Diabetes, Metabolic Syndrome and Obesity (Nov 2018)
An epidemiologic study on symptomatic pelvic organ prolapse in obese Chinese women: a population-based study in China
Abstract
Zhiyi Li,1 Tao Xu,2 Zhaoai Li,3 Jian Gong,4 Qing Liu,5 Yulin Wang,6 Juntao Wang,7 Zhijun Xia,8 Lan Zhu1 1Department of Gynecology and Obstetrics, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, People’s Republic of China; 2Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences and School of Basic Medicine, Peking Union Medical College, Beijing, People’s Republic of China; 3Department of Gynecology and Obstetrics, Children’s Hospital of Shanxi Province, Shanxi, People’s Republic of China; 4Department of Gynecology and Obstetrics, Maternal and Child Health Hospital of Wuxi, Jiangsu, People’s Republic of China; 5Department of Gynecology and Obstetrics, Maternal and Child Health Hospital of Gansu Province, Lanzhou, People’s Republic of China; 6Department of Gynecology and Obstetrics, Maternal and Child Health Hospital of Foshan, Guangdong, People’s Republic of China; 7Department of Gynecology and Obstetrics, Maternal and Child Health Hospital of Guiyang, Guizhou, People’s Republic of China; 8Department of Gynecology and Obstetrics, Sheng Jing Hospital of China Medical University, Liaoning, People’s Republic of China Background: The aim of this study was to investigate the prevalence and risk factors of symptomatic pelvic organ prolapse in obese Chinese women.Subjects and methods: We performed a secondary analysis of 3,105 obese women from an observational cross-sectional study conducted between February 2014 and March 2016 in Mainland China. The obesity standard in our study was the Chinese standard (body mass index ≥28). All the subjects were asked to complete a questionnaire which included age, job, parity, and so on. Symptomatic pelvic organ prolapse (POP) was characterized as being symptomatic and at stage II or higher. Multivariable logistic regression was used to assess the factors associated with symptomatic POP.Results: The prevalence of symptomatic POP was 15.84% in obese Chinese women, and there was a consistent increasing trend in the prevalence of POP with increasing age, ranging from 4.78% in women between 20 and 29 years of age to 28.21% in women aged 70 years or older (P<0.0001). Multivariate analysis shows that the independent risk factors were age, chronic cough (>3 weeks), and gynecological abnormalities. In addition, multiparity was not associated with symptomatic POP in multivariable analysis.Conclusion: Symptomatic POP affects nearly 16% of obese women in People’s Republic of China. The prevalence of symptomatic POP increases significantly with age. Keywords: epidemiology, pelvic organ prolapse, prevalence, risk factors, obese, China
