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Real-Time Void Spot Assay
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Body Composition Modulates Risk for Stress Urinary Incontinence in Women < 60.

Dylan T Wolff1, Joni K Evans2, Joseph Rigdon2

  • 1Department of Urology, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA. Dylantwolff@gmail.com.

International Urogynecology Journal
|March 24, 2026
PubMed
Summary
This summary is machine-generated.

Body composition, particularly visceral fat, influences stress urinary incontinence (SUI) risk in both obese and nonobese women. Cardiovascular risk factors also play a role in SUI development.

Keywords:
NHANESObesityPopulation studyStress incontinenceUrinary incontinence

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Area of Science:

  • Urology
  • Gynecology
  • Obesity Medicine

Background:

  • Stress urinary incontinence (SUI) is a common condition, particularly affecting obese women.
  • The influence of body composition on SUI risk in nonobese women requires further investigation.

Purpose of the Study:

  • To investigate the association between body composition and SUI in both obese and nonobese women.
  • To identify specific body fat distribution patterns and metabolic factors associated with SUI risk.

Main Methods:

  • Analysis of data from the National Health and Nutrition Examination Survey (NHANES) on women aged 20-59.
  • Comparison of demographic, body composition (DXA), comorbidity, and dietary data between women with and without SUI.
  • Utilized logistic regression with NHANES sample weighting for univariate and multivariable analyses.

Main Results:

  • Among nonobese women, increased visceral fat and decreased subcutaneous fat were linked to SUI risk.
  • Higher BMI, increasing age, smoking history, and parity were significant correlates for SUI in both cohorts.
  • Increased saturated fat intake and physical activity were significant in nonobese women, while increased caloric intake and triglycerides were significant in obese women.

Conclusions:

  • Visceral fat distribution is a key modulator of SUI risk across different weight categories.
  • Cardiovascular risk factors, such as elevated triglycerides and Hgb A1c, are associated with SUI in women.