超重或肥胖和尿失禁妇女的健康相关生活质量和性功能:一项横断面研究

IF 3.3 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Quality of Life Research Pub Date : 2024-12-07 DOI:10.1007/s11136-024-03868-w
Zhao Tian, Xiuqi Wang, Linru Fu, Zhe Du, Tangdi Lin, Wei Chen, Zhijing Sun
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引用次数: 0

摘要

目的:评估超重或肥胖女性尿失禁(UI)严重程度与健康相关生活质量(HRQoL)和性功能的关系。方法:从2023年9月至2024年1月,对超重或肥胖寻求减肥的女性进行横断面调查,重点研究尿失禁的症状和影响。分别采用尿失禁模块问卷-尿失禁短表(ICIQ-UI-SF)、尿失禁影响问卷-短表(IIQ-7)、短表脱出性失禁问卷(PISQ-12)和欧洲生活质量5维度5级问卷(eq - 5d - 5l)检测尿失禁严重程度、尿失禁特异性HRQoL、性功能和一般HRQoL。结果:1205例有效应答中,564例(46.8%)报告尿失禁,其中354例根据ICIQ-UI-SF评分分为轻度,179例为中度,31例为重度。调查对象的平均年龄为36.65岁,体重指数为29.9 kg/m²。UI症状越严重的个体相应地表现出较低的UI特异性HRQoL、性功能和一般HRQoL水平。虽然相关性较弱,但ICIQ-UI-SF和IIQ-7测量的尿失禁症状严重程度与平均效用值显著相关(r=-0.335, - 0.351, p)。结论:超重或肥胖的减肥女性中近一半可能出现尿失禁,显著影响HRQoL和性功能。尿失速症状的严重程度与eq - 5d - 5l测量的通用HRQoL显著相关,特别是在焦虑/抑郁症状领域。
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Health-related quality of life and sexual function among women with overweight or obesity and urinary incontinence: a cross-sectional study.

Purpose: To assess the health related quality of life (HRQoL) and sexual function related to urinary incontinence (UI) severity among women with overweight or obesity.

Methods: From September 2023 to January 2024, a cross-sectional was conducted among women seeking weight loss with overweight or obesity focusing on the symptoms and effects of UI. The degree of UI severity, UI-specific HRQoL, sexual function, and generic HRQoL were detected via Incontinence Modular Questionnaire-Urinary Incontinence Short Form (ICIQ-UI-SF), Incontinence Impact Questionnaire-Short Form (IIQ-7), Short-form Prolapse Incontinence Sexual Questionnaire (PISQ-12), and European Quality of Life-5 Dimensions 5-Level questionnaire (EQ-5D-5 L) respectively.

Results: Out of 1205 valid responses, 564 (46.8%) reported UI with 354 classified as mild, 179 as moderate, and 31 as severe based on ICIQ-UI-SF scores. The mean age and body mass index of the respondents were 36.65 years and 29.9 kg/m², respectively. Individuals with more severe symptoms of UI exhibited correspondingly lower levels of UI-specific HRQoL, sexual function, and generic HRQoL. Although the correlations were weak, the severity of UI symptoms measured by ICIQ-UI-SF and IIQ-7 were significantly correlated with the mean utility values (r=-0.335, and - 0.351, P<0.001) of EQ-5D-5 L especially in the domains of anxiety/depression symptoms (r = 0.339 and 0.322, P<0.001).

Conclusion: Nearly half of women seeking weight loss with overweight or obesity may experience UI, which significantly affects HRQoL and sexual function. The severity of UI symptoms is significantly correlated with the generic HRQoL measured by EQ-5D-5 L, especially in the domain of anxiety/depression symptoms.

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来源期刊
Quality of Life Research
Quality of Life Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
8.60%
发文量
224
审稿时长
3-8 weeks
期刊介绍: Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.
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