Correlation between obesity and pelvic organ prolapse in Korean women
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ObjectiveThis study aimed to evaluate the correlation between obesity and pelvic organ prolapse (POP), both anatomically andsymptomatically, in Korean women. MethodsWe retrospectively reviewed 476 women who visited the urogynecology clinic between January 2013 and December2016. All the enrolled women were Korean. We sought to evaluate the relationship between obesity and POP, bothanatomically and symptomatically, by using a validated tool. Anatomic assessment was performed by a standardizedPelvic Organ Prolapse Quantification (POP-Q) system and symptomatic assessment was performed by a Pelvic FloorDistress Inventory (PFDI)-20 questionnaire. Obesity measurement was performed by measuring body mass index (BMI). ResultsWe enrolled 476 women in our study. There was no statistically significant correlation between BMI and POP-Q orPFDI-20 scores: Ba (P=0.633), Bp (P=0.363), C (P=0.277), Pelvic Organ Prolapse Distress Inventory-6 (P=0.286), ColorectalAnal Distress Inventory-8 (P=0.960), Urinary Distress Inventory-6 (P=0.355), and PFDI-20 (P=0.355). In addition, therewas no statistically significant correlation between BMI and POP-Q or PFDI-20 in patients with severe (greater thanstage III) POP. We also separately analyzed the differences in the POP-Q points and PFDI-20 scores between the obeseand non-obese groups. There was no statistically significant difference between the groups. ConclusionWe evaluated the correlation between obesity and POP using a validated tool. The present study revealed nosignificant correlation between obesity and POP severity anatomically or symptomatically in Korean women. Thiscontrasts the results of most studies of Western women. Further studies in Asian women are required in order toconfirm our results.
Abstract
ObjectiveThis study aimed to evaluate the correlation between obesity and pelvic organ prolapse (POP), both anatomically andsymptomatically, in Korean women. MethodsWe retrospectively reviewed 476 women who visited the urogynecology clinic between January 2013 and December2016. All the enrolled women were Korean. We sought to evaluate the relationship between obesity and POP, bothanatomically and symptomatically, by using a validated tool. Anatomic assessment was performed by a standardizedPelvic Organ Prolapse Quantification (POP-Q) system and symptomatic assessment was performed by a Pelvic FloorDistress Inventory (PFDI)-20 questionnaire. Obesity measurement was performed by measuring body mass index (BMI). ResultsWe enrolled 476 women in our study. There was no statistically significant correlation between BMI and POP-Q orPFDI-20 scores: Ba (P=0.633), Bp (P=0.363), C (P=0.277), Pelvic Organ Prolapse Distress Inventory-6 (P=0.286), ColorectalAnal Distress Inventory-8 (P=0.960), Urinary Distress Inventory-6 (P=0.355), and PFDI-20 (P=0.355). In addition, therewas no statistically significant correlation between BMI and POP-Q or PFDI-20 in patients with severe (greater thanstage III) POP. We also separately analyzed the differences in the POP-Q points and PFDI-20 scores between the obeseand non-obese groups. There was no statistically significant difference between the groups. ConclusionWe evaluated the correlation between obesity and POP using a validated tool. The present study revealed nosignificant correlation between obesity and POP severity anatomically or symptomatically in Korean women. Thiscontrasts the results of most studies of Western women. Further studies in Asian women are required in order toconfirm our results.
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