The Library
Weight loss with bariatric surgery or behaviour modification and the impact on female obesity-related urine incontinence : a comprehensive systematic review and meta-analysis
Tools
Sheridan, William, Da Silva, Ana Sofia, Leca, Bianca M., Ostarijas, Eduard, Patel, Ameet G., Aylwin, Simon J. B., Vincent, Royce P., Panagiotopoulos, Spyros, El-Hasani, Shamsi, le Roux, Carel, Miras, Alexander D., Cardozo, Linda and Dimitriadis, Georgios K. (2021) Weight loss with bariatric surgery or behaviour modification and the impact on female obesity-related urine incontinence : a comprehensive systematic review and meta-analysis. Clinical Obesity, 11 (4). e12450. doi:10.1111/cob.12450 ISSN 1758-8111.
|
PDF
WRAP-weight-loss-bariatric-surgery-behaviour-modification-impact-female-obesity-related-urine-incontinence-Dimitriadis-2021.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (2878Kb) | Preview |
|
PDF
WRAP-weight-loss-bariatric-surgery-behaviour-modification-impact-female-obesity-related-urine-incontinence-Dimitriadis-2021 .pdf - Accepted Version Embargoed item. Restricted access to Repository staff only - Requires a PDF viewer. Download (1698Kb) |
Official URL: https://doi.org/10.1111/cob.12450
Abstract
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/m2 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.
Item Type: | Journal Article | ||||||||
---|---|---|---|---|---|---|---|---|---|
Subjects: | R Medicine > RD Surgery | ||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||||
Library of Congress Subject Headings (LCSH): | Obesity -- Surgery, Obesity, Women -- Surgery -- Risk factors, Behavior modification, Urinary incontinence | ||||||||
Journal or Publication Title: | Clinical Obesity | ||||||||
Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||
ISSN: | 1758-8111 | ||||||||
Official Date: | August 2021 | ||||||||
Dates: |
|
||||||||
Volume: | 11 | ||||||||
Number: | 4 | ||||||||
Article Number: | e12450 | ||||||||
DOI: | 10.1111/cob.12450 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Re-use Statement: | This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 18 March 2021 | ||||||||
Date of first compliant Open Access: | 24 May 2021 | ||||||||
Related URLs: |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year