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Older And Heavier Women More Likely To Suffer Incontinence
According to a study published in the September 17 issue of JAMA,
about 25% of women and over 33% of older women reported at least one
pelvic floor disorder in recent survey. Pelvic floor disorders, such as
urinary and fecal incontinence and the shifting of a pelvic organ, were
also found to become more prevalent as age and weight increased.
Pelvic floor disorders refer to a broad array of women's health issues.
Some of these include:
Urinary and fecal incontinence
Pelvic organ prolapse - when the uterus or other pelvic
organ drops (prolapses) from its normal position and pushes against the
walls of the vagina
Sensory and emptying abnormalities of the lower urinary and
gastrointestinal tracts.
The lack of a national, population-based survey that assesses the
prevalence of major pelvic floor disorders in U.S. women has kept
medical and public health professionals unaware of the national burden
related to these diseases.
In order to compute estimates of symptomatic pelvic floor disorders in
women, Ingrid Nygaard, M.D., M.S. (University of Utah School of
Medicine, Salt Lake City) and colleagues conducted a study with a
sample of 1,961 non-pregnant women who were 20 years of age or older.
The women were participants in a nationally representative survey of
the U.S. population called the 2005-2006 National Health and Nutrition
Examination Survey. Data came from home-based interviews and
standardized physical examinations in a mobile examination center. The
researchers paid specific attention to symptoms of urinary and fecal
incontinence and pelvic organ prolapse.
At least one pelvic floor disorder was reported by 23.7% of the women.
About 16% of these women experienced urinary incontinence, 9.0%
experienced fecal incontinence and 2.9% experienced symptomatic pelvic
organ prolapse. Age was a major factor in the proportion of women who
reported at least one pelvic floor disorder:
9.7% in women age 20 to 39 years
26.5% in women age 40 to 59 years
36.8% in women age 60 to 79 years
49.7% in women age 80 years or older
In addition, the researchers noted an association between weight and
pelvic floor disorders as overweight and obese women were more likely
to report at least one pelvic floor disorder compared to normal weight
women. The prevalence of disorders was:
15.1% for underweight/normal weight women
26.3% for overweight women
30.4% for obese women
Though race and ethnicity were not linked to pelvic floor disorders,
women who gave birth to more women had an increased likelihood of at
least one pelvic floor disorder.
"These data represent the first nationwide, population-based estimates
of the 3 primary pelvic floor disorders in women in the United States
derived from a single source," clarify the researchers. "By 2030, more
than one-fifth of women will be 65 years or older. As the population of
older women increases, the national burden related to pelvic floor
disorders in terms of health care costs, lost productivity, and
decreased quality of life will be substantial."
"Given the burden pelvic floor disorders place on U.S. women and the
health care system, research is needed to further understand their
pathophysiology, prevention, and treatment," they conclude.
Prevalence of Symptomatic Pelvic Floor Disorders in US Women
Ingrid Nygaard; Matthew D. Barber; Kathryn L. Burgio;
Kimberly Kenton; Susan Meikle; Joseph Schaffer; Cathie Spino; William
E. Whitehead; Jennifer Wu; Debra J. Brody; for the Pelvic Floor
Disorders Network
JAMA (2008).300(11):1311-1316.
Click
Here to View Abstract
Written by: Peter M Crosta
Copyright: Start Sanatate
Not to be reproduced without permission of Start Sanatate
Mai vechi ºi mai multe femei grele susceptibile de a suferi de incontinenþã - Older And Heavier Women More Likely To Suffer Incontinence - articole medicale engleza - startsanatate