Metabolic syndrome in women with and without stress urinary incontinence.
INTRODUCTION
Metabolic syndrome (MS) is a disease of multifactorial etiology characterized by increased waist circumference, elevated triglyceride levels, decreased HDL cholesterol levels, high blood pressure and hyperglycemia. The objective of this study was to compare the frequency of MS in patients with and without stress urinary incontinence (SUI).


METHODS
The components of MS were evaluated in 85 women with SUI seen at the Urogynecology and Vaginal Surgery Sector of the Gynecology Department of Universidade Federal de São Paulo (UNIFESP-EPM) and in 108 women without SUI seen at the General Gynecology Clinic of the Gynecology Department of UNIFESP-EPM.


RESULTS
The MS diagnosis was more prevalent in patients with SUI, with the frequency according to the International Diabetes Federation criteria being 69.4% in the case group with SUI and 38% in the control group, whereas according to the National Cholesterol Education Program Adult Treatment Panel III recommendations, MS was frequent in 64.7% of the cases and 25% of the controls. Each MS component was evaluated, and the body mass index, weight and waist circumference were significantly higher in the case group (with SUI) compared with the control group (p < 0.001). The women in the case group showed an average HDL cholesterol value statistically lower and triglyceride and glycemia values statistically higher than the women in the control group (p < 0.001 and p = 0.005).


CONCLUSION
MS frequency was higher in patients with SUI, which shows a possible association between these two conditions.
['Ströher|Rejane Lis Menegaz|RLM|', 'Sartori|Marair Gracio Ferreira|MGF|', 'Takano|Claudia Cristina|CC|', 'de Araújo|Maita Poli|MP|', 'Girão|Manoel João Batista Castelo|MJBC|']
D000328:Adult D001794:Blood Pressure D015992:Body Mass Index D001835:Body Weight D016022:Case-Control Studies D008076:Cholesterol, HDL D005260:Female D006801:Humans D024821:Metabolic Syndrome D008875:Middle Aged D014280:Triglycerides D014550:Urinary Incontinence, Stress D055105:Waist Circumference
Metabolic syndrome Stress urinary incontinence Obesity