65 yaş üstü kadın hastalarda stres inkontinansı için risk faktörü: Visseral Adipozite İndeksi

Yıl 2024, Cilt: 5 Sayı: 6, 299 - 303, 23.12.2024

Zeynep Şahiner , Kamile Silay

https://doi.org/10.47582/jompac.1560394

Öz

Amaç: Yaşlı erişkin kadınlarda stres üriner inkontinans ile viseral adipozite indeksi (VAI) arasında bir ilişki olup olmadığını araştırmak.
Yöntemler: Ocak 2024 ile Haziran 2024 tarihleri ​​arasında dahiliye-geriatri polikliniğine başvuran 65 yaş üstü 498 hastadan stres inkontinansı olan 95 kadın hasta (Grup-1) ve inkontinansı olmayan 94 kadın kontrol hastası (Grup-2) çalışmaya dahil edildi. Geriye kalan 309 hasta diğer inkontinans tiplerine sahip hastalardı ve çalışmadan çıkarıldılar. Hastaların (Grup-1) ve (Grup-2) demografik özellikleri, biyokimyasal parametreleri ve VAI değerleri istatistiksel olarak karşılaştırıldı.
Sonuçlar: Ortalama yaşları 71,7±5,7 yıl olan toplam 95 inkontinanslı kadın olgu ve ortalama yaşları 72,0±5,2 yıl olan toplam 94 kontrol kadın olgu çalışmaya dahil edildi. Gruplar arasında ortalama yaş dağılımı açısından istatistiksel olarak anlamlı bir fark bulunmadı (p>0,05). Grup 1'deki hastaların ortalama Vücut Kitle İndeksi (VKİ) değeri Grup 2'deki hastalardan istatistiksel olarak anlamlı derecede yüksekti (p=0,037). Grup 1'deki 3,44 [3,07] olan medyan viseral adipozite indeksi değeri Grup 2'deki medyan VAI değerinden 2,00 [1,4] daha yüksekti ve gruplar arasında istatistiksel olarak anlamlı bir fark gözlendi (p<0,001).
Sonuç: VAİ düzeylerinin idrar yolu enfeksiyonu olan ve olmayan yaşlı hastalarda karşılaştırılabilir değerler gösterdiğini gözlemledik ve geriatrik popülasyonda artmış VAI düzeyleri ile SÜİ varlığı arasında potansiyel bir ilişki olduğunu düşündürdük.

Anahtar Kelimeler

idrar kaçırma, geriatrik hastalar, visseral adipsite indeksi

Risk factor for stress incontinence in female patients over 65 years of age: Visceral Adiposity Index

Öz

Aims: To investigate whether there is a relationship between stress urinary incontinence and visceral adiposity index (VAI) in older women adults.
Methods: Among 498 patients aged over 65 years who applied to the internal medicine-geriatrics outpatient clinic between January 2024 and June 2024, 95 female patients with stress incontinence (group-1) and 94 female control patients without incontinence (group-2) were included in the study. The remaining 309 patients were patients with other types of incontinence and were excluded from the study. Demographic characteristics, biochemical parameters and VAI values of patients (group-1) and (group-2) were compared statistically.
Results: A total of 95 incontinent female cases with a mean age of 71.7±5.7 years and a total of 94 control female cases with a mean age of 72.0±5.2 years were included in the study. No statistically significant difference was found between the groups in terms of mean age distribution (p>0.05). The mean body-mass index (BMI) value of the patients in group 1 was statistically significantly higher than the patients in group 2 (p=0.037). The median visceral adiposity index value of 3.44 [3.07] in group 1 was 2.00 [1.4] higher than the median VAI value in group 2, and a statistically significant difference was observed between the groups (p<0.001).
Conclusion: We observed that VAI levels showed comparable values in older patients with and without urinary incontinence (UI), suggest a potential association between increased levels of VAI and the presence of stress urinary incontinence (SUI) in the geriatric population.

