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BMC Women's Health
Published in: BMC Women's Health 1/2024

Open Access 01-12-2024 | Urinary Incontinence | Research

Abdominal obesity as assessed by anthropometric measures associates with urinary incontinence in females: findings from the National Health and Nutrition Examination Survey 2005–2018

Authors: Ting Long, Bohuai Cheng, Ke Zhang

Published in: BMC Women's Health | Issue 1/2024

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Abstract

Background

Urinary incontinence (UI) is significantly link to abdominal obesity. This study aimed to assess the association between anthropometric indices of abdominal obesity, including body roundness index (BRI), conicity index (CI), and waist-to-height ratio (WHtR), and UI risk in adult females.

Methods

We analyzed data from 10, 317 adult females in the National Health and Nutrition Examination Survey (NHANES) database (2005–2018). Weighted multivariable-adjusted regression analysis was conducted to determine the odds ratio (OR) and 95% confidence intervals (CI) for the association between BRI, CI, WHtR, and UI. Stratified analyses revealed the association based on the population type. Receiver operating characteristic curve (ROC) analyses were used to assess the predictive value of UI.

Results

All indices of abdominal obesity investigated were positively and independently associated with the prevalence and severity of three types of UI. After adjusting for all relevant confounding variables, a significantly positive association between BRI and the prevalence of UI were observed (OR quartile 4 vs. quartile 1: urge UI (UUI): 1.93, 95% CI 1.61–2.30; stress UI (SUI): 2.29, 95% CI 1.94–2.70; mixed UI (MUI): 2.26, 95% CI 1.82–2.82; all P < 0.0001, P for trend < 0.0001, respectively), as well as WHtR and CI, which particularly prominent for female in premenopausal. Moreover, a one-unit increment of BRI was significantly associated with an increased severity index of UUI (β: 0.06, 95% CI 0.04–0.09, P < 0.0001), SUI (β: 0.10, 95% CI 0.07–0.13, P < 0.0001) and MUI (β: 0.07, 95% CI 0.04–0.10, P < 0.0001), which this trend was also observed in each subtype of UI for WHtR and CI. Furthermore, the ROC analysis demonstrated a higher diagnostic efficacy of BRI and WHtR compared with BMI in discriminating UI with an AUC of 0.600 for SUI, 0.617 for UUI, and 0.622 for MUI (all P < 0.05).

Conclusions

An increased BRI, CI, and WHtR are significantly associated with higher prevalence and severity of UI in females.
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Metadata
Title
Abdominal obesity as assessed by anthropometric measures associates with urinary incontinence in females: findings from the National Health and Nutrition Examination Survey 2005–2018
Authors
Ting Long
Bohuai Cheng
Ke Zhang
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2024
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-024-03059-2

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