title: Association between metabolic syndrome and pelvic floor dysfunction in middle-aged to older Korean women.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the association of metabolic syndrome (MS) with female pelvic floor dysfunction in middle-aged to older Korean women.
  
  
  METHODS
  A prospective cross-sectional study was performed that included a total of 984 Korean women (≥ 40 years old) who visited a comprehensive medical screening clinic. Pelvic floor dysfunction was assessed by the Pelvic Floor Distress Inventory-20 (PFDI-20); higher scores indicated a greater symptom burden.
  
  
  RESULTS
  The adjusted mean score on the PFDI-20, and especially the Urinary Distress Inventory-6 subscale, was significantly higher in subjects with MS than those without MS. Furthermore, the PFDI-20 and all 3 subscales were significantly increased in correlation with the number of MS components that were present (P < .05). In the multivariable analysis, MS was associated significantly with PFDI-20 (P = .002) and the 3 subscores (P < .05).
  
  
  CONCLUSIONS
  MS was significantly associated with the pelvic floor dysfunction among middle- to old-aged Korean women. Physicians should pay more attention to the pelvic floor symptoms for the patients with MS.
authors.affiliation: Department of Obstetrics and Gynecology, and Medical Research Institute, School of Medicine, Ewha Womans University, Seoul, Republic of Korea.
authors.forename: Yun Hwan
authors.initials: YH
authors.lastname: Kim
authors.forename: Jin Ju
authors.initials: JJ
authors.lastname: Kim
authors.forename: Sun Mie
authors.initials: SM
authors.lastname: Kim
authors.forename: Yunhee
authors.initials: Y
authors.lastname: Choi
authors.forename: Myung Jae
authors.initials: MJ
authors.lastname: Jeon
mesh_terms: D000328:Adult; D044466:Asian People / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D024821:Metabolic Syndrome / Q000453:epidemiology*; D008875:Middle Aged; D059952:Pelvic Floor Disorders / Q000453:epidemiology*; D011446:Prospective Studies; D056910:Republic of Korea / Q000453:epidemiology