Obesity with Comorbid Stress Urinary Incontinence in Women: A Narrative Review to Inform Dietetics Practice

Published:November 20, 2016DOI:https://doi.org/10.1016/j.jand.2016.09.024


      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.


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      B. Gordon is principal, HealthComm Solutions, Boise, ID.


      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.


      K. K. Isoldi is an associate professor, Long Island University, Post, Brookville, NY.


      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.