The association of urinary incontinence and disability among a diverse sample of midlife Study of Women's Across the Nation women.
Journal
Menopause (New York, N.Y.)
ISSN: 1530-0374
Titre abrégé: Menopause
Pays: United States
ID NLM: 9433353
Informations de publication
Date de publication:
28 Nov 2023
28 Nov 2023
Historique:
pubmed:
28
11
2023
medline:
28
11
2023
entrez:
28
11
2023
Statut:
aheadofprint
Résumé
The aim of the study is to examine whether urinary incontinence (UI) type, frequency, and amount are associated with self-reported disability in a racially/ethnically diverse cohort of community-dwelling midlife women. Data were from longitudinal analyses of questionnaires from the multicenter, prospective cohort Study of Women's Health Across the Nation (SWAN). We used multivariable ordinal logistic regression to examine whether urinary incontinence type, frequency, and amount at the 13th follow-up were associated with the World Health Organization Disability Assessment Schedule at the 15th follow-up controlling for other factors (menopause status, body mass index, lifestyle and psychosocial factors, and disability at follow-up 13). Urinary incontinence was associated with subsequent reports of disability in participants, particularly in the World Health Organization Disability Assessment Schedule domains of mobility ( P < 0.0001), communication ( P = 0.0057), and life activities ( P = 0.0407). Associations were strongest for mixed UI type compared with stress UI or urgency UI (odds ratio [OR] = 1.66, 95% confidence interval [CI] = 1.26-2.17, P < 0.001), daily frequency of UI compared with monthly or less than weekly frequency of UI (OR = 1.61, 95% CI = 1.04-2.47, P < 0.001), and larger amounts of urine leakage compared with drops of leakage (OR = 2.98, 95% CI = 1.58-5.62, P < 0.0001) for mobility/getting around domain. Urinary incontinence seems to have a strong association with multiple domains of disability, including mobility and interacting with others, after approximately 3.7 years. Thus, UI may be an important factor limiting social engagement among women. Screening for mixed UI and UI that occurs greater than weekly and in amounts requiring pads may yield better information regarding an individual's future disability risk and may preserve social interaction.
Identifiants
pubmed: 38016162
doi: 10.1097/GME.0000000000002282
pii: 00042192-990000000-00264
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 by The Menopause Society.
Références
Chisholm LP, Sebesta EM, Gleicher S, Kaufman M, Dmochowski RR, Reynolds WS. The burdens of incontinence: quantifying incontinence product usage and costs in women. Neurourol Urodyn 2022;41:1601–1611. doi: 10.1002/nau.25007
doi: 10.1002/nau.25007
Hagan KA, Erekson E, Austin A, et al. A prospective study of the natural history of urinary incontinence in women. Am J Obstet Gynecol 2018;218:502.e1–502.e8. doi: 10.1016/j.ajog.2018.01.045
doi: 10.1016/j.ajog.2018.01.045
Aguilar-Navarro S, Navarrete-Reyes AP, Grados-Chavarría BH, García-Lara JM, Amieva H, Avila-Funes JA. The severity of urinary incontinence decreases health-related quality of life among community-dwelling elderly. J Gerontol A Biol Sci Med Sci 2012;67:1266–1271. doi: 10.1093/gerona/gls152
doi: 10.1093/gerona/gls152
Åström Y, Asklund I, Lindam A, Sjöström M. Quality of life in women with urinary incontinence seeking care using e-health. BMC Womens Health 2021;21:337. doi: 10.1186/s12905-021-01477-0
doi: 10.1186/s12905-021-01477-0
de Macedo Dantas TH, Castaneda L, Correia GN, Campelo CLDC, de Sousa Dantas D. Functioning and disability of premenopausal women with urinary incontinence: an assessment by using the World Health Organization Disability Assessment Schedule—WHODAS 2.0. Neurourol Urodyn 2019;38:1767–1774. doi: 10.1002/nau.24073
doi: 10.1002/nau.24073
Dzien C, Unterberger P, Hofmarcher P, Winner H, Lechleitner M. Detecting disabilities in everyday life: evidence from a geriatric assessment. BMC Geriatr 2022;22:717. doi: 10.1186/s12877-022-03368-x
doi: 10.1186/s12877-022-03368-x
Erekson EA, Ciarleglio MM, Hanissian PD, Strohbehn K, Bynum JP, Fried TR. Functional disability and compromised mobility among older women with urinary incontinence. Female Pelvic Med Reconstr Surg 2015;21:170–175. doi: 10.1097/SPV.0000000000000136
doi: 10.1097/SPV.0000000000000136
Omli R, Hunskaar S, Mykletun A, Romild U, Kuhry E. Urinary incontinence and risk of functional decline in older women: data from the Norwegian HUNT-study. BMC Geriatr 2013;13:47. doi: 10.1186/1471-2318-13-47
doi: 10.1186/1471-2318-13-47
Saboia DM, Firmiano MLV, Bezerra KC, Vasconcelos JAN, Oriá MOB, Vasconcelos CTM. Impact of urinary incontinence types on women's quality of life. Rev Esc Enferm USP 2017;51:e03266. doi: 10.1590/S1980-220X2016032603266
doi: 10.1590/S1980-220X2016032603266
Zhang D, Wang S, Gao L, et al. Analysis of characteristics and quality of life of elderly women with mild to moderate urinary incontinence in community dwellings. Int J Environ Res Public Health 2022;19:5609. doi: 10.3390/ijerph19095609
doi: 10.3390/ijerph19095609
McDowell BJ, Engberg SJ, Rodriguez E, Engberg R, Sereika S. Characteristics of urinary incontinence in homebound older adults. J Am Geriatr Soc 1996;44:963–968. doi: 10.1111/j.1532-5415.1996.tb01869.x
doi: 10.1111/j.1532-5415.1996.tb01869.x
Mohide EA, Pringle DM, Robertson D, Chambers LW. Prevalence of urinary incontinence in patients receiving home care services. CMAJ 1988;139:953–956.
