Int Urogynecol J (2017) 28:1377–1385 DOI 10.1007/s00192-017-3279-6 ORIGINAL ARTICLE Obesity and stress urinary incontinence in women: compromised continence mechanism or excess bladder pressure during cough? 1 1 2 1 Carolyn W. Swenson & Giselle E. Kolenic & Elisa R. Trowbridge & Mitchell B. Berger & 3 4 1 Christina Lewicky-Gaupp & Rebecca U. Margulies & Daniel M. Morgan & 1 1 Dee E. Fenner & John O. DeLancey Received: 8 November 2016 /Accepted: 16 January 2017 /Published online: 1 February 2017 The International Urogynecological Association 2017 Abstract 3.191, 95% CI 1.326, 7.683; p < 0.01), but not in normal Introduction and hypothesis We compared two hypotheses as weight or overweight women. Path model analysis showed a to why obesity is associated with stress urinary incontinence significant relationship between BMI and SUI through maxi- (SUI): (1) obesity increases demand on the continence system mal cough pressure (indirect effect, p = 0.038), but not through (e.g. higher cough pressure) and (2) obesity compromises ure- MUCP (indirect effect, p = 0.243) or POP-Q point Aa (indirect thral function and urethrovaginal support. effect, p =0.410). Methods A secondary analysis was performed using data Conclusions Our results support the first hypothesis that obe- from
International Urogynecology Journal – Springer Journals
Published: Feb 1, 2017
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera