Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence

Objective 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-secti...

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Autores: Vesentini, Giovana [UNESP], Piculo, Fernanda [UNESP], Marini, Gabriela [UNESP], Barbosa, Angélica Mércia Pascon [UNESP], Corrente, José Eduardo [UNESP], Rudge, Marilza Vieira Cunha [UNESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Brasil
Institución:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:inglés
OAI Identifier:oai:repositorio.unesp.br:11449/299221
Acceso en línea:http://dx.doi.org/10.1055/s-0043-1770087
https://hdl.handle.net/11449/299221
Access Level:acceso abierto
Palabra clave:diabetes mellitus
maternal obesity
pregnancy
urinary incontinence
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spelling Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary IncontinenceImpacto da obesidade e hiperglicemia na incontinência Urinária específica da gravidezdiabetes mellitusmaternal obesitypregnancyurinary incontinenceObjective 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.Perinatal Diabetes Research Center Botucatu Medical School Universidade Estadual Paulista, SPDepartment of Health Sciences Universidade Sagrado Coração, São PauloDepartment of Biostatistics Bioscience Institute Universidade Estadual Paulista, SPPerinatal Diabetes Research Center Botucatu Medical School Universidade Estadual Paulista, SPDepartment of Biostatistics Bioscience Institute Universidade Estadual Paulista, SPUniversidade Estadual Paulista (UNESP)Universidade Sagrado Coração2025-04-29T18:41:42Z2022-09-15info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article303-311http://dx.doi.org/10.1055/s-0043-1770087Revista Brasileira de Ginecologia e Obstetricia, v. 45, n. 6, p. 303-311, 2022.0100-7203https://hdl.handle.net/11449/29922110.1055/s-0043-17700872-s2.0-85165934924Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRevista Brasileira de Ginecologia e Obstetriciainfo:eu-repo/semantics/openAccessVesentini, Giovana [UNESP]Piculo, Fernanda [UNESP]Marini, Gabriela [UNESP]Barbosa, Angélica Mércia Pascon [UNESP]Corrente, José Eduardo [UNESP]Rudge, Marilza Vieira Cunha [UNESP]2025-10-16T07:34:36Zoai:repositorio.unesp.br:11449/299221Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462025-10-16T07:34:36Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence
Impacto da obesidade e hiperglicemia na incontinência Urinária específica da gravidez
title Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence
spellingShingle Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence
Vesentini, Giovana [UNESP]
diabetes mellitus
maternal obesity
pregnancy
urinary incontinence
title_short Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence
title_full Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence
title_fullStr Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence
title_full_unstemmed Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence
title_sort Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence
dc.creator.none.fl_str_mv Vesentini, Giovana [UNESP]
Piculo, Fernanda [UNESP]
Marini, Gabriela [UNESP]
Barbosa, Angélica Mércia Pascon [UNESP]
Corrente, José Eduardo [UNESP]
Rudge, Marilza Vieira Cunha [UNESP]
author Vesentini, Giovana [UNESP]
author_facet Vesentini, Giovana [UNESP]
Piculo, Fernanda [UNESP]
Marini, Gabriela [UNESP]
Barbosa, Angélica Mércia Pascon [UNESP]
Corrente, José Eduardo [UNESP]
Rudge, Marilza Vieira Cunha [UNESP]
author_role author
author2 Piculo, Fernanda [UNESP]
Marini, Gabriela [UNESP]
Barbosa, Angélica Mércia Pascon [UNESP]
Corrente, José Eduardo [UNESP]
Rudge, Marilza Vieira Cunha [UNESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (UNESP)
Universidade Sagrado Coração
dc.subject.por.fl_str_mv diabetes mellitus
maternal obesity
pregnancy
urinary incontinence
topic diabetes mellitus
maternal obesity
pregnancy
urinary incontinence
description Objective 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.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-15
2025-04-29T18:41:42Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1055/s-0043-1770087
Revista Brasileira de Ginecologia e Obstetricia, v. 45, n. 6, p. 303-311, 2022.
0100-7203
https://hdl.handle.net/11449/299221
10.1055/s-0043-1770087
2-s2.0-85165934924
url http://dx.doi.org/10.1055/s-0043-1770087
https://hdl.handle.net/11449/299221
identifier_str_mv Revista Brasileira de Ginecologia e Obstetricia, v. 45, n. 6, p. 303-311, 2022.
0100-7203
10.1055/s-0043-1770087
2-s2.0-85165934924
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Revista Brasileira de Ginecologia e Obstetricia
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 303-311
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv repositoriounesp@unesp.br
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score 15,301603

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