efficacy of bariatric surgery: Longitudinal Assessment of Bariatric Surgery

Contact Info

Product

Resources

About