• Anne Bugge Thomsen
  • Cathrine Lydolf Clausen
4. term, Public Health, Master (Master Programme)
Background: Urinary incontinence is a common condition among both younger and older women. Overweight and obesity is one of several risk factors for urinary incontinence. Urinary incontinence is perceived taboo, and only 25% of the women who have the condition seek help. There are serious consequences for the individual and society due to the condition. Further, there is disagreement about the optimal treatment for these women. Despite the high prevalence and many consequences, it is not a problem in a particular focus of Public Health. It is important to follow up on the different types of treatment and to learn about effects and consequences, in order to develop and change interventions for this target group.

Aim: This thesis aims to further develop and transform a specific intervention for weight reduction for urinary incontinence women. The thesis bases on a weight-reducing intervention of Sund Info, Aalborg University Hospital. The aim is to measure the effects of the intervention at weight, urinary incontinence and quality of life, and investigate whether there are social factors affecting these effects. Further, the purpose based on this evaluation and evidence, is to develop and change interventions targeted overweight, urinary incontinence women.

Method: The method for this thesis is a methodological triangulation. It contains both empirical and theoretical elements as well as quantitative and qualitative methods. A review and a follow-up of patients from the weight-reducing intervention with elements of bioimpedance measures, questionnaires and qualitative interview, is carried out. In using retrospective medical records. A code process of the data analysis, and statistical measures are used. Further, it includes a theory section on the approach, the motivational interview, used in the weight-reducing intervention.

Results: The women from the weight-reducing intervention had an average weight loss of 2.8% and a decrease in urinary incontinence (ICIQ-UI SF score) at 7.2. There were significant decline in weight, BMI, fat% and urinary incontinence but no significant correlations between the change in weight, BMI and fat% and the change in urinary incontinence. There was whatever at tendency for consistency in women with mixed incontinence between change in fat% and change in urinary incontinence. It found no differences in social conditions between those who lost weight and reduced urinary incontinence and those who did not. Overall, the women expressed positive experiences of having participated in the intervention, and several had been improving quality of life by greater self-esteem, confidence and well-being.

Conclusion and recommendations: To develop and change the intervention this thesis recommends to develop the initiative by implementing other health care professions, extended opening hours, working with health centers in Region Nordjylland, replacement of weight, and an increased focus on the fact that women are different and need individual targeted guidance. General recommendations include an increased focus on the articulation of urinary incontinence complemented with for example campaigns, and an increased attention of decision-makers and health professionals.
Publication date1 Jun 2015
Number of pages137
External collaboratorSund Info, Aalborg Sygehus, Aarhus Universitetshospital
Mette Holst mette.holst@rn.dk
ID: 213222114