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Weight Loss Reduces Incontinence for Women
January 29, 2009BIRMINGHAM, Ala. - Starting a weight-loss regimen significantly reduces urinary incontinence for women, according to researchers at the University of Alabama at Birmingham (UAB) and the University of California, San Francisco.
A six-month program of diet, exercise and behavior modification resulted in a loss of 17 pounds and nearly one-half (47 percent) fewer incontinence episodes per week on average, the study authors said.
By contrast, an information-only program on diet and exercise without any direct weight-loss training led to a loss of 3 pounds and 28 percent fewer incontinence episodes per week on average, the researchers said.
The results are published in the New England Journal of Medicine.
"Earlier research has shown that behavioral weight-loss programs have many benefits, including decreasing blood pressure and helping to fight off diabetes. Here we've shown that weight loss has measureable impact on reduced incontinence," said Frank Franklin, M.D., Ph.D., a UAB professor in the School of Public Health and a co-author on the NEJM study.
BEHAVIOR CHANGE BOOSTS SATISFACTION
The NEJM results are from the Program to Reduce Incontinence by Diet and Exercise, or PRIDE study. It included 338 overweight and obese women (BMI 25-30 kg/m2) who experienced up to 10 episodes of incontinence per week.
Those on the diet, exercise and behavior modification program reported feeling significantly more satisfied with the improvements in incontinence compared to the information-only participants, Franklin said.
Urinary incontinence affects more than 13 million women in the United States and has been linked to increased risk of falls and bone fractures.
Considering the PRIDE results and other health benefits, the initiation of weight loss should be added as a first-line treatment in overweight and obese women, said lead study author Leslee Subak, M.D., of the University of California, San Francisco.
The study was a partnership with UAB, the University of California, San Francisco; Brown University in Providence, Rhode Island and the University of Arkansas for Medical Sciences in Little Rock. Funding is from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and the Office of Research on Women's Health (ORWH), both part of the National Institutes of Health.
University of Alabama at Birmingham (UAB)
The results are published in the New England Journal of Medicine.
"Earlier research has shown that behavioral weight-loss programs have many benefits, including decreasing blood pressure and helping to fight off diabetes. Here we've shown that weight loss has measureable impact on reduced incontinence," said Frank Franklin, M.D., Ph.D., a UAB professor in the School of Public Health and a co-author on the NEJM study.
BEHAVIOR CHANGE BOOSTS SATISFACTION
The NEJM results are from the Program to Reduce Incontinence by Diet and Exercise, or PRIDE study. It included 338 overweight and obese women (BMI 25-30 kg/m2) who experienced up to 10 episodes of incontinence per week.
Those on the diet, exercise and behavior modification program reported feeling significantly more satisfied with the improvements in incontinence compared to the information-only participants, Franklin said.
Urinary incontinence affects more than 13 million women in the United States and has been linked to increased risk of falls and bone fractures.
Considering the PRIDE results and other health benefits, the initiation of weight loss should be added as a first-line treatment in overweight and obese women, said lead study author Leslee Subak, M.D., of the University of California, San Francisco.
The study was a partnership with UAB, the University of California, San Francisco; Brown University in Providence, Rhode Island and the University of Arkansas for Medical Sciences in Little Rock. Funding is from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and the Office of Research on Women's Health (ORWH), both part of the National Institutes of Health.
University of Alabama at Birmingham (UAB)
Incontinence Current Events and Incontinence News RSSPivotal study for PSD502 -- the first potential treatment for premature ejaculation
At the annual meeting of the Sexual Medicine Society of North America (SMSNA), Inc. in San Diego, Sciele Pharma, Inc., a Shionogi Company and Plethora Solutions Limited, a wholly owned subsidiary of Plethora Solutions Holdings PLC ("Plethora" - AIM:PLE)., today presented data from its second positive pivotal study of PSD502 for the treatment of premature ejaculation (PE).
New finding suggests prostate biopsy is not always necessary
Researchers at Wake Forest University School of Medicine and the University of Wisconsin-Madison have discovered that some elevated prostate-specific antigen (PSA) levels in men may be caused by a hormone normally occurring in the body, and are not necessarily a predictor of the need for a prostate biopsy.
Psychiatric disorders and sexual trauma are associated with lower urinary tract symptoms
Depression, anxiety disorders and sexual trauma have all been implicated as risk factors in lower urinary tract symptoms (LUTS) such as incontinence and overactive bladder.
Pelvic floor muscle exercises can help manage urinary incontinence in older women
Researchers at Rush University Medical Center have found that a program of pelvic floor muscle exercises, combined with pelvic health education, can be an effective way to manage urinary incontinence in elderly women.
UNC expert: Better decision support tools needed for prostate cancer screening choice
Although screening for prostate cancer with the Prostate Specific Antigen (PSA) test in men ages 50-70 can detect the cancer before it becomes symptomatic, knowing whether screening is beneficial for these men is uncertain.
PET/CT scans may help detect recurring prostate cancer earlier
A new study published in the September issue of The Journal of Nuclear Medicine shows that positron emission tomography (PET)/computer tomography (CT) scans with the imaging agent choline could detect recurring prostate cancer sooner than conventional imaging technologies in some patients who have had their prostates surgically removed.
Study finds no link between cognitive decline, socioeconomic status in elderly
New UCLA research suggests that for seniors age 70 and older, socioeconomic status does not play a major role in the brain's continued ability to function.
Study shows seed implants a suitable prostate cancer treatment option for men of all ages
Men diagnosed with prostate cancer have a number of treatments to choose from, but it's a daunting task to figure out the right mix of therapies for an individual patient.
Some neural tube defects in mice linked to enzyme deficiency
Women of childbearing age can reduce the risk of having a child born with a neural tube defect such as spina bifida by eating enough folate or folic acid. However, folate prevents only about 70 percent of these defects.
Uterus sparing surgery is a safe and effective treatment for pelvic organ prolapse
Researchers presented data at the 104th Annual Scientific Meeting of the American Urological Association (AUA) showing that uterus sparing surgery is an effective and safe treatment for women who want to preserve the integrity of vaginal function after pelvic organ prolapse.
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