Jackson RA, Vittinghoff E, Kanaya AM, et al. Urinary incontinence in elderly women: findings from the health, aging, and body composition study. Obstet Gynecol 2004;104:301–307. doi: 10.1097/01.AOG.0000133482.20685.d1
doi: 10.1097/01.AOG.0000133482.20685.d1
World Health Organization Disability Assessment Schedule II (WHODAS II) 2001. Available at: http://www.who.int/icidh/whodas/index.html . Updated 2009. Accessed November 4, 2022.
Hung KJ, Awtrey CS, Tsai AC. Urinary incontinence, depression, and economic outcomes in a cohort of women between the ages of 54 and 65 years. Obstet Gynecol 2014;123:822–827. doi: 10.1097/AOG.0000000000000186
doi: 10.1097/AOG.0000000000000186
Kim JS, Kim SY, Oh DW, Choi JD. Correlation between the severity of female urinary incontinence and concomitant morbidities: a multi-center cross-sectional clinical study. Int Neurourol J 2010;14:220–226. doi: 10.5213/inj.2010.14.4.220
doi: 10.5213/inj.2010.14.4.220
Sowers M, Crawford SL, Sternfeld B, et al. Chapter 11 - SWAN: A Multicenter, Multiethnic, Community-Based Cohort Study of Women and the Menopausal Transition. In: Menopause . Elsevier Inc; 2000:175–188.
Ainsworth BE, Sternfeld B, Richardson MT, Jackson K. Evaluation of the kaiser physical activity survey in women. Med Sci Sports Exerc 2000;32:1327–1338. doi: 10.1097/00005768-200007000-00022
doi: 10.1097/00005768-200007000-00022
Bromberger JT, Kravitz HM, Chang Y, et al. Does risk for anxiety increase during the menopausal transition? Study of Women's Health Across the Nation. Menopause 2013;20:488–495. doi: 10.1097/gme.0b013e3182730599
doi: 10.1097/gme.0b013e3182730599
Karvonen-Gutierrez CA, Ylitalo KR. Prevalence and correlates of disability in a late middle-aged population of women. J Aging Health 2013;25:701–717. doi: 10.1177/0898264313488165
doi: 10.1177/0898264313488165
Peterson B, Harrell FE. Partial proportional odds models for ordinal response variables. Appl Stat 1990;39:205–217. doi: 10.2307/2347760
doi: 10.2307/2347760
Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF. Predictors of care seeking in women with urinary incontinence. Neurourol Urodyn 2012;31:470–474. doi: 10.1002/nau.22235
doi: 10.1002/nau.22235
Nagi SZ. A Study in the Evaluation of Disability and Rehabilitation Potential: concepts, methods, and procedures. Am J Public Health Nations Health 1964;54:1568–1579. doi: 10.2105/ajph.54.9.1568
doi: 10.2105/ajph.54.9.1568
Verbrugge LM, Jette AM. The disablement process. Soc Sci Med 1994;38:1–14. doi: 10.1016/0277-9536(94)90294-1
doi: 10.1016/0277-9536(94)90294-1
Inouye SK, Studenski S, Tinetti ME, Kuchel GA. Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc 2007;55:780–791. doi: 10.1111/j.1532-5415.2007.01156.x.
doi: 10.1111/j.1532-5415.2007.01156.x
Hebert R. Functional decline in old age. CMAJ 1997;157:1037–1045.
World Health Organization. International Classification of Functioning, Disability and Health: ICF . World Health Organization; 2001. Available at: https://apps.who.int/iris/handle/10665/42407 . Accessed November 4, 2022.
Ong AD, Uchino BN, Wethington E. Loneliness and health in older adults: a mini-review and synthesis. Gerontology 2016;62:443–449. doi: 10.1159/000441651
doi: 10.1159/000441651
Human Health Services. Our Epidemic of Loneliness and Isolation: The U.S. Surgeon General's Advisory on the Healing Effects of Social Connection and Community . Updated May 3, 2023. Available at: https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdf . Accessed May 19, 2023.