Association between urinary incontinence and depressive symptoms in overweight and obese women - 13/08/11
Program to Reduce Incontinence by Diet and Exercise (PRIDE)
Résumé |
Objective |
The objective of the study was to determine the association between urinary incontinence (UI) and depressive symptoms.
Study Design |
The study was a cross-sectional study of 338 incontinent and overweight women at baseline in the Program to Reduce Incontinence by Diet and Exercise trial. Depressive symptoms were defined as a Beck Depression Inventory score of 10 or greater. UI frequency was determined by a 7-day voiding diary. Symptom bother and quality of life were determined using the Urogenital Distress Inventory (UDI) and the Incontinence Impact Questionnaire (IIQ). Multivariable regression was used to estimate the association between UI and depressive symptoms.
Results |
Women with depressive symptoms (n = 101) reported a higher mean number of UI episodes per week (28 vs 23; P = .005) and higher (worse) mean scores on the UDI (176 vs 162; P = .02) and IIQ (136 vs 97; P < .001) compared with women without depressive symptoms. The risk of having depressive symptoms increased with each 7-episode increase in UI per week (adjusted odds ratio [AOR], 1.10; 95% confidence interval [CI], 1.01-1.21), each 50-point increase in UDI (AOR, 1.27; 95% CI, 1.01-1.60), and each 50-point increase in IIQ (AOR, 1.44; 95% CI, 1.22-1.71).
Conclusion |
Urinary incontinence frequency, symptom bother, and quality of life are independently associated with depressive symptoms in overweight and obese women.
Le texte complet de cet article est disponible en PDF.Key words : depressive symptoms, obesity, urinary incontinence
Plan
| Reprints not available from the authors. |
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| This study was supported in part by Grants U01DK067860, U01DK067861, and U01DK067862 from the National Institute of Diabetes and Digestive and Kidney Diseases and the Office of Research on Women's Health. Dr Sung is supported by Grant 5-K12-HD050108-02, WIH/Brown Women's Reproductive Health Research Career Development Award, National Institute of Child Health and Human Development. |
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| Cite this article as: Sung VW, West DS, Hernandez AL, et al. Association between urinary incontinence and depressive symptoms in overweight and obese women. Am J Obstet Gynecol 2009;200:557.e1-557.e5. |
Vol 200 - N° 5
P. 557.e1-557.e5 - mai 2009 Retour au numéro
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