Anahtar Kelimeler

Urinary incontinence, geriatric patients, visceral adiposity index

Kaynakça

• Schumacher S. Epidemiologie und atiologie der harninkontinenz im alter [epidemiology and etiology of urinary incontinence in the elderly]. Urologe A. 2007;46(4):357-358. doi:10.1007/s00120- 007-1315-8
• Aoki Y, Brown HW, Brubaker L, Cornu JN, Daly JO, Cartwright R. Urinary incontinence in women. Nat Rev Dis Primers. 2017;3(1):17042. doi:10. 1038/nrdp.2017.42
• Zhang AY, Xu X. Prevalence, burden, and treatment of lower urinary tract symptoms in men aged 50 and older: a systematic review of the literature. SAGE Open Nurs. 2018;4:2377960818811773. doi.org/10.1177/ 2377960818811773
• Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4–20. doi: 10.1002/nau.20798
• Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr. 2000;72(3):694-701. doi:10. 1093/ajcn/72.3.694
• Rai R, Ghosh T, Jangra S, Sharma S, Panda S, Kochhar KP. Relationship between body-mass index and body fat percentage in a group of Indian participants: a cross-sectional study from a tertiary care hospital. Cureus. 2023;15(10):e47817. doi:10.7759/cureus.47817
• Zacche MM, Giarenis I, Thiagamoorthy G, Robinson D, Cardozo L. Is there an association between aspects of the metabolic syndrome and overactive bladder? A prospective cohort study in women with lower urinary tract symptoms. Eur J Obstet Gynecol Reprod Biol. 2017;217:1-5. doi:10.1016/j.ejogrb.2017.08.002
• Beyene HB, Giles C, Huynh K, et al. Metabolic phenotyping of BMI to characterize cardiometabolic risk: evidence from large population-based cohorts. Nat Commun. 2023;14(1):6280. doi:10.1038/s41467-023-41963-7
• Lopes HF, Corrêa-Giannella ML, Consolim-Colombo FM, Egan BM. Visceral adiposity syndrome. Diabetol Metab Syndr. 2016;8(1):40. doi:10. 1186/s13098-016-0156-2
• Vilalta A, Gutiérrez JA, Chaves S, Hernández M, Urbina S, Hompesch M. Adipose tissue measurement in clinical research for obesity, type 2 diabetes and NAFLD/NASH. Endocrinol Diabetes Metab. 2022;5(3):e00335. doi:10. 1002/edm2.335
• Amato MC, Giordano C. Clinical indications and proper use of visceral adiposity index. Nutr Metab Cardiovasc Dis. 2013;23(8):e31-32. doi:10. 1016/j.numecd.2013.04.006
• Zhou H, Li T, Li J, Zhuang X, Yang J. The association between visceral adiposity index and risk of type 2 diabetes mellitus. Sci Rep. 2024;14(1): 16634. doi:10.1038/s41598-024-67430-x
• Ye X, Zhang G, Han C, Wang P, Lu J, Zhang M. The association between Chinese visceral adiposity index and cardiometabolic multimorbidity among Chinese middle-aged and older adults: a national cohort study. Front Endocrinol (Lausanne). 2024;15:1381949. doi:10.3389/fendo.2024.1381949
• Wang L, Yi Z. Obesity paradox and aging: visceral adiposity index and all-cause mortality in older individuals: a prospective cohort study. Front Endocrinol (Lausanne). 2022;13:975209. doi:10.3389/fendo.2022.975209
• He S, Yang J, Li X, Gu H, Su Q, Qin L. Visceral adiposity index is associated with lung function impairment: a population-based study. Respir Res. 2021; 22(1):2. doi:10.1186/s12931-020-01599-3
• Wang K, Xia F, Li Q, Luo X, Wu J. The associations of weekend warrior activity patterns with the visceral adiposity index in us adults: repeated cross-sectional study. JMIR Public Health Surveill. 2023;9(1):e41973. doi: 10.2196/41973
• Uchida K, Sugimoto T, Tange C, et al. Association between abdominal adiposity and cognitive decline in older adults: a 10-year community-based study. J Nutr Health Aging. 2024;28(3):100175. doi:10.1016/j.jnha. 2024.100175
• Karabay E, Karşıyakalı N, Kayar K, Verim L, Tosun Ç, Yücebaş Ö. Evaluation of relationship between visceral adiposity ındex and overactivate bladder symptoms in females. Endourol Bull. 2020;12(2):150-156.
• Hagovska M, Švihra J, Buková A, et al. The relationship between overweight and overactive bladder symptoms. Obes Facts. 2020;13(3):297-306. doi:10. 1159/000506486
• Dursun M, Otunctemur A, Ozbek E, Sahin S, Besiroglu H, Koklu I. Stress urinary incontinence and visceral adipose index: a new risk parameter. Int Urol Nephrol. 2014;46 (12):2297-2300. doi:10.1007/s11255-014- 0832-9
• Al-Shaiji TF, Radomski SB. Relationship between body-mass index and overactive bladder in women and correlations with urodynamic evaluation. Int Neurourol J. 2012;16(3):126-131. doi: 10.5213/inj.2012.16.3.126
• Sahiner Z, Mangır N, Güner M, et al. The relationship between urinary incontinence and abdominal muscle thickness in community-dwelling older women undergoing comprehensive geriatric assessment. Eur Geriatr Med. 2023;14(6):1319-1325. doi:10.1007/s41999-023-00874-y