Abstract
Stress urinary incontinence (SUI) is a common problem among women; clinical treatment
guidelines include weight reduction as a strategy for controlling urinary leakage.
The purpose of this review was to gather evidence on the association between obesity
and SUI and to ascertain whether there are any special considerations for implementing
medical nutrition therapy with community-dwelling, obese, adult females with comorbid
SUI. Five key findings emerged: epidemiologic studies consistently report statistically
significant associations between obesity and SUI, randomized control trials found
that weight loss appears to ameliorate SUI symptoms, the SUI–activity link may affect
weight management, there is a potential interplay between SUI and the obesity–sleep
connection, and dietary components are associated with the exacerbation of urinary
symptoms. The pathogenesis of SUI and obesity-related contributions to urinary leakage
is included in the introductory discussion. Lastly, insights on special considerations
for implementing nutrition interventions with this population are offered.
Keywords
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Biography
B. Gordon is principal, HealthComm Solutions, Boise, ID.
Biography
B. Shorter is a professor of nutrition, Long Island University Post, Greenvale, NY, and a nutritionist/researcher, Smith Institute of Urology, Northwell Health, New Hyde Park, NY.
Biography
K. K. Isoldi is an associate professor, Long Island University, Post, Brookville, NY.
Biography
R. M. Moldwin is a professor of urology, Hofstra Northwell School of Medicine, Hempstead, NY, and director, Pelvic Pain Treatment Center, Smith Institute of Urology, Northwell Health, New Hyde Park, NY.
Article info
Publication history
Published online: November 20, 2016
Accepted:
September 23,
2016
Received:
June 9,
2016
Footnotes
STATEMENT OF POTENTIAL CONFLICTS OF INTEREST No potential conflict of interest was reported by the authors.
FUNDING/SUPPORT None to report.
Identification
Copyright
© 2017 by the Academy of Nutrition and Dietetics.
