{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:49:18Z","timestamp":1792003758525,"version":"4.4.0"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:00:00Z","timestamp":1740182400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:00:00Z","timestamp":1740182400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      Measurements of levator hiatal area (\n                      <jats:styled-content style=\"fixed-case\">LHA<\/jats:styled-content>\n                      ) by pelvic floor ultrasound examination were shown to be associated with symptoms and signs of prolapse and urinary incontinence. Body mass index (\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      ) is a modifiable risk factor which has shown to be related with urinary incontinence. Our aim in this study was to observe and to understand the relation between\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      and weight with\n                      <jats:styled-content style=\"fixed-case\">LH<\/jats:styled-content>\n                      and other transperineal ultrasound parameters such as bladder neck mobility and bladder\u2010urethra angles in asymptomatic nulliparous women.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This study was a cross\u2010sectional study in a gynecology outpatient clinic of a tertiary center after receiving ethical approval. Nulliparous women presenting to the gynecology outpatient clinic without any uro\u2010gynecological complaint were invited to participate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During study period, 167 women met the eligibility criteria. Our data showed that weight and BMI are correlated with hiatal dimensions, \u03b3 angle and bladder neck descent even in asymptomatic nulliparous women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These findings may explain why weight loss is associated with improvements in stress incontinence symptoms and why we should encourage women in weight control which is the only modifiable factor in the etiology of incontinence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jcu.23950","type":"journal-article","created":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T03:35:48Z","timestamp":1740195348000},"page":"809-818","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Importance of Body Mass Index on Prognostic Factors for Urinary Incontinence in Asymptomatic Nulliparous Women"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7255-860X","authenticated-orcid":false,"given":"Gizem Elif","family":"Dizdaro\u011fullar\u0131","sequence":"first","affiliation":[{"name":"Zeynep Kamil Teaching and Training Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c7etin","family":"\u00c7am","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Tekirdag Nam\u0131k Kemal University, Medical School  Tekirdag Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Habibe","family":"Ayvac\u0131","sequence":"additional","affiliation":[{"name":"Zeynep Kamil Teaching and Training Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ate\u015f","family":"Karateke","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Medeniyet University, Medical School  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5355"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.12.027"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-022-01686-1"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(05)70039-5"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1497-1838"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20888"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24658"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.25175"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002380"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24072"},{"issue":"6","key":"e_1_2_11_12_1","first-page":"S2","article-title":"Obesity and Urinary Incontinence: Epidemiology and Clinical Research Update","volume":"182","author":"Subak L. 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