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Finding improvement
After 6 months, an intensive behavioral weight-loss program producing 8% body weight loss resulted in a 47% decrease in total weekly incontinence episodes compared to 28% in the control group, with a significantly higher proportion achieving a clinically meaningful 70% or greater reduction.
Effect size47.4% decrease vs 28.1% decrease
CI95% CI -54.0 to -39.9 (intervention); 95% CI -40.9 to -12.6 (control)
Follow-up6 months
ComparatorStructured education program (4 group sessions on diet/exercise information, no active weight-loss intervention)
Effect summaryimprovement; 47.4% decrease vs 28.1% decrease; CI: 95% CI -54.0 to -39.9 (intervention); 95% CI -40.9 to -12.6 (control)
Effect modifiers[{"modifier": "Type of incontinence (stress vs urge vs mixed)", "interaction_p": "P=0.75", "direction": "null", "stratum_details": "Treatment effect on total incontinence similar across baseline subgroups of stress/stress-predominant, urge/urge-predominant, or mixed incontinence", "plain_language": "The weight-loss benefit was similar whether you mainly have stress leaks, urge leaks, or a mix of both", "annotation_notes": "Test for heterogeneity P=0.75. No differential treatment effect by incontinence subtype."}]

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Source

PMC2877497
Weight Loss to Treat Urinary Incontinence in Overweight and Obese Women
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