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Updated: May 4, 2026

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Published on: February 10, 2023
Nocturia and overactive bladder in obese women: A case-control study
Ingela Melin1, Christian Falconer1, Stephan Rössner1
1Department of Medical Epidemiology and Biostatistics Karolinska Institutet, Sweden.
Obese women experience significantly more nocturia (waking to urinate) and overactive bladder symptoms compared to non-obese women. These findings highlight the increased risk of urinary issues associated with obesity.
Area of Science:
- Urology
- Obesity Medicine
- Public Health
Background:
- Obesity is a growing global health concern.
- Lower urinary tract symptoms (LUTS) and nocturia can significantly impact quality of life.
Purpose of the Study:
- To determine the prevalence and severity of nocturia and LUTS in obese women.
- To identify risk factors for nocturia in this population.
Main Methods:
- A case-control study was conducted using data from a university hospital obesity unit.
- Obese women (BMI ≥30) were matched with non-obese controls.
- Data were collected via self-reported postal surveys.
Main Results:
- Obese women reported significantly higher prevalence and bother of nocturia, frequent urination, and bothersome urination.
- Increased urinary urgency, urge urinary incontinence, and bladder emptying difficulties were observed in obese women.
- Adjusted odds ratios indicated substantially higher risks for nocturia, frequent urination, strong urge to void, and urgency-related incontinence in obese women.
Conclusions:
- Obesity is associated with a substantially increased risk of nocturia.
- Obese women face a significantly higher risk of developing overactive bladder symptoms.
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