Περίληψη:
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.
Συγγραφείς:
Doumouchtsis, S. K.
Loganathan, J.
Pergialiotis, V