Urinary incontinence and disability in community-dwelling women: A cross-sectional study
2014; Wiley; Volume: 34; Issue: 6 Linguagem: Inglês
10.1002/nau.22615
ISSN1520-6777
AutoresJoy A. Greer, Rengyi Xu, Kathleen J. Propert, Lily A. Arya,
Tópico(s)Frailty in Older Adults
ResumoNeurourology and UrodynamicsVolume 34, Issue 6 p. 539-543 Clinical Science Urinary incontinence and disability in community-dwelling women: A cross-sectional study Joy A. Greer, Corresponding Author Joy A. Greer Division of Urogynecology, Women's Health Department, Naval Medical Center Portsmouth, Portsmouth, Virginia Perelman School of Medicine at the University of Pennsylvania, Department of Obstetrics & Gynecology, Division of Urogynecology, Philadelphia, PennsylvaniaCorrespondence to: Joy A. Greer, MD, CDR MC, USN, Division of Urogynecology, Women's Health Department, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708. E-mail: [email protected]Search for more papers by this authorRengyi Xu, Rengyi Xu Perelman School of Medicine at the University of Pennsylvania, Department of Biostatistics, Philadelphia, PennsylvaniaSearch for more papers by this authorKathleen J. Propert, Kathleen J. Propert Perelman School of Medicine at the University of Pennsylvania, Department of Biostatistics, Philadelphia, PennsylvaniaSearch for more papers by this authorLily A. Arya, Lily A. Arya Perelman School of Medicine at the University of Pennsylvania, Department of Obstetrics & Gynecology, Division of Urogynecology, Philadelphia, PennsylvaniaSearch for more papers by this author Joy A. Greer, Corresponding Author Joy A. Greer Division of Urogynecology, Women's Health Department, Naval Medical Center Portsmouth, Portsmouth, Virginia Perelman School of Medicine at the University of Pennsylvania, Department of Obstetrics & Gynecology, Division of Urogynecology, Philadelphia, PennsylvaniaCorrespondence to: Joy A. Greer, MD, CDR MC, USN, Division of Urogynecology, Women's Health Department, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708. E-mail: [email protected]Search for more papers by this authorRengyi Xu, Rengyi Xu Perelman School of Medicine at the University of Pennsylvania, Department of Biostatistics, Philadelphia, PennsylvaniaSearch for more papers by this authorKathleen J. Propert, Kathleen J. Propert Perelman School of Medicine at the University of Pennsylvania, Department of Biostatistics, Philadelphia, PennsylvaniaSearch for more papers by this authorLily A. Arya, Lily A. Arya Perelman School of Medicine at the University of Pennsylvania, Department of Obstetrics & Gynecology, Division of Urogynecology, Philadelphia, PennsylvaniaSearch for more papers by this author First published: 21 April 2014 https://doi.org/10.1002/nau.22615Citations: 17 Eric Rovner led the peer-review process as the Associate Editor responsible for the paper. Conflict of interest: none. Institution at which the work was performed: Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA. Research data derived from an approved University of Pennsylvania, Philadelphia, PA IRB protocol. Disclaimer: Joy A. Greer, MD, CDR, MC, USN is a military service member. This work was prepared as part of her official duties. Title 17, USC, ¶105 provides that "Copyright protection under this title is not available for any work of the United States Government." Title 17, USC, ¶ 101 defines a U.S. Government work as a work prepared by a military service member or employee of the U.S. Government as part of that person's official duties. The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL ABSTRACT Aims Disability, an individual's reduced capacity to perform physical tasks encountered in daily routine, is associated with urinary incontinence in the elderly. Our objective was to determine if urinary incontinence is associated with disability in community-dwelling women 40 years and older. Methods Cross-sectional study among US women ≥40 years (n = 4,458) from National Health and Nutrition Examination Surveys 2005–2010. We estimated the age-stratified weighted prevalence and factors independently associated with disability (Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), mobility, and functional limitations) in women with and without urinary incontinence while controlling for confounders of the association between disability and urinary incontinence. Results The weighted prevalence of all disabilities was higher in women with urinary incontinence than women without urinary incontinence across most decades of life with the greatest difference in the prevalence of mobility disabilities: 40–49 years (12.1% vs. 7.0%), 50–59 years (17.0% vs. 9.2%), 60–69 years (28.3% vs. 19.8%), and 70+ years (43.8% vs. 33.0%, all P < 0.05). On multivariable analysis, after controlling for the confounding effect of age, co-morbidities, and income-poverty ratio, urinary incontinence was weakly associated with disabilities. The adjusted odds ratio (95% confidence interval) of disabilities for urinary incontinence was ADL 1.96 (1.07, 3.58), IADL 1.18 (0.78, 1.78), mobility 1.26 (1.01, 1.56), and functional limitations 1.36 (1.07, 1.73). Conclusions Urinary incontinence is weakly associated with disabilities and cannot be implicated as a cause of disability in community dwelling women. Neurourol. Urodynam. 34:539–543, 2015. © 2014 Wiley Periodicals, Inc. REFERENCES 1 Fried LP, Ferrucci L, Darer J, et al. Untangling the concepts of disability, frailty, and comorbidity: Implications for improved targeting and care. J Gerontol A Biol Sci Med Sci 2004; 59: 255– 63. 2 Seeman TE, Merkin SS, Crimmins EM, et al. Disability trends among older Americans: National Health and Nutrition Examination Surveys, 1988–1994 and 1999–2004. Am J Public Health 2010; 100: 100– 7. 3 Tinetti ME, Inouye SK, Gill TM, et al. Shared risk factors for falls, incontinence, and functional dependence. 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Citing Literature Volume34, Issue6August 2015Pages 539-543 ReferencesRelatedInformation
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