Urinary incontinence in middle‐aged and older women with hip and knee osteoarthritis: An outpatient study of frequency and risk factors
Aims To investigate the frequency and the factors associated with urinary incontinence (UI) in a sample of middle‐aged and older women with lower limb osteoarthritis (OA). Methods Women aged 50 years or older with clinical hip/knee OA diagnoses were recruited for this cross‐sectional study. Self‐rep...
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| Veröffentlicht in: | Neurourology and urodynamics 2024-03, Vol.43 (3), p.672-679 |
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| creator | Melo, Gisele A. S. C. Fernandes, Vanessa de O. Costa, Henrique Silveira Lacerda, Ana Cristina Rodrigues Nobre, Luciana N. F. de M. Vitorino, Débora Carvalho Bastone, Alessandra |
| description | Aims
To investigate the frequency and the factors associated with urinary incontinence (UI) in a sample of middle‐aged and older women with lower limb osteoarthritis (OA).
Methods
Women aged 50 years or older with clinical hip/knee OA diagnoses were recruited for this cross‐sectional study. Self‐reported UI and type, sociodemographic characteristics, medical conditions, physical activity level, anthropometric and body composition measurements, muscle strength, and physical function were assessed. Uni and multivariable logistic regression were used to investigate the factors associated with UI.
Results
Among 100 middle‐aged and older women (mean 67.27 ± 8.77 SD years), 67% reported UI. In the UI group, 33% reported stress UI, 36% reported urgency UI, and 31% reported mixed UI. In the univariate analysis, age, level of physical activity, pulmonary disease, number of medications, body mass index (BMI), number of deliveries, and activity limitation were significantly associated with UI. In the multivariable analysis, older age (60−69 years OR: 4.91, 95% CI: 1.25−19.36; ≥70 years OR: 8.06, 95% CI: 1.96−33.22), compared to 50−59 years, morbid obesity (OR: 14.10, 95% CI: 1.36−146.48), compared to BMI |
| doi_str_mv | 10.1002/nau.25395 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2917554578</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2968634683</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3135-3f34358b4e817d068e4b20d1ef183cc4b195dd0cddf2c4490cc161771bc58a953</originalsourceid><addsrcrecordid>eNp10T2PFCEYB3BiNN56WvgFDInNWcwdrwNjt7n4lly0cesJA8-43M3ACkw229na-Rn9JOLuaWFiRQg__jzhj9BzSi4pIewqmOWSSd7JB2hFJSNNq5R6iFZEcd4w0aoz9CTnW0KI5qJ7jM64ZkJxyVbo-yb5YNIB-2BjKD5AsFA3ePbOTfDz2w_zBRw2weE4OUh4H2cIeO_LFm_97nhwFwBwzAWiSWWbfPH5NV4HHJeyM8VDKDiXxR1wHPGY4OtS3zgcbyaf7_BobIkpP0WPRjNleHa_nqPN2zefr983N5_efbhe3zSWUy4bPnLBpR4EaKocaTWIgRFHYaSaWysG2knniHVuZFaIjlhLW6oUHazUppP8HF2ccncp1lFy6WefLUyTCRCX3LOOKimFVLrSl__Q27ikUKerqtUtF63mVb06KZtizgnGfpf8XP-0p6T_3U9f--mP_VT74j5xGWZwf-WfQiq4OoG9n-Dw_6T-43pzivwFeSWcUw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2968634683</pqid></control><display><type>article</type><title>Urinary incontinence in middle‐aged and older women with hip and knee osteoarthritis: An outpatient study of frequency and risk factors</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Melo, Gisele A. S. C. ; Fernandes, Vanessa de O. ; Costa, Henrique Silveira ; Lacerda, Ana Cristina Rodrigues ; Nobre, Luciana N. ; F. de M. Vitorino, Débora ; Carvalho Bastone, Alessandra</creator><creatorcontrib>Melo, Gisele A. S. C. ; Fernandes, Vanessa de O. ; Costa, Henrique Silveira ; Lacerda, Ana Cristina Rodrigues ; Nobre, Luciana N. ; F. de M. Vitorino, Débora ; Carvalho Bastone, Alessandra</creatorcontrib><description>Aims
To investigate the frequency and the factors associated with urinary incontinence (UI) in a sample of middle‐aged and older women with lower limb osteoarthritis (OA).
Methods
Women aged 50 years or older with clinical hip/knee OA diagnoses were recruited for this cross‐sectional study. Self‐reported UI and type, sociodemographic characteristics, medical conditions, physical activity level, anthropometric and body composition measurements, muscle strength, and physical function were assessed. Uni and multivariable logistic regression were used to investigate the factors associated with UI.
