TY - JOUR
TI - The role of obesity on urinary incontinence and anal incontinence in
women: a review
AU - Doumouchtsis, S. K.
AU - Loganathan, J.
AU - Pergialiotis, V
JO - BJOG: An International Journal of Obstetrics and Gynaecology
PY - 2022
VL - 129
TODO - 1
SP - 162-170
PB - Wiley
SN - 1470-0328, 1471-0528
TODO - 10.1111/1471-0528.16848
TODO - Anal incontinence; obesity; pelvic floor; urinary incontinence; women
TODO - Obesity prevalence is increasing worldwide, with significant healthcare
implications. We searched PubMed/MEDLINE, Embase and the Cochrane
Library for articles registered until June 2020 to explore the
relationship between obesity and urinary (UI) and anal incontinence
(AI). Obesity is associated with low-grade, systemic inflammation and
proinflammatory cytokine release, producing reactive oxygen species and
oxidative stress. This alters collagen metabolism and, in combination
with increased intra-abdominal pressure, contributes to the development
of UI. Whereas in AI, stool consistency may be a factor. Weight loss can
reduce UI and should be a management focus; however, the effect of
weight loss on AI is less clear.
ER -