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Korean Journal of Obstetrics & Gynecology 2008;51(2):212-219.
Published online February 1, 2008.
An analysis of the risk factors for metabolic syndrome affecting stress urinary incontinence in korean middle-aged and older women.
Han Moie Park, Sang Soo Lee, Chang Myeon Park, Sun Min Park, Jung Won Park, Sang Wook Yi, Woo Seok Sohn
1Department of Obstetrics and Gynecology, Gangneung Asan Hospital, College of Medicine, University of Ulsan, Gangneung, Korea. drsws@gnah.co.kr
2Department of Urology, Gangneung Asan Hospital, College of Medicine, University of Ulsan, Gangneung, Korea.
Abstract
OBJECTIVE
The purpose of this study was to identify the relationship between metabolic syndrome and stress urinary incontinence. METHODS: Based form 362 case, the risk factors including the parameters of metabolic syndrome for stress urinary incontinence (SUI) were analyzed retrospectively: body mass index (BMI), hypertension, insulin resistance, triglyceride, HDL-cholesterol. RESULTS: The risk for metabolic syndrome were associated positively with SUI. Women with the risks for metabolic syndrome had 2.503 times of the odds for SUI compared without the risks for metabolic syndrome (95% CI 1.28-4.87, p<0.001). The independent risk factors for SUI were BMI (OR 3.574 ; 95% CI 0.09-0.31, p<0.001) and insulin resistance (OR 2.563 ; 95% CI 0.04-0.31, p=0.011) by multivariate analysis. CONCLUSION: Our results suggested that metabolic syndrome was the important factor of the stress urnary incontinence. And we confirmed the need for the treatment of metabolic disturbance and the prevention of metabolic syndrome aimed at correcting hormonal-metabolic disturbance in middle-aged and older women with SUI.
Key Words: Stress urinary incontinence, Metabolic syndrome, Risk Factor


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