Which body region's fat accumulation increase the risk of stress urinary incontinence?
- 1Women's Health and Pelvic Floor Study Group (GEMAP), Department of Physical Therapy, State University of Paraíba, Brazil; Women's Health Research Laboratory (LAMU), Department of Physical Therapy, Federal University of São Carlos, Brazil.
- 2Joint Function Analysis Laboratory (LAFAr), Department of Physical Therapy, Federal University of São Carlos, Brazil.
- 3Women's Health Research Laboratory (LAMU), Department of Physical Therapy, Federal University of São Carlos, Brazil.
- 4Laboratory for Advances in Rehabilitation Sciences, Department of Physical Therapy, Western Michigan University, United States.
- 0Women's Health and Pelvic Floor Study Group (GEMAP), Department of Physical Therapy, State University of Paraíba, Brazil; Women's Health Research Laboratory (LAMU), Department of Physical Therapy, Federal University of São Carlos, Brazil.
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January 30, 2026
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View abstract on PubMed
Summary
This summary is machine-generated.Higher body fat, particularly visceral adipose tissue (VAT), is linked to increased odds of stress urinary incontinence (SUI) and greater symptom impact in women. This finding highlights the role of abdominal fat distribution in SUI development and severity.
Area Of Science
- Urology
- Gynecology
- Obesity Research
Background
- Stress urinary incontinence (SUI) is a common condition affecting women's quality of life.
- The relationship between body fat distribution and SUI requires further investigation.
Purpose Of The Study
- To investigate the association between fat mass distribution (total, android, gynoid, visceral adipose tissue [VAT]) and SUI symptoms.
- To assess the impact of SUI on daily activities in relation to fat mass distribution.
Main Methods
- Cross-sectional study design.
- Assessment of sociodemographic data, urinary symptoms, and body fat composition (total, android, gynoid, VAT).
- Statistical analyses including descriptive statistics, independent t tests, and regression models.
Main Results
- Women with SUI had significantly higher total, android, gynoid, and VAT fat mass compared to controls (p < 0.05).
- Increased total, android, gynoid, and VAT fat mass were associated with higher odds of SUI (0.4%, 4.4%, 2.6%, 31.4% respectively).
- Visceral adipose tissue (VAT) was most influential, increasing SUI likelihood by 51% (OR 1.51). Higher VAT was also linked to increased symptom discomfort (16.0%) and functional impact (9.3%).
Conclusions
- Elevated adiposity in android, gynoid, and particularly VAT regions is associated with increased SUI likelihood.
- Greater visceral fat accumulation correlates with heightened symptom-related discomfort and functional limitations in women with SUI.
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