Impact of body mass index on the efficacy of treatment modalities in women with refractory overactive bladder

Abstract Overactive bladder (OAB) is a prevalent condition that substantially impairs quality of life. Obesity and overweight status are recognized as significant risk factors for OAB, but their influence on treatment efficacy is not well understood. This cross-sectional study was conducted from Jan...

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Main Authors: Po-En Liu, Jiun-Chyi Hwang, Tsung-Hsien Su, Hui-Hsuan Lau
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-024-81795-z
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author Po-En Liu
Jiun-Chyi Hwang
Tsung-Hsien Su
Hui-Hsuan Lau
author_facet Po-En Liu
Jiun-Chyi Hwang
Tsung-Hsien Su
Hui-Hsuan Lau
author_sort Po-En Liu
collection DOAJ
description Abstract Overactive bladder (OAB) is a prevalent condition that substantially impairs quality of life. Obesity and overweight status are recognized as significant risk factors for OAB, but their influence on treatment efficacy is not well understood. This cross-sectional study was conducted from January 2023 to October 2024 at a tertiary care hospital. Women diagnosed with refractory OAB were classified into normal weight, overweight, and obese groups according to their body mass index (BMI). Treatment options included combination pharmaceutical therapy and Botulinum toxin injections. Outcomes were assessed using the Overactive Bladder Symptom Score (OABSS) and quality of life questionnaires, administered before and 12 weeks after treatment. A total of 197 women were included in the study. Normal weight women demonstrated significant improvements in OAB symptoms and quality of life following both combination therapy and Botulinum toxin injection. Conversely, overweight and obese women showed limited improvement with pharmaceutical therapy but responded better to Botulinum toxin injections. The findings suggest that Botulinum toxin injection may be a more effective treatment modality for overweight or obese women with refractory OAB compared to pharmaceutical therapy. Normal weight women might benefit from initiating treatment with combination medication therapy.
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spelling doaj-art-470e6da65651489cbf5400a2e0ee2dc82024-12-08T12:27:17ZengNature PortfolioScientific Reports2045-23222024-12-011411710.1038/s41598-024-81795-zImpact of body mass index on the efficacy of treatment modalities in women with refractory overactive bladderPo-En Liu0Jiun-Chyi Hwang1Tsung-Hsien Su2Hui-Hsuan Lau3Evergreen Clinic Nei-HuMackay Medical CollegeMackay Medical CollegeMackay Medical CollegeAbstract Overactive bladder (OAB) is a prevalent condition that substantially impairs quality of life. Obesity and overweight status are recognized as significant risk factors for OAB, but their influence on treatment efficacy is not well understood. This cross-sectional study was conducted from January 2023 to October 2024 at a tertiary care hospital. Women diagnosed with refractory OAB were classified into normal weight, overweight, and obese groups according to their body mass index (BMI). Treatment options included combination pharmaceutical therapy and Botulinum toxin injections. Outcomes were assessed using the Overactive Bladder Symptom Score (OABSS) and quality of life questionnaires, administered before and 12 weeks after treatment. A total of 197 women were included in the study. Normal weight women demonstrated significant improvements in OAB symptoms and quality of life following both combination therapy and Botulinum toxin injection. Conversely, overweight and obese women showed limited improvement with pharmaceutical therapy but responded better to Botulinum toxin injections. The findings suggest that Botulinum toxin injection may be a more effective treatment modality for overweight or obese women with refractory OAB compared to pharmaceutical therapy. Normal weight women might benefit from initiating treatment with combination medication therapy.https://doi.org/10.1038/s41598-024-81795-zBody mass indexOverweightObesityOveractive bladderQuality of life
spellingShingle Po-En Liu
Jiun-Chyi Hwang
Tsung-Hsien Su
Hui-Hsuan Lau
Impact of body mass index on the efficacy of treatment modalities in women with refractory overactive bladder
Scientific Reports
Body mass index
Overweight
Obesity
Overactive bladder
Quality of life
title Impact of body mass index on the efficacy of treatment modalities in women with refractory overactive bladder
title_full Impact of body mass index on the efficacy of treatment modalities in women with refractory overactive bladder
title_fullStr Impact of body mass index on the efficacy of treatment modalities in women with refractory overactive bladder
title_full_unstemmed Impact of body mass index on the efficacy of treatment modalities in women with refractory overactive bladder
title_short Impact of body mass index on the efficacy of treatment modalities in women with refractory overactive bladder
title_sort impact of body mass index on the efficacy of treatment modalities in women with refractory overactive bladder
topic Body mass index
Overweight
Obesity
Overactive bladder
Quality of life
url https://doi.org/10.1038/s41598-024-81795-z
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