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Incontinence
Long-term conditions

Weight loss interventions as an option for a lifestyle treatment in urinary incontinence

02 December 2020
Long-Term Conditions
02 December 2020
Volume 25 · Issue 12

Urinary incontinence (involuntary or abnormal urine loss) is a common condition affecting an estimated 423 million individuals worldwide (Irwin et al, 2011). Its prevalence varies, ranging from 5–15.2% in Asian populations, 1.8–30.5% in European populations and 1.7–36.4% in US populations (Milsom et al, 2014). This condition can have a significant clinical (Yang et al, 2018), psychological (Sims et al, 2011) and financial impact (Thom et al, 2010) on an individual's life. The development of urinary incontinence is associated with several non-modifiable risk factors, such as age (Milsom and Gyhagen, 2019), gender (Nitti, 2001) and family history (von Gontard et al, 2011), as well as modifiable risk factors of weight (Aune et al, 2019), smoking (Kawahara et al, 2020), diet (Maserejian et al, 2010) and caffeine intake (Gleason et al, 2013). Despite the link between weight, smoking, diet and caffeine intake and urinary incontinence, there is limited evidence supporting interventions that aim to affect these modifiable risk factors (Imamura et al, 2015). The Cochrane systematic review discussed in this commentary (Imamura et al, 2015) aimed to evaluate the effectiveness of a range of lifestyle-focused interventions that are commonly used in the management of urinary incontinence.

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