Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence

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Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversidade Sagrado Coração-
Autor(es): dc.creatorVesentini, Giovana-
Autor(es): dc.creatorPiculo, Fernanda-
Autor(es): dc.creatorMarini, Gabriela-
Autor(es): dc.creatorBarbosa, Angélica Mércia Pascon-
Autor(es): dc.creatorCorrente, José Eduardo-
Autor(es): dc.creatorRudge, Marilza Vieira Cunha-
Data de aceite: dc.date.accessioned2025-08-21T21:15:22Z-
Data de disponibilização: dc.date.available2025-08-21T21:15:22Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2022-09-15-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1055/s-0043-1770087-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/299221-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/299221-
Descrição: dc.descriptionObjective The lack of data on the impact of hyperglycemia and obesity on the prevalence of pregnancy-specific urinary incontinence (PSUI) led us to conduct a cross-sectional study on the prevalence and characteristics of PSUI using validated questionnaires and clinical data. Methods This cross-sectional study included 539 women with a gestational age of 34 weeks who visited a tertiary university hospital between 2015 and 2018. The main outcome measures were the prevalence of PSUI, the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), and the Incontinence Severity Index (ISI) questionnaires. The women were classified into four groups: normoglycemic lean, normoglycemic obese, hyperglycemic lean, and hyperglycemic obese. The differences between groups were tested using descriptive statistics. Associations were estimated using logistic regression analysis and presented as unadjusted and adjusted odds ratios. Results Prevalence rates of PSUI were no different between groups. However, significant difference in hyperglycemic groups worse scores for severe and very severe PSUI. When adjusted data for confound factors was compared with normoglycemic lean group, the hyperglycemic obese group had significantly higher odds for severe and very severe forms of UI using ICIQ-SF (aOR 3.157; 95% CI 1.308 to 7.263) and ISI (aOR 20.324; 95% CI 2.265 to 182.329) questionnaires and highest perceived impact of PSUI (aOR 4.449; 95% CI 1.591 to 12.442). Conclusion Our data indicate that obesity and hyperglycemia during pregnancy significantly increase the odds of severe forms and perceived impact of PSUI. Therefore, further effective preventive and curative treatments are greatly needed.-
Descrição: dc.descriptionPerinatal Diabetes Research Center Botucatu Medical School Universidade Estadual Paulista, SP-
Descrição: dc.descriptionDepartment of Health Sciences Universidade Sagrado Coração, São Paulo-
Descrição: dc.descriptionDepartment of Biostatistics Bioscience Institute Universidade Estadual Paulista, SP-
Descrição: dc.descriptionPerinatal Diabetes Research Center Botucatu Medical School Universidade Estadual Paulista, SP-
Descrição: dc.descriptionDepartment of Biostatistics Bioscience Institute Universidade Estadual Paulista, SP-
Formato: dc.format303-311-
Idioma: dc.languageen-
Relação: dc.relationRevista Brasileira de Ginecologia e Obstetricia-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectdiabetes mellitus-
Palavras-chave: dc.subjectmaternal obesity-
Palavras-chave: dc.subjectpregnancy-
Palavras-chave: dc.subjecturinary incontinence-
Título: dc.titleImpact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence-
Título: dc.titleImpacto da obesidade e hiperglicemia na incontinência Urinária específica da gravidez-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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