scholarly journals Female Urinary Incontinence: Prevalence, Risk Factors and Impact on the Quality of Life of Gynecological Clinic Attendees in Lagos, Nigeria

2020 ◽  
Vol 15 (1) ◽  
pp. 31-38
Author(s):  
Fatimat Motunrayo Akinlusi ◽  
Tawaqualit Abimbola Ottun ◽  
Yusuf Abisowo Oshodi ◽  
Bilkees Oluwatoyin Seriki ◽  
Folasade D. Haleemah Olalere ◽  
...  

Aims: To determine the prevalence of urinary incontinence, risk factors and impact on the quality of life in gynecological clinic attendees of a University Hospital. Methods: A cross sectional descriptive study was conducted amongst gynecological clinic attendees in a Teaching Hospital in Nigeria from 1st February to 31st July 2017. Structured questionnaires were used to ascertain the presence of urinary incontinence. Socio-demographic and medical factors; impact on daily activities and treatment history were assessed. Women with and without urinary incontinence were compared. Univariate, bivariate and multivariable analyses were performed. Results: There were 395 women of 25 - 67 years (mean age = 38.81±10.1). About 33% had experienced urinary incontinence in the previous 6 months with Urgency, Mixed and Stress urinary incontinence occurring in 18.0%, 7.6% and 7.3% respectively. Independent risk factors for urinary incontinence were age (odds ratio=0.49, 95% confidence interval [CI] =0.26 - 0.92, P =0.026), higher body mass index (odds ratio=1.92, 95% CI =1.53 - 3.00, P =0.004) and history of constipation (odds ratio=2.11, 95% CI =1.30 - 3.43, P =0.003). About 47% of those with urinary incontinence admitted to negative feelings like anxiety and depression; 45% had moderate to severe impact on their quality of life in all domains but only 27.7% sought help. Conclusions: Urinary incontinence is common and risk factors include older age, high body mass index and constipation. Despite its substantial impact on the quality of life, majority do not seek help. Addressing modifiable risks factors and improving treatment seeking behaviour will assist in reducing the prevalence of urinary incontinence. Keywords: female urinary incontinence; quality of life; risk factors; stress incontinence; urgency incontinence.

2005 ◽  
Vol 48 (4) ◽  
pp. 634-641 ◽  
Author(s):  
Izzet Kocak ◽  
Pinar Okyay ◽  
Mehmet Dundar ◽  
Haluk Erol ◽  
Erdal Beser

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 165-165
Author(s):  
Hiromi Mohizuki ◽  
Shinji Mine ◽  
Takashi Nakahama ◽  
Masayuki Watanabe ◽  
Naoki Hiki

Abstract Background Post-operative body weight loss (BWL) of patients who underwent esophagectomy is common. One month after esophagectomy, some patients lose weight remarkably, and others not. If preoperative or operative risk factors influencing body weight loss are identified, it will be possible that nutritional intervention is given to the patient having these risk factors. Methods In our department, the dietician stays in a surgical ward for nutritional management of patients. Ninety-two patients who underwent esophagectomy for esophageal cancer in 2016 were reviewed. Pre-operative and operative factors were correlated with post-operative BWL. The cut-off value of BWL 1 month after esophagectomy was defined with 75 percentile. Results The median body weight change was -4.8% (-18.5% ∼11.7%). The patients were divided into two groups; 24 patients with ≥ 7.3% of BWL (severe BWL group) and 68 with < 7.3% of BWL (mild BWL group). Patients’ characteristics or post-operative morbidities were not statistically different in these 2 groups. The incidence of patients with reconstruction using a colon or jejunum was higher in severe BWL group. Pre-operative body weight, body mass index, and the value of prealbumin was higher in severe BWL group. On postoperative 14 day, the patients in severe BWL group were likely to have lower energy intake per kilogram of pre-operative body weight. On multivariate analysis, high body mass index [odds ratio = 5.90; 95% confidence interval (CI) = 1.03–47.8; P = 0.046], upper location of tumor [odds ratio = 3.38; 95%, CI = 1.04–11.4; P = 0.043] were independently associated with severe BWL at 1 month after surgery. Conclusion High body mass index of ≥ 25, upper location of tumor were unfavorable risk factors for weight loss 1 month after esophagectomy for esophageal cancer. Disclosure All authors have declared no conflicts of interest.


2020 ◽  
Vol 13 (1) ◽  
pp. 771-778
Author(s):  
Danya Ahmed Alghamdi ◽  
Rahaf Hasan Al-Shehri ◽  
Mona Faisal Al-Qahtani ◽  
Uzma Ali Mehmood A.

