Overweight women with diabetes may be able to cut their risk of urine leakage if they shed some pounds, a new study suggests.
Extra pounds, especially in the belly, are considered a risk factor for urinary incontinence. And some studies have found that when overweight women drop even a modest amount of weight, they can curb their risk of incontinence.
Type 2 diabetes, which often goes hand-in-hand with obesity, is also a risk factor for incontinence, regardless of weight. So weight loss could be especially helpful for heavy women with diabetes, however studies hadn’t looked at the question until now.
In the new study, researchers found that overweight diabetic women who took up diet and exercise changes lost an average of 17 pounds over a year. And with the weight loss came a lower risk of developing incontinence.
Over a year, 10.5% of women in the diet-and-exercise group developed new problems with urine leakage. That compared with 14% of women who had not made lifestyle changes.
“Overweight and obese women with type 2 diabetes should consider weight loss as a way to reduce their risk of developing urinary incontinence,” said lead researcher Suzanne Phelan, of California Polytechnic State University.
The findings, reported in the Journal of Urology, are based on 2,739 middle-aged and older women who were part of a larger diabetes study.
For every two pounds a woman lost, the odds of developing incontinence dipped by three percent.
On the other hand, weight loss did not seem to help women who already had urine leakage problems at the study’s start. “We aren’t sure why weight loss appeared to impact prevention but not resolution of urinary incontinence,” Phelan said.
It’s possible, she said, that weight loss is more effective at preventing, rather than treating, urine leakage. Or there may simply have been too few women with existing urinary incontinence to detect an effect of weight loss, Phelan added.
It’s also unclear how to account for the drop in incontinence risk — it might be related to the exercise or the blood sugar reduction, for instance.
Urinary incontinence is very common among women – mainly because vaginal childbirth is a major risk factor.
One recent study of U.S. adults found that about 53% of women older over 20 yrs old said they’d had problems with urine leakage in the past year. That was up from less than 50% of women surveyed several years earlier. Researchers commented that the increase was partly explained by rising rates of diabetes and obesity.
SOURCE: Journal of Urology, online January 19, 2012.
TENA Lady is the country’s most popular range of incontinence products due to continued development which makes these great protects for people experiencing lighter incontinence. Specially designed for light to moderate incontinence and bladder weakness, these soft, comfortable towels offer fast and efficient absorbency so wearers feel protected at all times.
Product Features of the TENA Lady range include:
- Absorption Zone designed to quickly absorb liquid.
- Dry Fast Core to whisk away moisture so that you feel instantly dry.
- Fresh Odour Control™ that neutralizes odours to keep you fresh and confident throughout your day.
- Silky soft surface against the skin for an improved feeling of comfort.
- Body shaped to fit the body perfectly.
The TENA Comfort Mini range also offers similar products but in higher pack counts.
The full range of TENA Lady and TENA Comfort Mini products offered by Allanda can be found here on our website.
Our full range of TENA Lady products are Lights by TENA Liners, Mini, Normal, Extra, Extra Plus, MAXI Night and Super absorbencies. In addition we also offer TENA Comfort Mini in Comfort Mini Plus, Comfort Mini Extra or Comfort Mini Super absorbencies
We now offer not just disposable incontinence products in bariatric sizes, but also Washable incontinence products in bariatric sizes as well.
All these are made in the U.K from 100% cotton and are designed to look and feel like normal underwear. All are machine washable as well and available in a wide range of sizes.
As with all washable incontinence products, these items are only suitable for urinary incontinence and not for faecal incontinence.
The new bariatric sizes for washable incontinence pants are 3XL (50-52″/127-134cm), 4XL (54-56″/137-143cm) and 5XL (56-58″/148-153cm). Our full range of size for washable incontinence pants are:
|X Small||28″ – 30″||71cm – 76cm|
|Small||30″ – 32″||76cm – 81cm|
|Medium||34″ – 36″||86cm – 91cm|
|Large||38″ – 40″||96cm – 102cm|
|Extra Large||42″ – 44″||107cm – 112cm|
|XX Large||46″ – 48″||117cm – 122cm|
|3XL||50″ – 52″||127cm – 134cm|
|4XL||54″ – 56″||137cm – 143cm|
|5XL||56″ – 58″||148cm – 153cm|
Convenient and hygienic, the bags are impregnated with a delicate floral fragrance that effectively masks any unpleasant odours and have a subtle lilac colouring to disguise the contents. Tie close handles ensure Pop-Ins™ are securely closed after use and the attractive dispensing pack, containing 50 bags, is suitable for use in the bathroom, bedroom or when travelling.
