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Pelvic organ prolapse and Japanese lifestyle: prevalence and risk factors in Japan
Introduction and hypothesis Little is known about the prevalence of pelvic organ prolapse (POP). We aimed to evaluate the prevalence of POP and identify its risk factors in Japan. Methods This was a single-centre, cross-sectional study. We recruited Japanese women seen for a Pap smear from July 2018...
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Published in: | International Urogynecology Journal 2022-01, Vol.33 (1), p.47-51 |
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Main Authors: | , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Introduction and hypothesis
Little is known about the prevalence of pelvic organ prolapse (POP). We aimed to evaluate the prevalence of POP and identify its risk factors in Japan.
Methods
This was a single-centre, cross-sectional study. We recruited Japanese women seen for a Pap smear from July 2018 through May 2019. After providing their informed consent, subjects were asked to complete questionnaires. Pelvic organ support was assessed using the POP quantification (POP-Q) system by an examiner. Logistic regression analyses were conducted to identify risk factors for POP.
Results
There were 1032 women aged 21 to 84 years. The distribution of POP-Q stage was stage 0, 38.0%; stage I, 45.0%; stage II, 16.4%; stage III, 0.6%; and stage IV, 0%. Rates (95% confidence interval [CI]) of stage II or greater in each age group were 6.6% (2.4–10.8) in 20 s–30 s; 17.6% (13.3–21.9) in 40 s; 17.1% (12.9–21.3) in 50 s; 18.0% (12.6–23.4) in 60 s; and 28.7% (19.6–37.9) in 70 s and over. Multivariate analysis revealed the following risk factors for POP, with odds ratio (95% CI): body mass index [BMI] ≥ 25 kg/m
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, 1.63 (1.05–2.51); BMI |
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ISSN: | 0937-3462 1433-3023 |
DOI: | 10.1007/s00192-021-04672-7 |