Urology Medical News about urinary incontinence; obese women;behavioural weight-loss programme

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Cheskin LJ et al. – A behavioural weight–loss programme reduced urinary incontinence more than an education programme in overweight and obese women.

Methods

Randomised controlled trial
Patients: 338 women >=30 years of age who had a body mass index (BMI) of 25–50 and >=10 urinary incontinence episodes/week, monitored food intake and physical activity for week, and could walk unassisted for 2 blocks without stopping. Exclusion criteria included medical therapy for incontinence or weight loss in the past month, current urinary tract infection or >=4 in the past year, neurological or functional incontinence, urethral or incontinence surgery, major medical or genitourinary tract conditions, pregnancy or childbirth in the past 6 months, uncontrolled hypertension, and increased risk of hypoglycaemia from diabetes treatment.
6–month (1 h/wk) weight–loss programme (n = 226) which provided a reduced–calorie diet, meal plans, and vouchers for meal–replacement products; encouraged gradual increase of physical activity to 200 min/week; and emphasised behaviour skills.
or 4–month (1 h/mo) education programme (n = 112) which provided information on weight loss, physical activity, and healthful eating habits.

Results

At 6 months, the weight–loss group reduced weekly incontinence episodes and increased weight loss more than the education group, and more women in the weight–loss group had 70% reduction in incontinence episodes.