Diabetes, Cardiovascular Risks, and Lipoproteins · Journal article
Scientific Reports · September 2, 2026
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In 139 women with obesity, age and current smoking showed multivariable-adjusted associations with storage symptom burden, whereas metabolic biomarkers (HOMA-IR, HDL cholesterol) did not remain independently associated after correction for multiple testing. The authors note these cross-sectional associations are non-causal and the primary outcome was measured using a study-specific scale that differs from validated instruments.
Cross-sectional observational study. Women with body mass index ≥ 30 kg/m² enrolled in a prospectively collected cohort who underwent anthropometric, biochemical, and structured urinary symptom assessment.. n = 139.
Age was associated with greater symptom burden (β = 1.81 per SD, 95% CI 0.47–3.15) Current smoking was associated with greater symptom burden (β = 3.60, 95% CI 0.33–6.88) Weak nominal correlations with HOMA-IR and HDL cholesterol did not remain significant after false-discovery-rate sensitivity adjustment
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These hypothesis-generating findings suggest age and smoking status may warrant urinary symptom assessment in women attending obesity clinics; however, the cross-sectional design, study-specific unvalidated outcome measure, and confidence intervals including zero limit clinical actionability until confirmed in prospective studies with validated instruments.
Small single-center cross-sectional study with a study-specific symptom measure (unvalidated modified scale) showing weak associations that do not survive multiple-testing correction; provides hypothesis-generating data but insufficient to guide clinical practice.
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These hypothesis-generating findings suggest age and smoking status may warrant urinary symptom assessment in women attending obesity clinics; however, the cross-sectional design, study-specific unvalidated outcome measure, and confidence intervals including zero limit clinical actionability until confirmed in prospective studies with validated instruments.
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Obesity frequently coexists with insulin resistance and lower urinary tract symptoms, but the independent contribution of metabolic abnormalities among women with obesity is uncertain. We analyzed prospectively collected cross-sectional data from 139 women with body mass index ≥ 30 kg/m 2 who underwent anthropometric, biochemical, and structured urinary symptom assessment. Storage symptom burden was measured using a locally modified six-item set based on the OAB-q Short Form symptom-bother domain; because wording and scoring differed from the validated instrument, the resulting 6–36 score was treated as study-specific. Internal consistency was high (Cronbach’s α = 0.907). Symptom burden showed weak nominal correlations with HOMA-IR and HDL cholesterol, but neither remained significant after false-discovery-rate sensitivity adjustment. After multivariable adjustment, age (β = 1.81 per SD, 95% CI 0.47–3.15) and current smoking (β = 3.60, 95% CI 0.33–6.88) were associated with greater symptom burden, whereas no individual metabolic marker was independently associated with the primary outcome. No prespecified predictor was independently associated with nocturia ≥ 2/night. Sensitivity analyses did not materially alter the metabolic conclusions. Age and smoking may therefore be useful prompts for urinary symptom assessment in obesity-clinic practice, although these cross-sectional associations are non-causal.
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