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Vitamin D and myostatin levels in postmenopausal women with stress urinary incontinence

https://doi.org/10.21626/vestnik/2024-4/03

EDN: FUOAVN

Abstract

Objective - to evaluate vitamin D and myostatin serum levels in postmenopausal women, and their associations with age, postmenopausal duration (PMD), and clinical severity of stress urinary incontinence (SUI).

Materials and methods. 150 postmenopausal women suffering from SUI were examined. Patients were interviewed using The Overactive Bladder Questionnaire. Serum concentrations of vitamin D and myostatin were studied.

Results. The subjective frequency of SUI symptoms in postmenopausal women increases with age and PMD (p=0,001 - p=0,045). Serum vitamin D concentrations decrease with age (p=0,004) and PMD (p=0,023). Serum myostatin levels increase with age (p=0,038). An increase in the age and PMD (p<0,0001), as well as reduced serum vitamin D concentrations (p<0,0001) and elevated myostatin levels (p=0,0004), are associated with a statistically significant decrease in the life quality of female patients with SUI.

Conclusions. The data obtained allow us to consider indicators of age and PMD, as well as serum concentrations of vitamin D and myostatin, as personalized predictors of deterioration in the life quality of women with SUI in the postmenopausal period.

References

1. Yang J., Balog B., Deng K., Hanzlicek B., Rietsch A., Kuang M., Hatakeyama S., Lach-Trifilieff E., et al. Therapeutic potential of muscle growth promoters in a stress urinary incontinence model. Am J Physiol Renal Physiol. 2020;319(3):F436-F446. DOI: 10.1152/ajprenal.00122.2020.

2. Lukacz E.S., Santiago-Lastra Y., Albo M.E., Brubaker L. Urinary incontinence in women: a review. JAMA. 2017;318:1592-1604. DOI: 10.1001/jama.2017.12137.

3. Kasyan G.R., Gvozdev M.Yu., Konoplyannikov A.G., Pushkar D.Yu. Urinary incontinence in women: guidelines №4. Moscow: ABV-press; 2017 (in Russ.)

4. Batmani S., Jalali R., Mohammadi M., Bokaee S. Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies. BMC Geriatr. 2021;21(1):212. DOI: 10.1186/s12877-021-02135-8.

5. Urinary incontinence: clinical guidelines. Moscow: Izdatel'stvo Pero; 2021 (in Russ.)

6. Witham M.D., Aihie Sayer A.Introduction to the Age and Ageing sarcopenia collection. Age Ageing. 2016;45(6):752-753. DOI: 10.1093/ageing/afw145.

7. AlAzab R., Alomari R.A., Khader Y.S., Gharaibeh M. Stress urinary incontinence among Jordanian women living in rural areas: Prevalence, associated factors and self-management behaviours. Arab J Urol. 2021;19(4):469-472. DOI: 10.1080/2090598X.2021.1926751.

8. Al-Badr A., Brasha H., Al-Raddadi R., Noorwali F., Ross S. Prevalence of urinary incontinence among Saudi women.Int J Gynaecol Obstet. 2012;117: 160-163. DOI: 10.1016/j.ijgo.2011.12.014.

9. Pérez-López F.R., Cuadros J.L., Fernández-Alonso A.M., Chedraui P., Sánchez-Borrego R., Monterrosa-Castro A. Urinary incontinence, related factors and menopause-related quality of life in mid-aged women assessed with the Cervantes Scale. Maturitas. 2012;73:369-372. DOI: 10.1016/j.maturitas.2012.09.004.

10. Parker-Autry C.Y., Markland A.D., Ballard A.C., Downs-Gunn D., Richter H.E. Vitamin D status in women with pelvic floor disorder symptoms.Int Urogynecol J. 2012;23(12):1699-1705. DOI: 10.1007/s00192-012-1700-8.

11. Yuan P., Wang T., Li H., Lan R., Li M., Liu J. Systematic Review and Meta-Analysis of the Association between Vitamin D Status and Lower Urinary Tract Symptoms. J Urol. 2021;205(6):1584-1594. DOI: 10.1097/JU.0000000000001441.

12. Sharma J.B., Kakkad V., Kumar S., Roy K.K. Cross-sectional Study on Vitamin D Levels in Stress Urinary Incontinence in Women in a Tertiary Referral Center in India. Indian J Endocrinol Metab. 2019;23(6):623-627. DOI: 10.4103/ijem.IJEM_531_19.

13. Cruz-Jentoft A.J., Baeyens J.P., Bauer J.M., Boirie Y., Cederholm T., Landi F., Martin F.C., Michel J.P., et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010;39(4):412-423. DOI: 10.1093/ageing/afq034.

14. Akita Y., Sumino Y., Mori K., Nomura T., Sato F., Mimata H. Myostatin inhibits proliferation of human urethral rhabdosphincter satellite cells.Int J Urol. 2013;20(5):522-529. DOI: 10.1111/j.1442-2042.2012.03186.x.

15. Yuan H., Ruan Y., Tan Y., Reed-Maldonado A.B., Chen Y., Zhao D., Wang Z., Zhou F., et al. Regenerating Urethral Striated Muscle by CRISPRi/dCas9-KRAB-Mediated Myostatin Silencing for Obesity-Associated Stress Urinary Incontinence. CRISPR J. 2020;3(6):562-572. DOI: 10.1089/crispr.2020.0077.


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For citations:


Maylyan E.A., Gevorkyan R.R., Reznichenko N.A., Tkachenko K.E. Vitamin D and myostatin levels in postmenopausal women with stress urinary incontinence. Humans and their health. 2024;24(4):31-38. (In Russ.) https://doi.org/10.21626/vestnik/2024-4/03. EDN: FUOAVN

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ISSN 1998-5746 (Print)
ISSN 1998-5754 (Online)