Background: Cases of varicose veins are increasing globally. One of the most common risk factors for developing varicose veins is the female gender. Varicose veins not only affect one’s working ability but also reduce the quality of life. There is a lack of research that focuses on the effect of varicose veins on patients’ quality of life in Saudi Arabia. Objective: The aim of this study was to explore the quality of life of female Saudi Arabian patients with varicose veins. Methods: An analytical cross-sectional research study was conducted targeting women with varicose veins in the Eastern Province of Saudi Arabia. An online questionnaire containing two sections was distributed through social media. The first section was composed of items regarding demographic, occupational, and varicose vein-related risk factors. The second section included the items of the Chronic Venous Insufficiency Quality of Life Questionnaire (CIVIQ). Results: The study included 128 female patients aged 18 years or older, with 57 (44.5%) of them being between the ages of 45 and 54 years. Only body mass index (β = -0.304, t = -2.870, p = 0.005), frequent constipation (β = -0.258, t = -2.870, p = 0.009), and long rest periods during work (β = 0.517, t = 2.111, p = 0.037) were significant predictors of quality of life. Conclusion: Higher body mass index and frequent constipation were the main contributors to reduced quality of life among the participants, while a prolonged rest period during work was associated with a better quality of life.


VASA ◽  
2021 ◽  
Vol 50 (1) ◽  
pp. 30-37
Author(s):  
Jamil Nawasrah ◽  
Barbara Zydek ◽  
Jessica Lucks ◽  
Johannes Renczes ◽  
Barbara Haberichter ◽  
...  

Summary: Background: Deep venous thrombosis (DVT) and in particular, iliofemoral thrombosis (IFT) can lead to recurrent thrombosis and postthrombotic syndrome (PTS). Data on the prevalence, predictors and outcome of IFT are scarce. Patients and methods: We retrospectively searched our database of outpatients who had presented with DVT and IFT including the iliac veins from 2014 until 2017. In addition, we performed a prospective registry in a subgroup of patients with IFT. These patients received duplex ultrasound, magnetic resonance venography and measurement of symptom-free walking distance using a standardized treadmill ergometry. The severity of PTS was analyzed using the Villalta-Scale (VS) and quality of life was assessed using the VEINES-QOL/Sym Questionnaire. Results: 847 patients were retrospectively identified with DVT and 19.7% (167/847) of these presented with IFT. 50.9% (85/167) of the IFT-patients agreed to participate in the prospective registry. The majority of these patients (76.5%: 65/85) presented with left-sided IFT. In 53.8% (35/65) May-Thurner syndrome was suspected. 27.1% (23/85) underwent invasive therapy. Moderate or severe PTS (VS ≥ 10) occurred in 10.6% (9/85). The severity of PTS is correlated with a reduced quality of life (ρ (CI 95%) = −0.63 (−0.76; −0.46); p < 0.01). None of the patients presented with a venous ulcer at any time. A high body mass index was a significant predictor (OR (CI 95%) = 1.18 (1.05; 1.33), p = 0.007) for the development of clinically relevant PTS (VS ≥ 10) and venous claudication. Conclusions: Every fifth patient with DVT presented with an IFT. The majority developed left sided IFT. Every 10th patient developed moderate or severe PTS (VS ≥ 10). A high body mass index was predictive for the development of PTS and venous claudication.


Author(s):  
Rika Wahyuni Arsianti ◽  
Arif Alexander ◽  
Mulyadi Mulyadi ◽  
Raudah Raudah

Type 2 diabetes mellitus is closely related to Body Mass Index. Type 2 diabetes mellitus is very influential on the quality of life of patients and requires substantial health costs. The prevalence of this disease is increasing every year due to changes in lifestyle behavior. Diabetes Mellitus can be prevented, delayed by controlling risk factors. One of the risk factors for diabetes mellitus type II is a high body mass index. The purpose of this research is designed prototype of Body Mass Index. This device consists of load cell sensors and ultrasonic sensors used to measure body weight and height. The accuracy of Body Mass Index Device is 98.5%. So this can be proposed as tools for measuring Body Mass Index. The number of subject in this research is 17. The result shows that 29.4% is categorized Body Mass Index with risk of type 2 diabetes mellitus.


2013 ◽  
Vol 141 (1) ◽  
pp. 125-133 ◽  
Author(s):  
Penny Fang ◽  
Kay See Tan ◽  
Andrea B. Troxel ◽  
Ramesh Rengan ◽  
Gary Freedman ◽  
...  

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