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Evidence-Based Medicine 2009;14:118; doi:10.1136/ebm.14.4.118
Copyright © 2009 by the BMJ Publishing Group Ltd.

THERAPEUTICS

A behavioural weight-loss programme was better than an education programme for urinary incontinence in overweight and obese women

The first 150 words of the full text of this article appear below.


STUDY DESIGN

Design:

randomised controlled trial (Program to Reduce Incontinence by Diet and Exercise [PRIDE]). ClinicalTrials.gov NCT00091988 [ClinicalTrials.gov] .

Allocation:

{concealed}*.{dagger}

Blinding:

blinded (outcome assessors).{dagger}


STUDY QUESTION

Setting:

Providence, Rhode Island, and Birmingham, Alabama, USA.

Patients:

338 women >=30 years of age who had a body mass index (BMI) of 25–50 and >=10 urinary incontinence episodes/week, monitored food intake and physical activity for 1 week, and could walk unassisted for 2 blocks without stopping. Exclusion criteria included medical therapy for incontinence or weight loss in the past month, current urinary tract infection or >=4 in the past year, neurological or functional incontinence, urethral or incontinence surgery, major medical or genitourinary tract conditions, pregnancy or childbirth in the past 6 months, uncontrolled hypertension, and increased risk of hypoglycaemia from diabetes treatment.

Intervention:

6-month (1 h/wk) weight-loss programme (n = 226) or 4-month (1 h/mo) education programme (n = 112). The weight-loss programme provided a reduced-calorie diet, meal plans, and vouchers for meal-replacement . . . [Full text of this article]

Lawrence J Cheskin, Arthur L Burnett

Johns Hopkins Bloomberg School of Public Health and Johns Hopkins University School of Medicine Baltimore, Maryland, USA


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