Association of Overactive Bladder Symptoms with Basal Metabolic Index: Physiological Traits as a Treatment Option

Abstract

Background: An overactive bladder is characterized by a persistent urge to urinate, leading to spontaneous urination. Treatment of overactive bladder with mild to moderate exercises and lifestyle changes has been recommended. This study aimed to understand the association of the Basal Metabolic Index with overactive bladder symptoms and the effect of exercise on Over Active Bladder (OAB) in young females.

Methods: This is a prospective cohort study, Overactive Bladder Symptom Score (OABSS) was used to determine OAB symptoms, 8-14 times a day whereas and participants with positive results for overactive bladder symptoms were counselled for lifestyle changes such as water intake timings, and pelvic floor muscle exercise. After 3 months of 4 times, a week exercises and lifestyle modifications, the OABSS questionnaire was filled again. Paired sample t-test and chi-square test were used to analyze the significance of the data.

Results: A total of 380 participants were included in the study (mean age 23.7±3.9 years). According to age they were divided into 2 categories of 20-25 years and 25-30 years. The most-reported urinary symptom was increased frequency in 172 participants it was 8-14 times a day whereas, in 45 respondents results indicated frequency of more than 15 times a day. After 3 months OABSS presented significant improvement in symptoms. Furthermore, 288 (60%) participants were cured and 92 (24%) indicated improved results.

Conclusion: Moderate to severe symptoms of overactive bladder reported 32% occurrence among females of age groups between 20 to 30 years. This is indicating BMI is an independent risk factor and considers exercise as the first best treatment option for young patients.

Keywords: Overactive Bladder; BMI; Pelvic Floor Muscles; Exercise; Treatment.