身体质量指数和抑郁症状是女性尿失禁的危险因素:全国代表性研究
Kun Li1, Xiao Yan2, Meng Zhang2
1Department of Urology, The Third Hospital of Mianyang, Sichuan Mental Health Center, Mianyang, China. lwxlikun@gmail.com.
International urogynecology journal
|April 28, 2025
概括
较高的体重指数 (BMI) 和抑郁症状会增加女性尿失禁 (UI) 的风险和频率. 解决体重和心理健康问题是预防和治疗的关键.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
- 心理健康 心理健康
背景情况:
- 尿失禁 (UI) 影响了许多成年女性.
- 体重指数 (BMI) 和抑郁症状是UI的潜在危险因素.
- 抑郁症在BMI-UI关系中的调解作用需要进一步调查.
研究的目的:
- 评估成人女性BMI和UI风险和频率之间的关系.
- 调查抑郁症状 (患者健康问卷-9分) 在BMI-UI关联中的调解作用.
主要方法:
- 分析了来自6107名成年女性的数据 (国家健康和营养检查调查,2005-2018).
- 权重多变量调整回归和限制立方线 (RCS) 分析BMI-UI关联.
- 因果调解分析,以检查抑郁症状的作用.
主要成果:
- 较高的BMI与增加的UI风险和频率显著相关,观察到非线性关系.
- 较高的BMI (特别是>30) 和抑郁症状独立地与较高的UI风险和频率有关.
- 抑郁症状部分介于BMI对UI风险 (6.8%) 和频率 (6.5%) 的影响.
结论:
- 体重指数升高和抑郁症状是成年女性UI的独立风险因素.
- 与体重管理一起解决心理健康问题对于有效的UI预防和治疗至关重要.
- 建议UI管理采用整体方法,整合身体和心理健康策略.
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