• Convenient and hygienic disposal of incontinence pads and pants
• Delicate fragrance to mask any unpleasant odours
• Easy-tie handles to retain contents securely
• Discreet, compact and attractive, value for money pack
• Bag size – 16 x 17cm approx, excluding handles
After the earlier article regarding which Incontinence Pants to use, we have had a number of enquiries regarding the fitting of these products.
Unlike All in One Incontinence pads they are simple to fit and pull up just like normal underwear.
After yesterday’s post, someone enquired as to what Incontinence Pants we offered. For the terms of this article we are talking about disposable incontinence pants or “pull up underwear” as they are often referred to, rather than washable incontinence pants.
Tena Pants come in a wide variety of absorptions, from Tena Pants Discreet for light stress incontinence, through Tena Pants Normal and Tena Pants Plus to Tena Pants Super for heavier conditions, especially urge incontinence. Tena Pants Super is also good for helping to contain faecal conditions such as irritable bowel syndrome (IBS) though as with all incontinence products they won’t absorb faecal matter and will need to be changed once any incident occurs. Lil Incontinence Pants come in Extra, Super and Maxi absorbencies. Again the Maxi absorbency is also suitable for managing faecal conditions.
One advantage of the Lille Incontinence Pants is that all three absorptions are available in an Extra Large Size. However the downside is that only the Maxi absorbancy is available in a Small size in the Lil range.
On the other hand both the Tena Pants Plus and Super ranges offer a small size. The Tena Pants Plus range offers not just Small, Medium and Large sizes but also an Extra Large and an Extra Small size. The Extra Small size is ideal for teenagers and small children who benefit from using pull-up’s rather than more traditional all in one style products.
All our incontinence pant products are unisex and are designed to be worn by both Men and Women.
One question we often receive from customers suprised by our large range of incontinence products is “How do I find the right product?”
Unfortunately it’s very difficult to find the right product first time and often there is a level of trial and error, (which is why we offer our range of sample packs which enable customers to try a wide variety of products), and the general rule is to start with the least absorbent product, and increase absorbency used if you experience leaks.
However for Incontinence pants we have a slightly different recommendation. As the lightest Incontinence Pants (TENA Pants Discreet) are designed for lighter conditions, then they may not be suitable for many customers. Therefore with Incontinence Pants we recommend starting in the middle of the range (e.g. TENA Pants Plus or Lille Pants Extra). If the wearer finds they are still experiencing leaks then they should try the next absorbency level, Super or even Maxi.
As these items can be quite bulky, then if the starting product is more than adequate then the wearer may well want to try the lighter products such as TENA Pants Discreet, as these offer large benefits in terms of discretion, albeit at the expense of absorption, but this trade off is felt to be worth it for many wearers.
Following last week’s post re our You Tube channel for Incontinence Videos, we’ ve received a large number of emails asking if this also covers Tena Pants.
The good news is that it does and there is a video specifically for Tena Pants which can be viewed here. This covers the features and benefits of Tena Pants Discreet, Tena Pants Plus and Tena Pants Super.
Urinary incontinence is a very common problem that affects both men and women. Estimates suggest that more than 50 million people in the developed world are affected by urinary incontinence, although the true figure is difficult to determine as many people are reluctant to discuss their condition, even with their GP.
Severe cases of incontinence are sometimes treated with medication or surgery, but many people find that their condition improves with conservative treatment, including lifestyle changes, pelvic floor muscle exercises and bladder training. Here, we take a look at these conservative approaches, which can often greatly reduce or even remove the need for incontinence supplies.
There are several lifestyle changes that people can try to reduce the symptoms of incontinence, regardless of whether they suffer from urge incontinence – when leakage occurs when the person feels an intense urge to urinate – or stress incontinence, in which the pelvic floor muscles are too weak to prevent urination when the person coughs, laughs or sneezes.
