Weight Loss to Treat Urinary Incontinence in Overweight and Obese Women

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

Effect: improvement; 47.4% decrease vs 28.1% decrease; CI: 95% CI -54.0 to -39.9 (intervention); 95% CI -40.9 to -12.6 (control)

The reduction in urinary incontinence from the weight-loss intervention was primarily attributable to stress incontinence, with the intervention group achieving a 57.6% decrease compared to 32.7% in c

Effect: improvement; 57.6% decrease vs 32.7% decrease

Weight loss did not significantly reduce urge incontinence episodes compared to control, despite a numerically larger decrease in the intervention group (42.4% vs 26.0%, P=0.14).

Effect: null; 42.4% decrease vs 26.0% decrease

Involuntary urine loss measured objectively by 24-hour pad weight decreased in both groups but the between-group difference was not statistically significant (P=0.23), and there was no significant cha

Effect: null; 45% decrease vs 34% decrease

Women in the weight-loss group perceived greater improvement in incontinence frequency, lower volume of urine loss, regarded incontinence as less of a problem, and reported higher treatment satisfacti

Effect: improvement; P<0.001 for all four satisfaction measures