Potential risk factors for inguinal hernia in women were investigated and the relative importance of these factors was quantified.
In women, symptomatic but nonpalpable hernias often remain undiagnosed.
However, knowledge on this subject only concerns hemia and operation characteristics, which have been obtained by review of case series.
Virtually nothing is known about risk factors for inguinal hemia.
The authors performed a hospital-based case-control study of 89 female patients with an incident inguinal hernia and 176 age-matched female controls.
Activity since birth with two validated questionnaires was measured and smoking habits, medical and operation history, Quetelet index (kg/m2), and history of pregnancies and deliveries were recorded.
Response for cases was 81% and for controls 73%. Total physical activity was not associated with inguinal hernia (univariate odds ratio (OR)=0.8,95% confidence interval (Cl) 0.6-1.1), but high present sports activities was associated with less inguinal hernia (multivariate OR=0.2,95% Cl 0.1-0.7).
Obesity (Quetelet index>30) was also protective for inguinal hernia (OR=0.2,95% Cl 0.04-1.0).
Independent risk factors were positive family history (OR=4.3,95% Cl 1.9-9.7) and obstipation (OR=2.5,95% Cl 1.0-6.7).
In particular, smoking, appendectomy, other abdominal operations, and multiple deliveries were not associated with inguinal hernia in females. (...)
Mots-clés Pascal : Hernie, Inguinal, Epidémiologie, Facteur risque, Obésité, Exercice physique, Fitness, Homme, Femelle, Pays Bas, Europe, Etat nutritionnel, Appareil digestif pathologie, Estomac pathologie, Trouble nutrition
Mots-clés Pascal anglais : Hernia, Inguinal, Epidemiology, Risk factor, Obesity, Physical exercise, Fitness, Human, Female, Netherlands, Europe, Nutritional status, Digestive diseases, Gastric disease, Nutrition disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0005477
Code Inist : 002B13B03. Création : 17/04/1998.