One of the most common pieces of advice given to people with urinary incontinence is to reduce their intake of caffeine. The chemical increases the amount of urine produced by the body, thereby upping the frequency of visits to the toilet, and may also irritate the bladder. Alcohol consumption should also be reduced, as it stimulates the kidneys to produce more urine.
People with incontinence often assume that they should reduce their intake of water, but this can actually have a negative effect. Drinking too little fluid can affect the lower urinary tract and between six and eight glasses per day are recommended for sufferers.
Weight management may also be a useful approach. This can usually be achieved by eating a healthy, balanced diet with plenty of fruit and vegetables, and avoiding sugary, high-fat foods. In addition, regular exercise can help people to lose excess weight and low-impact activities, such as swimming and yoga, may be particularly beneficial for those with stress urinary incontinence.
Pelvic floor muscle exercises
One of the most effective ways to reduce urinary incontinence is to strengthen the pelvic floor muscles, as weak or damaged muscles can cause leakage. The pelvic floor muscles surround the bladder and urethra and are used to control the flow of urine. Exercises can be useful for both stress and urge incontinence and can easily be performed at home.
In order to do the exercises, you should sit, stand or lie down with your legs slightly apart. The muscles can be located by imagining you are attempting to stop the flow of urine. Once you have identified the correct muscles, slowly tighten them as hard as possible and hold this squeeze for up to ten seconds before relaxing. This should be repeated approximately ten times, and the set of exercises should be performed three times a day. Results will not be seen immediately as it takes time to strengthen the muscles, but benefits should be noticeable within a few weeks.
People with incontinence are also usually advised to try bladder training, which aims to increase the amount of time between the initial urge to urinate and the actual passing of urine. A bladder training programme can also help to increase the amount of urine that can be held by the bladder and improve control over the need to urinate.
Bladder training is often combined with pelvic floor muscle exercises. In addition, patients are usually taught to delay urination when they feel the urge, starting with a five-minute wait and increasing the length of time by concentrating on breathing and relaxation techniques until the urge passes. Another method of bladder training is to set a schedule of visits to the bathroom, so that the patient uses the toilet at set times, regardless of whether or not they actually feel the urge to urinate.
Self-help techniques can be effective at easing urinary incontinence, but it can often be several weeks before the benefits become apparent. In the meantime, people can choose from a range of incontinence products to help manage their condition and reduce the risk of embarrassing leaks. Both disposable and washable incontinence pads and pants are available, while people with night-time incontinence may want to consider bed protection products, such as washable bed pads or a mattress cover.
A procedure that uses mesh tape to relieve stress urinary incontinence is more likely to be effective in premenopausal women than those who have been through the menopause, a study has found.
Stress incontinence is one of the most common types of urinary incontinence, which affects about 13 per cent of women to some extent.
It occurs when the pelvic floor muscles become too weak to prevent the leakage of urine, particularly when the bladder comes under pressure during coughing, sneezing, laughing or heavy lifting, and is common in women who have previously given birth.
Midurethral synthetic slings, such as the transobturator tape, have become the most commonly performed procedure for women with stress incontinence, according to background material in the article, which is published in the Korean Journal of Urology.
However, little is known about the relative effectiveness of the minimally invasive procedure in premenopausal women compared with postmenopausal patients.
To shed light on the issue, scientists at the Baskent University School of Medicine in Ankara, Turkey, studied 45 premenopausal women (average age 44) and a further 49 volunteers (average age 60) who had already been through the menopause.
All of the participants received treatment for stress incontinence between 2004 and 2010.
The researchers found that average operation times and hospital stays varied little between the two groups of patients.
Similarly, there was no significant difference in the rate of complications between pre- and postmenopausal women.
However, when asked about the extent to which they were satisfied with their operation’s outcome, premenopausal women tended to report higher levels of satisfaction than their older counterparts.
The study authors concluded: “The transobturator tape operation appeared to be more effective in premenopausal women with stress urinary incontinence.
“However, further studies with larger sample sizes are needed to confirm our results.”