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Increasing the magnitude of the weight reduction or preventing weight regain may raise the beneficial effects on incontinence. The lifestyle treatment used in this research, including diet, exercise and behavioral strategies, led to an average weight loss from baseline of approximately 8% at 6 and a year, and 5% at 18-month followup. Strengths of the study include the randomized design, excellent retention, multidimensional method of assessing effect on UI, conventional imputation strategy used for missing data and the collection of outcomes by personnel masked to treatment project. Limitations include the reality that the control group reported proclaimed lowers in incontinence episodes as time passes that could not readily be described.
Urodynamic procedures were conducted only on a subset of women at baseline and 6 months. Individuals in this scholarly research got a BMI of 36 kg/m2, and may have been motivated and adherent particularly. Therefore, their results may not accurately reflect weight loss and changes in UI that might be realized in the overall population.
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