Evidence map›Paper›PMID 41874631›Full record

ArticleInternational urogynecology journal2026

Body Composition Modulates Risk for Stress Urinary Incontinence in Women < 60.

Dylan T Wolff, Joni K Evans, Joseph Rigdon, Nicos Prokopiou, Maxwell Sandberg, Rahul Dutta, Amr El Haraki

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Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dylan T WolffDepartment of Urology, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA. Dylantwolff@gmail.com.ORCID http://orcid.org/0000-0003-4897-9732
Joni K EvansDepartment of Biostatistics, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
Joseph RigdonDepartment of Biostatistics, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
Nicos ProkopiouDepartment of Urology, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
Maxwell SandbergDepartment of Urology, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
Rahul DuttaDepartment of Urogynecology and Reconstructive Pelvic Surgery, University of Tennessee College of Medicine Chattanooga, Chattanooga, TN, USA.
Amr El HarakiDepartment of Urology, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisStress urinary incontinence (SUI) is prevalent among obese women. We hypothesize that body composition modulates the risk of SUI among nonobese women.

methodsThe National Health and Nutrition Examination survey, a nationally representative examination of adults in the United States, was used to test correlates for the presence of SUI in women aged 20-59 in two cohorts: (1) nonobese and (2) obese. Demographic data, medical comorbidities, body composition (measured by dual energy X-ray absorptiometry [DXA]), laboratory values, and macronutrient intake (24-h dietary diary; per kg lean body mass) were compared between participants with and without SUI. Data were compared using the SurveyLogistic procedure to include NHANES sample weighting for univariate and multivariate logistic regression.

resultsWe analyzed 6,276 women, 19.3% with SUI. Our univariate analysis identified that in nonobese women, increasing total body fat mass, truncal and visceral fat, and decreasing subcutaneous fat proportion were associated with risk of SUI, as were increasing total cholesterol, triglycerides, and Hgb A1c. Multivariable analysis identified that the most significant correlates in both cohorts were higher BMI, increasing age, smoking history, and increasing vaginal parity. Additionally, on multivariable analysis of the nonobese cohort, increased saturated fat intake and increased total moderate or vigorous physical activity were significant. In comparison, the obese cohort was also found to have a significant increased correlation with increased caloric intake and increased serum triglyceride levels.

conclusionsIncreased visceral fat distribution and cardiovascular risk factors modulate the risk for SUI in both obese and nonobese women.

Indexed as

Body CompositionObesityUrinary Incontinence, StressAdultBody Mass IndexFemaleHumansMiddle AgedNutrition SurveysRisk FactorsUnited StatesYoung AdultNHANESObesityPopulation studyStress incontinenceUrinary incontinence

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.