Urinary incontinence and life-space activity/mobility additively increase the risk of incident disability among older adults.

Active mobility index Incident disability Older adults Urinary incontinence

Journal

Maturitas
ISSN: 1873-4111
Titre abrégé: Maturitas
Pays: Ireland
ID NLM: 7807333

Informations de publication

Date de publication:
Jan 2024
Historique:
received: 06 06 2023
revised: 19 10 2023
accepted: 22 10 2023
pubmed: 9 11 2023
medline: 9 11 2023
entrez: 8 11 2023
Statut: ppublish

Résumé

To examine the associations of a combination of urinary incontinence (UI) and life-space activity/mobility with the risk of incident disability among community-dwelling older adults. The participants were 12,808 older adults for the cross-sectional study and 12,516 older adults who completed the follow-up assessment. UI was assessed using a questionnaire. Life-space activity/mobility was evaluated using total, physical, and social scores on the Active Mobility Index (AMI). Participants were classified into four groups (high AMI total score + no UI; high AMI total score + UI; low AMI total score + no UI; low AMI total score + UI). Incident disability was extracted from the Japanese Long-Term Care System. During the 24-month follow-up, 562 participants (4.5 %) developed disability. Those with a low AMI score + no UI (hazard ratio, 1.35; 95 % confidence interval, 1.07-1.71) and those with a low AMI score + UI (hazard ratio, 2.00; 95 % confidence interval, 1.56-2.56) had a higher risk of incident disability than those with a high AMI score + no UI in the follow-up analysis. A combination of UI and low AMI score was associated with an increased risk of incident disability, whereas having UI but a high AMI score was not associated with an increased risk of incident disability. Our findings may help identify older adults at high risk of developing disabilities.

Identifiants

DOI: 10.1016/j.maturitas.2023.107870 PMID: 37939451
pubmed: 37939451
pii: S0378-5122(23)00476-0
doi: 10.1016/j.maturitas.2023.107870
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

107870

Informations de copyright

Copyright © 2023 Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare that they have no competing interest.

Auteurs

Kazuhei Nishimoto (K)

Department of Preventive Gerontology, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan; Medical Science Division, Department of Medical Sciences, Graduate School of Medicine, Science and Technology, Shinshu University, Matsumoto, Japan. Electronic address: kazuhei-n@ncgg.go.jp.

Kota Tsutsumimoto (K)

Department of Preventive Gerontology, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan.

Takehiko Doi (T)

Department of Preventive Gerontology, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan.

Satoshi Kurita (S)

Department of Preventive Gerontology, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan.

Yuto Kiuchi (Y)

Department of Preventive Gerontology, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan; Graduate School of Health Sciences, Kagoshima University, Kagoshima, Japan.

Hiroyuki Shimada (H)

Department of Preventive Gerontology, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan.

Classifications MeSH