米国女性における症状性骨盤底疾患の発生率
Ingrid Nygaard1, Matthew D Barber, Kathryn L Burgio
1Department of Obstetrics and Gynecology, University of Utah School of Medicine, 30 N 1900 E, Salt Lake City, UT 84132-2209, USA. ingrid.nygaard@hsc.utah.edu
JAMA
|September 19, 2008
まとめ
尿失禁,排泄失禁,骨盤臓器の転落など,骨盤床疾患は,米国の女性の4分の1近くに影響します. 流行率は年齢,均等性,体重増加に伴い,著しく増加する.
科学分野:
- 泌尿器内科と女性の健康に関する研究.
- 骨盤床疾患の流行病学. 骨盤床疾患の流行病学. 骨盤床疾患の流行病学. 骨盤床疾患の流行病学. 骨盤床疾患の流行病学. 骨盤床疾患の流行病学. 骨盤床疾患の流行病学. 骨盤床疾患の流行病学.
背景:
- 尿失禁,排便失禁,骨盤臓器の転落などの骨盤床疾患 (PFD) は,女性によく見られる.
- 現存する国内データでは,米国における同じ人口ベースのサンプル内の複数のPFDの包括的な流行率の推定値が欠けている.
研究 の 目的:
- 米国全土の女性における症状性骨盤底疾患の全国的な罹患率を決定する.
- 尿失禁,排便失禁,骨盤臓器転倒の罹患率を決定する.
主な方法:
- 20歳以上の1961人の妊娠していない女性の横断分析 2005-2006年の国家健康栄養検査調査から.
- 標準化されたインタビューと身体検査を使用して,尿失禁,便失禁,骨盤臓器の転倒の症状を評価しました.
- 各疾患および少なくとも1つのPFDの存在について,加重された罹患率の推定値が計算されました.
主要な成果:
- 少なくとも1つの骨盤底疾患の総罹患率は23.7%でした.
- 特定の罹患率は,尿失禁 (15.7%),便失禁 (9.0%) および骨盤臓器の転倒 (2.9%) を含む.
- PFDの罹患率は,年齢や男女の均等性により増加し,正常体重の女性と比較して,過体重および肥満の女性では高かった.
結論:
- 骨盤底疾患は,女性人口のかなりの部分に影響を及ぼし,重大な公衆衛生上の懸念を代表しています.
- PFDの発生率は,年齢と均等性の増加に伴い,明確な上昇傾向を示しています.
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