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18-12-2024 | Stress Incontinence | Original Article

Relationship Between A Body Shape Index and Self-Reported Stress Urinary Incontinence Among US Women: A Cross-Sectional Analysis

Authors: Xingyun He, Fenxiong Liang, Yuewen Guo, Guiyu Hou, Xiting Chen, Lixin Li

Published in: International Urogynecology Journal

Abstract

Introduction and Hypothesis

Stress urinary incontinence (SUI) is common among women, but its link with A Body Shape Index (ABSI) is not well understood. This study investigates the association between ABSI and SUI risk in women, exploring variations across different subgroups.

Methods

Data from National Health and Nutrition Examination Survey (2001–2020) were analyzed. A weighted multivariable logistic regression was performed to examine the relationship between ABSI and SUI risk, calculating odds ratios and 95% confidence intervals. A restricted cubic spline (RCS) analysis was used to assess any nonlinear associations. Subgroup analyses and interaction tests were conducted to explore the influence of factors on the ABSI–SUI relationship. Sensitivity analyses were also performed to ensure the robustness of the findings.

Results

The analysis, after adjusting for potential confounders, showed a significant association between ABSI and SUI risk (p < 0.001). The RCS analysis indicated a nonlinear relationship (p for nonlinear = 0.02) with a turning point at an ABSI of 0.081. Subgroup analyses revealed that the association between ABSI and SUI was stronger in women with lower BMI, non-Mexican ethnicity, and those without hypertension (p for interaction < 0.05). Sensitivity analyses confirmed the consistency of these findings, supporting their robustness.

Conclusion

Higher ABSI is associated with an increased risk of SUI in US women, particularly in specific subgroups. This suggests that ABSI could be a valuable measure for identifying women at higher risk of SUI.

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Title: Relationship Between A Body Shape Index and Self-Reported Stress Urinary Incontinence Among US Women: A Cross-Sectional Analysis
Authors: Xingyun He
Fenxiong Liang
Yuewen Guo
Guiyu Hou
Xiting Chen
Lixin Li
Publication date: 18-12-2024
Publisher: Springer International Publishing
Keywords: Stress Incontinence
Obesity
Obesity
Published in: International Urogynecology Journal
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-024-06001-0

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