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European journal of obstetrics, gynecology, and reproductive biology

October 6, 2026 · via Europe PMC

The relationship between sarcopenic obesity and urinary incontinence among adult women in the United States.

Liu Q, Li M.

Journal ArticleAbstract only — full text under license

AI summary — for doctors, generated from the abstract only

Sarcopenic obesity was associated with higher odds of stress, urgency and mixed urinary incontinence in US women. The abstract is cut off in the results.

What was studied

Retrospective analysis of NHANES 2001-2006 and 2011-2018 data on women over 20, with sarcopenic obesity defined by appendicular muscle mass/weight under 23.47% and fat mass of 40% or more.

Key findings

  • Prevalence was 39.6% for stress UI, 24.4% for urgency UI and 15.7% for mixed UI
  • In univariate regression, sarcopenic obesity had odds ratios of 2.048, 2.219 and 2.532 for stress, urgency and mixed UI
  • The authors conclude sarcopenic obesity was closely associated with higher odds of UI

Clinical relevance

Suggests body composition, not only weight, as a factor in UI.

Who should care

Obstetrics & Gynaecology

Limitations

Results truncated, so adjusted estimates are not available; cross-sectional self-reported UI from a kidney conditions questionnaire; cannot show causation.

Sarcopenic obesity was linked to higher UI odds, but adjusted data are not in the abstract.

This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.

Abstract

Objective

The purpose of this study was to observe the relationship between sarcopenic obesity (SO) and urinary incontinence (UI) among adult women in the United States.

Methods

A retrospective study was conducted on United States adult women aged over 20 years. Data were extracted from the National Health and Nutrition Examination Survey (NHANES) 2001-2006, and 2011-2018 cycles. UI diagnosis was collected via self-report questionnaire about kidney conditions. Sarcopenic obesity was defined as appendicular skeletal muscle mass divided by weight less than 23.47 % and percentage of fat mass equal to or greater than 40 %.

Results

The prevalence rates of stress UI, urgency UI, and mixed UI were 39.6 %, 24.4 %, and 15.7 %, respectively. In univariate logistic regression, women with sarcopenic obesity had higher odds of stress UI, urgency UI, and mixed UI compared to the normal group (odds ratio = 2.048, 2.219, and 2.532, P < 0.001). After adjusting for confounders, the odds remained significantly elevated (adjusted odds ratio = 1.485, 1.554, and 1.663, P < 0.001).

Conclusion

The present study demonstrates that sarcopenic obesity was closely associated with an increased odds of UI in United States adult women.

DOI

10.1016/j.ejogrb.2026.115478

PMID

42858493

Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.

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