title: Prevalence of symptomatic pelvic floor disorders in US women.
abstract: BACKGROUND
  Pelvic floor disorders (urinary incontinence, fecal incontinence, and pelvic organ prolapse) affect many women. No national prevalence estimates derived from the same population-based sample exists for multiple pelvic floor disorders in women in the United States.
  
  
  OBJECTIVE
  To provide national prevalence estimates of symptomatic pelvic floor disorders in US women.
  
  
  METHODS
  A cross-sectional analysis of 1961 nonpregnant women (>or=20 years) who participated in the 2005-2006 National Health and Nutrition Examination Survey, a nationally representative survey of the US noninstitutionalized population. Women were interviewed in their homes and then underwent standardized physical examinations in a mobile examination center. Urinary incontinence (score of >or=3 on a validated incontinence severity index, constituting moderate to severe leakage), fecal incontinence (at least monthly leakage of solid, liquid, or mucous stool), and pelvic organ prolapse (seeing/feeling a bulge in or outside the vagina) symptoms were assessed.
  
  
  METHODS
  Weighted prevalence estimates of urinary incontinence, fecal incontinence, and pelvic organ prolapse symptoms.
  
  
  RESULTS
  The weighted prevalence of at least 1 pelvic floor disorder was 23.7% (95% confidence interval [CI], 21.2%-26.2%), with 15.7% of women (95% CI, 13.2%-18.2%) experiencing urinary incontinence, 9.0% of women (95% CI, 7.3%-10.7%) experiencing fecal incontinence, and 2.9% of women (95% CI, 2.1%-3.7%) experiencing pelvic organ prolapse. The proportion of women reporting at least 1 disorder increased incrementally with age, ranging from 9.7% (95% CI, 7.8%-11.7%) in women between ages 20 and 39 years to 49.7% (95% CI, 40.3%-59.1%) in those aged 80 years or older (P < .001), and parity (12.8% [95% CI, 9.0%-16.6%], 18.4% [95% CI, 12.9%-23.9%], 24.6% [95% CI, 19.5%-29.8%], and 32.4% [95% CI, 27.8%-37.1%] for 0, 1, 2, and 3 or more deliveries, respectively; P < .001). Overweight and obese women were more likely to report at least 1 pelvic floor disorder than normal weight women (26.3% [95% CI, 21.7%-30.9%], 30.4% [95% CI, 25.8%-35.0%], and 15.1% [95% CI, 11.6%-18.7%], respectively; P < .001). We detected no differences in prevalence by racial/ethnic group.
  
  
  CONCLUSIONS
  Pelvic floor disorders affect a substantial proportion of women and increase with age.
authors.affiliation: Department of Obstetrics and Gynecology, University of Utah School of Medicine, 30 N 1900 E, Salt Lake City, UT 84132-2209, USA. ingrid.nygaard@hsc.utah.edu
authors.forename: Ingrid
authors.initials: I
authors.lastname: Nygaard
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Barber
authors.forename: Kathryn L
authors.initials: KL
authors.lastname: Burgio
authors.forename: Kimberly
authors.initials: K
authors.lastname: Kenton
authors.forename: Susan
authors.initials: S
authors.lastname: Meikle
authors.forename: Joseph
authors.initials: J
authors.lastname: Schaffer
authors.forename: Cathie
authors.initials: C
authors.lastname: Spino
authors.forename: William E
authors.initials: WE
authors.lastname: Whitehead
authors.forename: Jennifer
authors.initials: J
authors.lastname: Wu
authors.forename: Debra J
authors.initials: DJ
authors.lastname: Brody
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005242:Fecal Incontinence / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor; D020047:Rectocele / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D014549:Urinary Incontinence / Q000453:epidemiology*; D014596:Uterine Prolapse / Q000453:epidemiology*
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