SUBJECTS AND METHODS
View research View latest news Sign up for updates. The objectives of this study was to estimate the risk of anal incontinence in morbidly obese women and to identify risk factors associated with anal incontinence in an obese population sample. A case-control study based on the registry of a university hospital obesity unit. Data were collected by a self-reported postal survey including detailed questions on medical and obstetrical history, obesity history, socioeconomic indices, life style factors and the validated Cleveland Clinic Incontinence Score. Compared with non-obese women, the adjusted odds ratio OR for flatus incontinence in morbidly obese women was 1. A history of obstetric sphincter injury was independently associated with an increased risk of flatus incontinence OR, 4. Other medical and life style interactions did not remain at significant levels in an adjusted multivariable analysis.
View research View latest news Sign up for updates. Metrics details. The escalating global epidemic of obesity is of worldwide concern because of its association with serious negative effects on health. The technical difficulty of rectal cancer surgery is exacerbated in obese patients, which may compromise outcomes. High-quality, relevant evidence is limited.
In a study of more than women, those who were obese were four times more likely to suffer from urinary incontinence than were their normal-weight counterparts, after adjustment for demographics, medical history, menopausal status, parity, and number of C-sections. Obese women were also twice as likely to have anal incontinence than were normal-weight women, reported Dr. Chi Chiung Grace Chen of the department of gynecology and obstetrics at the Cleveland Clinic Foundation, and her colleagues.