Delia Smith West.

Leslee L. Subak, M.D ., Rena Wing, Ph.D., Delia Smith West, Ph.D., Frank Franklin, M.D., Ph.D., Eric Vittinghoff, Ph.D., Jennifer M. Creasman, M.S.P.H., Holly E. Richter, Ph.D., M.D., Deborah Myers, M.D., Kathryn L. Burgio, Ph.D., Amy A. Gorin, Ph.D., Judith Macer, B.Sc., John W. Kusek, Ph.D., and Deborah Grady, M.D., M.P.H. For the PRIDE Investigators: Weight Loss to Treat Urinary Incontinence in Overweight and Obese Women Urinary incontinence affects a lot more than 13 million women in the usa and has been connected with profound adverse effects about quality of life1,2; an elevated threat of falls, fractures,3 and nursing-home admissions4; and more than $20 billion in estimated annual direct health care costs.5 Observational studies claim that obesity is a strong risk factor for bladder control problems,6-9 and preliminary studies suggest that weight loss may have a beneficial effect on urinary incontinence in obese patients.10-14 Reductions in bladder control problems have been observed in morbidly obese women who’ve had dramatic weight reduction after bariatric surgery.11-13 In a little cohort study of overweight and obese women with incontinence, those that had a weight lack of a lot more than 5 percent had a reduction of at least 50 percent in the frequency of incontinence .14 A 3-month study reported that overweight and obese women randomly assigned to a very-low-calorie liquid diet had a significantly greater reduction in the weekly amount of urinary-incontinence episodes than those assigned to no intervention.10 We conducted a randomized, clinical trial, this program to Reduce Incontinence by Exercise and diet , to determine whether a behavioral weight-reduction intervention for overweight and obese females with incontinence would bring about better reductions in the rate of recurrence of incontinence episodes at 6 months as compared with a control group.

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