Abstract
Objective
To elucidate the influence of recreational physical activity, body mass index (BMI),
and waist circumference on the risk of specific types of urinary incontinence.
Study design
We conducted a population-based cross-sectional survey in Gansu, China among 2603
women aged 20 years or older.
Results
The study found that BMI was positively associated with urinary incontinence (P for trend = 0.008) and the association was mainly observed for stress urinary incontinence (OR = 1.4, 95% CI: 1.1, 1.9 for BMI = 24.0–27.9 kg/m2; OR = 2.3, 95% CI: 1.5, 3.6 for BMI ≥ 28.0 kg/m2; P for trend = 0.0005). A positive association between stress incontinence (OR = 1.7, 95% CI: 1.2, 2.5) and waist circumference was observed for women who had waist
circumference between 70 cm and 75 cm compared to waist circumference less than 70 cm. Recreational physical activity was inversely associated with overall and mixed
urinary incontinence (P for trend <0.0001 for both). A significant interaction between physical activity
and waist circumference was found for overall (P = 0.0007) and stress incontinence (P = 0.001).
Conclusions
The findings that physical activity inversely associated with urinary incontinence
and its interaction with waist circumference warrant further investigation, particularly
in prospective studies.
Keywords
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Article info
Publication history
Published online: July 29, 2011
Accepted:
July 11,
2011
Received in revised form:
June 30,
2011
Received:
February 15,
2011
Identification
Copyright
© 2011 Published by Elsevier Inc.
