European journal of obstetrics, gynecology, and reproductive biology · 2026
The relationship between sarcopenic obesity and urinary incontinence among adult women in the United States.
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Liu Qin, Li Miao
Аннотация
OBJECTIVE: The purpose of this study was to observe the relationship between sarcopenic obesity (SO) and urinary incontinence (UI) among adult women in the United States.
METHODS: A retrospective study was conducted on United States adult women aged over 20 years. Data were extracted from the National Health and Nutrition Examination Survey (NHANES) 2001-2006, and 2011-2018 cycles. UI diagnosis was collected via self-report questionnaire about kidney conditions. Sarcopenic obesity was defined as appendicular skeletal muscle mass divided by weight less than 23.47 % and percentage of fat mass equal to or greater than 40 %.
RESULTS: The prevalence rates of stress UI, urgency UI, and mixed UI were 39.6 %, 24.4 %, and 15.7 %, respectively. In univariate logistic regression, women with sarcopenic obesity had higher odds of stress UI, urgency UI, and mixed UI compared to the normal group (odds ratio = 2.048, 2.219, and 2.532, P < 0.001). After adjusting for confounders, the odds remained significantly elevated (adjusted odds ratio = 1.485, 1.554, and 1.663, P < 0.001).
CONCLUSION: The present study demonstrates that sarcopenic obesity was closely associated with an increased odds of UI in United States adult women.
METHODS: A retrospective study was conducted on United States adult women aged over 20 years. Data were extracted from the National Health and Nutrition Examination Survey (NHANES) 2001-2006, and 2011-2018 cycles. UI diagnosis was collected via self-report questionnaire about kidney conditions. Sarcopenic obesity was defined as appendicular skeletal muscle mass divided by weight less than 23.47 % and percentage of fat mass equal to or greater than 40 %.
RESULTS: The prevalence rates of stress UI, urgency UI, and mixed UI were 39.6 %, 24.4 %, and 15.7 %, respectively. In univariate logistic regression, women with sarcopenic obesity had higher odds of stress UI, urgency UI, and mixed UI compared to the normal group (odds ratio = 2.048, 2.219, and 2.532, P < 0.001). After adjusting for confounders, the odds remained significantly elevated (adjusted odds ratio = 1.485, 1.554, and 1.663, P < 0.001).
CONCLUSION: The present study demonstrates that sarcopenic obesity was closely associated with an increased odds of UI in United States adult women.