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Cited by 135Pelvic floor disorders treatmentsUterine Myomas and TreatmentsCancer Risks and Factors

The DOI matches its Crossref record; 53 of the 53 references it cites were found in a registry or an index.

Obesity and pelvic organ prolapse: a systematic review and meta-analysis of observational studies

Giri, Ayush, Hartmann, Katherine E., Hellwege, Jacklyn N., Velez Edwards, Digna R., Edwards, Todd L.·2017·American Journal of Obstetrics and Gynecology
DOI 10.1016/j.ajog.2017.01.039
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Abstract

Background Studies evaluating the association between obesity and pelvic organ prolapse report estimates that range from negative to positive associations. Heterogeneous definitions for pelvic organ prolapse and variable choices for categorizing obesity measures have made it challenging to conduct meta-analysis.Objective We systematically evaluated evidence to provide quantitative summaries of association between degrees of obesity and pelvic organ prolapse, and identify sources of heterogeneity.Study design We searched for all indexed publications relevant to pelvic organ prolapse up until June 18, 2015, in PubMed/MEDLINE to identify analytical observational studies published in English that reported risk ratios (relative risk, odds ratio, or hazard ratio) for body mass index categories in relation to pelvic organ prolapse. Random effects meta-analyses were conducted to report associations with pelvic organ prolapse for overweight and obese body mass index categories compared with women in the normal-weight category (referent: body mass index <25 kg/m 2).Results Of the 70 studies that reported evidence on obesity and pelvic organ prolapse, 22 eligible studies provided effect estimates for meta-analysis of the overweight and obese body mass index categories. Compared with the referent category, women in the overweight and obese categories had meta-analysis risk ratios of at least 1.36 (95% confidence interval, 1.20-1.53) and at least 1.47 (95% confidence interval, 1.35-1.59), respectively. Subgroup analyses showed effect estimates for objectively measured clinically significant pelvic organ prolapse were higher than for self-reported pelvic organ prolapse. Other potential sources of heterogeneity included proportion of postmenopausal women in study and reported study design.Conclusion Overweight and obese women are more likely to have pelvic organ prolapse compared with women with body mass index in the normal range. The finding that the associations for obesity measures were strongest for objectively measured, clinically significant pelvic organ prolapse further strengthens this evidence. However, prospective investigations evaluating obesity and pelvic organ prolapse are few.

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Metadata

Authors
Giri, A., Hartmann, K. E., Hellwege, J. N., Velez Edwards, D. R., & Edwards, T. L.
Affiliations
  • Vanderbilt University (US)
  • Vanderbilt University Medical Center (US)
Corresponding author
Edwards, Todd L.
ORCID
Venue
American Journal of Obstetrics and Gynecology
Publisher
Elsevier BV
Published
2017-07
Volume
217
Issue
1
Pages
11-26.e3
ISSN
0002-9378 (ISSN-L)
DOI
10.1016/j.ajog.2017.01.039
OpenAlex
W2586490005
Cited by
133
References
53
Citations by year
2026: 9 · 2025: 15 · 2024: 18 · 2023: 23 · 2022: 16 · 2021: 17 · 2020: 9 · 2019: 13 · 2018: 10 · 2017: 3
FWCI
1.54
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • American Journal of Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
  • Health Sciences › Medicine › Oncology › Cancer Risks and Factors
Keywords
obesity, pelvic organ prolapse, body mass index, overweight, women's health, postmenopausal women, risk factors
MeSH terms
Adult, Female, Humans, Middle Aged, Obesity, Risk Factors, Body Mass Index, MEDLINE, Postmenopause, Overweight, Pelvic Organ Prolapse

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