OBJECTIVE The purpose of our study was to examine the prevalence, quality of life, severity and different types of urinary incontinence in overweight and obese women using an internationally validated questionnaire form. METHODS We conducted a cross-sectional study of 1351 consecutive patients, who were recruited between June 2021 and May 2022. Validated survey was used to assess the frequency, amount of leakage, impact of UI on QOL, severity and types of UI. RESULTS The mean age of the patients was 39.7±14.2 years with less than a half in the 19-35 year age group (46.9 %) and 65% were overweight or obese. The overall prevalence of UI was 61.2%. Overweight and obesity accounted to 70.2% of patients with mild to very severe UI. The risk estimates to have UI were 1.84 in overweight and 5.4 in obese group. The risk estimate for severe and very severe UI was 2.33 in overweight and 10.34 in obese group. When considering all subtypes, 67.9% of women with overweight and obesity had any of the subtypes-UUI, SUI and MUI. Overweight and obesity was significantly associated with poor QoL in women with UI (p<0.0001). Among 36.1% of all patients with poor QoL, 79.9% were overweight and obese. CONCLUSION Overweight and obesity are important risk factor of UI affecting daily activity and QOL considerably. Since more people suffer from obesity, the prevalence of UI with increased severity is likely to increase in young to mid-aged women. Weight loss should be considered as first line treatment for this patient population.

中文翻译：

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不同严重程度和类型的超重和肥胖女性尿失禁的患病率和生活质量。

目的 我们研究的目的是使用国际验证的问卷调查表来检查超重和肥胖女性尿失禁的患病率、生活质量、严重程度和不同类型。方法 我们对 2021 年 6 月至 2022 年 5 月期间招募的 1351 名连续患者进行了横断面研究。使用经过验证的调查来评估渗漏的频率、渗漏量、UI 对生活质量的影响、UI 的严重程度和类型。结果患者平均年龄为39.7±14.2岁，其中19-35岁年龄组不到一半（46.9%），65%超重或肥胖。UI的总体患病率为61.2%。超重和肥胖占轻度至极重度 UI 患者的 70.2%。超重组发生 UI 的风险估计为 1.84，肥胖组为 5.4。超重组严重和非常严重 UI 的风险估计为 2.33，肥胖组为 10.34。考虑所有亚型时，67.9% 的超重和肥胖女性患有 UUI、SUI 和 MUI 中的任何一种亚型。超重和肥胖与 UI 女性较差的生活质量显着相关 (p<0.0001)。在所有生活质量较差的患者中，有 36.1% 的患者存在超重和肥胖症状，其中 79.9% 的患者存在超重和肥胖症状。结论超重和肥胖是UI的重要危险因素，显着影响日常活动和生活质量。由于越来越多的人患有肥胖症，年轻至中年女性的 UI 患病率随着严重程度的增加可能会增加。减肥应被视为该患者群体的一线治疗。