Prevalence of Symptomatic Pelvic Floor Disorders in US Women

Prevalence of Symptomatic Pelvic Floor Disorders in US Women

2008 September 17 | Ingrid Nygaard, MD, MS; Matthew D. Barber, MD, MHS; and others
A study published in JAMA (2008) analyzed the prevalence of symptomatic pelvic floor disorders in nonpregnant US women aged 20 years or older. Using data from the 2005–2006 National Health and Nutrition Examination Survey (NHANES), the study found that 23.7% of women had at least one pelvic floor disorder, with 15.7% experiencing urinary incontinence, 9.0% experiencing fecal incontinence, and 2.9% experiencing pelvic organ prolapse. The prevalence of these disorders increased with age, reaching 49.7% in women aged 80 years or older. Overweight and obese women were more likely to report these disorders than normal weight women. The study also found that parity (number of deliveries) was significantly associated with the prevalence of pelvic floor disorders, with higher rates observed in women with more deliveries. The study concluded that pelvic floor disorders affect a substantial proportion of women and increase with age. The findings highlight the need for further research to understand the burden of these disorders on the healthcare system and to develop effective prevention and treatment strategies. The study also noted that prevalence estimates may be underestimates due to limitations in symptom-based diagnosis and the use of conservative definitions. The results emphasize the importance of addressing pelvic floor disorders in older women, as the population of older women is expected to grow significantly in the coming decades.A study published in JAMA (2008) analyzed the prevalence of symptomatic pelvic floor disorders in nonpregnant US women aged 20 years or older. Using data from the 2005–2006 National Health and Nutrition Examination Survey (NHANES), the study found that 23.7% of women had at least one pelvic floor disorder, with 15.7% experiencing urinary incontinence, 9.0% experiencing fecal incontinence, and 2.9% experiencing pelvic organ prolapse. The prevalence of these disorders increased with age, reaching 49.7% in women aged 80 years or older. Overweight and obese women were more likely to report these disorders than normal weight women. The study also found that parity (number of deliveries) was significantly associated with the prevalence of pelvic floor disorders, with higher rates observed in women with more deliveries. The study concluded that pelvic floor disorders affect a substantial proportion of women and increase with age. The findings highlight the need for further research to understand the burden of these disorders on the healthcare system and to develop effective prevention and treatment strategies. The study also noted that prevalence estimates may be underestimates due to limitations in symptom-based diagnosis and the use of conservative definitions. The results emphasize the importance of addressing pelvic floor disorders in older women, as the population of older women is expected to grow significantly in the coming decades.
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