Exploring the relationship between appendicular skeletal muscle index and urge urinary incontinence risk in adult women: a cross-sectional analysis of the National Health and Nutrition Examination Survey

ObjectiveThis study aimed to investigate the relationship between the appendicular skeletal muscle index (ASMI) and Urge urinary incontinence (UUI) in a large cohort of adult women.MethodsThis study utilized data from the National Health and Nutrition Examination Survey during the periods of 2001–20...

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Main Authors: Jinyu Liu, Kangqiang Weng, Guowei Lin, Huaiding Tang, Jianbing Xie, Lixian Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1606089/full
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author Jinyu Liu
Kangqiang Weng
Guowei Lin
Huaiding Tang
Jianbing Xie
Lixian Li
author_facet Jinyu Liu
Kangqiang Weng
Guowei Lin
Huaiding Tang
Jianbing Xie
Lixian Li
author_sort Jinyu Liu
collection DOAJ
description ObjectiveThis study aimed to investigate the relationship between the appendicular skeletal muscle index (ASMI) and Urge urinary incontinence (UUI) in a large cohort of adult women.MethodsThis study utilized data from the National Health and Nutrition Examination Survey during the periods of 2001–2006 and 2011–2018. ASMI was identified as the exposure factor. UUI was the outcome variable. We first compared the baseline characteristics of individuals with and without UUI. The effect of ASMI on UUI was assessed using weighted multivariate logistic regression models. Additionally, the relationship between the two was illustrated using restricted cubic splines.ResultsA total of 19,009 women aged 20 and above participated in this study, with 5,960 diagnosed with UUI and 13,049 not affected. The results of the adjusted multivariate logistic regression analysis showed a significant inverse relationship between ASMI and the probability of UUI. Specifically, with every one-unit rise in ASMI, the likelihood of UUI diminished by 69% in the fully adjusted model (OR = 0.31; 95% CI: 0.12–0.82; p = 0.02). Furthermore, participants falling within the highest ASMI quartile showed a 28% reduction in UUI risk relative to those in the lowest quartile (OR = 0.72; 95% CI: 0.55–0.94; p = 0.02). A restricted cubic spline analysis demonstrated a nonlinear relationship between ASMI and UUI (p for nonlinearity = 0.02). Subgroup analyses suggested that various demographic and health factors did not significantly alter this association.ConclusionThe ASMI was significantly negatively correlated with the risk of UUI, suggesting that an increase in ASMI may have been associated with a lower risk of UUI.
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spelling doaj-art-762f7825e8c848c3ad62d302f4423b8f2025-08-20T03:31:06ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-06-011210.3389/fnut.2025.16060891606089Exploring the relationship between appendicular skeletal muscle index and urge urinary incontinence risk in adult women: a cross-sectional analysis of the National Health and Nutrition Examination SurveyJinyu LiuKangqiang WengGuowei LinHuaiding TangJianbing XieLixian LiObjectiveThis study aimed to investigate the relationship between the appendicular skeletal muscle index (ASMI) and Urge urinary incontinence (UUI) in a large cohort of adult women.MethodsThis study utilized data from the National Health and Nutrition Examination Survey during the periods of 2001–2006 and 2011–2018. ASMI was identified as the exposure factor. UUI was the outcome variable. We first compared the baseline characteristics of individuals with and without UUI. The effect of ASMI on UUI was assessed using weighted multivariate logistic regression models. Additionally, the relationship between the two was illustrated using restricted cubic splines.ResultsA total of 19,009 women aged 20 and above participated in this study, with 5,960 diagnosed with UUI and 13,049 not affected. The results of the adjusted multivariate logistic regression analysis showed a significant inverse relationship between ASMI and the probability of UUI. Specifically, with every one-unit rise in ASMI, the likelihood of UUI diminished by 69% in the fully adjusted model (OR = 0.31; 95% CI: 0.12–0.82; p = 0.02). Furthermore, participants falling within the highest ASMI quartile showed a 28% reduction in UUI risk relative to those in the lowest quartile (OR = 0.72; 95% CI: 0.55–0.94; p = 0.02). A restricted cubic spline analysis demonstrated a nonlinear relationship between ASMI and UUI (p for nonlinearity = 0.02). Subgroup analyses suggested that various demographic and health factors did not significantly alter this association.ConclusionThe ASMI was significantly negatively correlated with the risk of UUI, suggesting that an increase in ASMI may have been associated with a lower risk of UUI.https://www.frontiersin.org/articles/10.3389/fnut.2025.1606089/fullurge urinary incontinenceurinary incontinenceappendicular skeletal muscleappendicular skeletal muscle indexsarcopeniaNHANES
spellingShingle Jinyu Liu
Kangqiang Weng
Guowei Lin
Huaiding Tang
Jianbing Xie
Lixian Li
Exploring the relationship between appendicular skeletal muscle index and urge urinary incontinence risk in adult women: a cross-sectional analysis of the National Health and Nutrition Examination Survey
Frontiers in Nutrition
urge urinary incontinence
urinary incontinence
appendicular skeletal muscle
appendicular skeletal muscle index
sarcopenia
NHANES
title Exploring the relationship between appendicular skeletal muscle index and urge urinary incontinence risk in adult women: a cross-sectional analysis of the National Health and Nutrition Examination Survey
title_full Exploring the relationship between appendicular skeletal muscle index and urge urinary incontinence risk in adult women: a cross-sectional analysis of the National Health and Nutrition Examination Survey
title_fullStr Exploring the relationship between appendicular skeletal muscle index and urge urinary incontinence risk in adult women: a cross-sectional analysis of the National Health and Nutrition Examination Survey
title_full_unstemmed Exploring the relationship between appendicular skeletal muscle index and urge urinary incontinence risk in adult women: a cross-sectional analysis of the National Health and Nutrition Examination Survey
title_short Exploring the relationship between appendicular skeletal muscle index and urge urinary incontinence risk in adult women: a cross-sectional analysis of the National Health and Nutrition Examination Survey
title_sort exploring the relationship between appendicular skeletal muscle index and urge urinary incontinence risk in adult women a cross sectional analysis of the national health and nutrition examination survey
topic urge urinary incontinence
urinary incontinence
appendicular skeletal muscle
appendicular skeletal muscle index
sarcopenia
NHANES
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1606089/full
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