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Maturitas. 2015 Oct;82(2):208-14. doi: 10.1016/j.maturitas.2015.07.008. Epub 2015 Jul 17.

Associations between obesity, physical fitness, and urinary incontinence in non-institutionalized postmenopausal women: The elderly EXERNET multi-center study.

Author information

1
Growth, Exercise, Nutrition and Development (GENUD) Toledo Research Group, University of Castilla-La Mancha, Toledo, Spain.
2
ImFINE Research Group, Technical University of Madrid, Madrid, Spain.
3
Centro Universitario de la Defensa, Zaragoza, Spain; GENUD Research Group, University of Zaragoza, Zaragoza, Spain.
4
Faculty of Medicine, University of Zaragoza and Lozano Blesa University Hospital, Zaragoza, Spain.
5
Centro Universitario de la Defensa, Zaragoza, Spain.
6
Growth, Exercise, Nutrition and Development (GENUD) Toledo Research Group, University of Castilla-La Mancha, Toledo, Spain. Electronic address: ignacio.ara@uclm.es.

Abstract

OBJECTIVES:

To investigate the associations between body composition, fitness level, and urinary incontinence (UI) in 471 non-institutionalized women ≥ 65 years of age.

STUDY DESIGN:

Cross-sectional study.

METHOD:

UI was assessed using the International Consultation on Incontinence Questionnaire Short-Form and a specific severity UI item. Anthropometric measurements were obtained using standardized techniques and equipment. Body fat percentage (BF%) was measured by bioelectrical impedance. Physical fitness (PF) was evaluated by a set of 8 tests and a fitness index (FI) was calculated. Active and sedentary behaviors were recorded by standardized questionnaires.

RESULTS:

UI was reported in 28.5% of the participants. Women with UI showed higher values of body mass index (BMI), BF% and waist circumference (WC) (all p<0.05) compared to urinary continent women, whereas there was a lower fitness index (FI) level in women with UI (p=0.08). Among all fitness capacities, upper body flexibility showed the closest relationship with UI. UI risk increased by 87.0% [95% confidence intervals (1.01-3.17)] in obese women compared to the normal group, according to the BF% while no significant results were found when PF, WC and BMI were included in the model. Mean sitting and walking time per day were 4.3±1.4 and 1.8±0.9 h/d, respectively.

CONCLUSION:

UI was associated with an excess of fat mass and poor PF, especially upper-body flexibility.

KEYWORDS:

Aging; Central obesity; Fat mass; Functional fitness; Physical activity; Urinary incontinence

PMID:
26261038
DOI:
10.1016/j.maturitas.2015.07.008
[Indexed for MEDLINE]

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