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Volume 360:2256-2257 May 21, 2009 Number 21
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Weight Loss for Urinary Incontinence in Overweight and Obese Women

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by Rogers, R. G.
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by Subak, L. L.
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To the Editor: Subak et al. (Jan. 29 issue)1 report that weight loss among overweight and obese women with urinary incontinence decreased the frequency of incontinence. The mechanism is unclear. It is commonly assumed that reduced intraabdominal pressure is responsible. However, dietary changes independent of weight loss may be overlooked. Sodium intake is particularly important. We estimate that the sodium intake of participants at baseline was 3840 mg per day (167 mmol), on the basis of a sodium intake, adjusted for sex and age, of 1.63 mg per kilocalorie,2 multiplied by the energy requirement for low-activity women. The energy requirement . . . [Full Text of this Article]



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