The role of obesity on urinary incontinence and anal incontinence in women: a review
Abstract
Obesity prevalence is increasing worldwide, with significant healthcare implications. We searched PubMed/MEDLINE, Embase and the Cochrane Library for articles registered until June 2020 to explore the relationship between obesity and urinary (UI) and anal incontinence (AI). Obesity is associated with low‐grade, systemic inflammation and proinflammatory cytokine release, producing reactive oxygen species and oxidative stress. This alters collagen metabolism and, in combination with increased intra‐abdominal pressure, contributes to the development of UI. Whereas in AI, stool consistency may be a factor. Weight loss can reduce UI and should be a management focus; however, the effect of weight loss on AI is less clear.
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Urinary incontinence is common in women with obesity and develops due to high intra-abdominal pressure combined with pelvic floor dysfunction.
“Urinary incontinence is common in women with obesity and develops due to high intra-abdominal pressure combined with pelvic floor dysfunction.127”
From Definition and diagnostic criteria of clinical obesity (2025) · cites this paper as [127]
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Definition and diagnostic criteria of clinical obesity
Rubino, F., Cummings, D. E., Eckel, R. H., Cohen, R. V., Wilding, J. P. H., Brown, W. A., Stanford, F. C., Batterham, R. L., Farooqi, I. S., Farpour-Lambert, N. J., et al. (2025) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(24)00316-4 · Cited by 1,811 · see citing works
- Authors
- Doumouchtsis, S., Loganathan, J., & Pergialiotis, V
- Affiliations
- Department of Obstetrics and Gynaecology Epsom and Saint Helier University Hospitals NHS Trust London UK
- St Helier Hospital (GB)
- National and Kapodistrian University of Athens (GR)
- Corresponding author
- Loganathan, J
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 2021-09-14
- Volume
- 129
- Issue
- 1
- Pages
- 162-170
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- 1471-0528
- OpenAlex
- W3186725459
- Cited by
- 79
- References
- 0
- Citations by year
- 2026: 13 · 2025: 22 · 2024: 25 · 2023: 13 · 2022: 6
- FWCI
- 1.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Keywords
- obesity, urinary incontinence, anal incontinence, women, systemic inflammation, inflammatory cytokines, oxidative stress, collagen metabolism, intra-abdominal pressure, stool consistency, weight loss
- MeSH terms
- Fecal Incontinence, Female, Humans, Obesity, Urinary Incontinence, Weight Loss, Prevalence
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