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Bladder Control following Weight loss in women with Prediabetes

ur findings reinforce the DPP’s good news about the benefits of modest weight loss. A 200-pound woman who loses 10 to 15 pounds not only lowers the risk of developing type 2 diabetes but also improves bladder control. If you’re a woman at risk for type 2 diabetes, preventing or delaying diabetes and improving bladder control are powerful reasons to make these lifestyle changes.”

Stress incontinence— leakage of small amounts of urine during physical movement, such as coughing, sneezing, and exercising was also effectively reduced through weight loss. Stress incontinence mostly results from a weakening of the pelvic floor muscles that support the bladder.

However, in the DPP participant loss of weight did not alleviate urge incontinence — leakage of urine at unexpected times. This is because urge incontinence is more closely linked to overactive nerves that control the bladder, causing occasional triggering of inappropriate contractions.

It has been estimated that more than 13 million people in the United States, mostly middle-aged and older women, experience loss of bladder control. Overweight women and those with type 2 diabetes have a 50- to 70-percent increased risk of incontinence. In the National Health and Nutrition Examination Survey 2001-2002 sample, one out of three women with diabetes or prediabetic glucose levels reported weekly or more frequent episodes of UI.

Leroy Nyberg, M.D., Ph.D., of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), which funded the study said, “Urinary incontinence is a costly, socially isolating condition that impairs quality of life and takes a psychological toll on many women. For women at risk for type 2 diabetes, losing a modest amount of weight is likely to alleviate incontinence, especially stress incontinence.”

About 40 percent of U.S. adults ages 40 to 74 — 41 million people — have prediabetes, which raises the risk of developing type 2 dia
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