Results
Among 100 middle‐aged and older women (mean 67.27 ± 8.77 SD years), 67% reported UI. In the UI group, 33% reported stress UI, 36% reported urgency UI, and 31% reported mixed UI. In the univariate analysis, age, level of physical activity, pulmonary disease, number of medications, body mass index (BMI), number of deliveries, and activity limitation were significantly associated with UI. In the multivariable analysis, older age (60−69 years OR: 4.91, 95% CI: 1.25−19.36; ≥70 years OR: 8.06, 95% CI: 1.96−33.22), compared to 50−59 years, morbid obesity (OR: 14.10, 95% CI: 1.36−146.48), compared to BMI < 30 kg/m2, and activity limitation (OR: 5.31, 95% CI: 1.61−17.54), assessed as short physical performance battery ≤8, remained significantly associated with UI.
Conclusions
UI was highly frequent among middle‐aged and older women with hip/knee OA. Older age, activity limitation, and morbid obesity were independently associated with UI. Interventions targeting physical function and weight management must be considered to prevent and treat UI in this population.</description><identifier>ISSN: 0733-2467</identifier><identifier>EISSN: 1520-6777</identifier><identifier>DOI: 10.1002/nau.25395</identifier><identifier>PMID: 38247352</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Arthritis ; assessment of healthcare needs ; Body composition ; Body mass index ; Exercise ; Hip ; hip osteoarthritis ; Knee ; knee osteoarthritis ; Lung diseases ; Muscle strength ; Obesity ; Osteoarthritis ; Physical activity ; physical performance ; Risk factors ; Urinary incontinence ; Weight control</subject><ispartof>Neurourology and urodynamics, 2024-03, Vol.43 (3), p.672-679</ispartof><rights>2024 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3135-3f34358b4e817d068e4b20d1ef183cc4b195dd0cddf2c4490cc161771bc58a953</cites><orcidid>0000-0001-5709-7729 ; 0000-0001-5366-3754 ; 0000-0002-7199-8897 ; 0000-0003-2061-1303 ; 0000-0002-1426-7246 ; 0000-0002-2414-3730 ; 0000-0002-4245-5690</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fnau.25395$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fnau.25395$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38247352$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Melo, Gisele A. S. C.</creatorcontrib><creatorcontrib>Fernandes, Vanessa de O.</creatorcontrib><creatorcontrib>Costa, Henrique Silveira</creatorcontrib><creatorcontrib>Lacerda, Ana Cristina Rodrigues</creatorcontrib><creatorcontrib>Nobre, Luciana N.</creatorcontrib><creatorcontrib>F. de M. Vitorino, Débora</creatorcontrib><creatorcontrib>Carvalho Bastone, Alessandra</creatorcontrib><title>Urinary incontinence in middle‐aged and older women with hip and knee osteoarthritis: An outpatient study of frequency and risk factors</title><title>Neurourology and urodynamics</title><addtitle>Neurourol Urodyn</addtitle><description>Aims
To investigate the frequency and the factors associated with urinary incontinence (UI) in a sample of middle‐aged and older women with lower limb osteoarthritis (OA).
Methods
Women aged 50 years or older with clinical hip/knee OA diagnoses were recruited for this cross‐sectional study. Self‐reported UI and type, sociodemographic characteristics, medical conditions, physical activity level, anthropometric and body composition measurements, muscle strength, and physical function were assessed. Uni and multivariable logistic regression were used to investigate the factors associated with UI.
Results
Among 100 middle‐aged and older women (mean 67.27 ± 8.77 SD years), 67% reported UI. In the UI group, 33% reported stress UI, 36% reported urgency UI, and 31% reported mixed UI. In the univariate analysis, age, level of physical activity, pulmonary disease, number of medications, body mass index (BMI), number of deliveries, and activity limitation were significantly associated with UI. In the multivariable analysis, older age (60−69 years OR: 4.91, 95% CI: 1.25−19.36; ≥70 years OR: 8.06, 95% CI: 1.96−33.22), compared to 50−59 years, morbid obesity (OR: 14.10, 95% CI: 1.36−146.48), compared to BMI < 30 kg/m2, and activity limitation (OR: 5.31, 95% CI: 1.61−17.54), assessed as short physical performance battery ≤8, remained significantly associated with UI.
Conclusions
UI was highly frequent among middle‐aged and older women with hip/knee OA. Older age, activity limitation, and morbid obesity were independently associated with UI. Interventions targeting physical function and weight management must be considered to prevent and treat UI in this population.</description><subject>Arthritis</subject><subject>assessment of healthcare needs</subject><subject>Body composition</subject><subject>Body mass index</subject><subject>Exercise</subject><subject>Hip</subject><subject>hip osteoarthritis</subject><subject>Knee</subject><subject>knee osteoarthritis</subject><subject>Lung diseases</subject><subject>Muscle strength</subject><subject>Obesity</subject><subject>Osteoarthritis</subject><subject>Physical activity</subject><subject>physical performance</subject><subject>Risk factors</subject><subject>Urinary incontinence</subject><subject>Weight control</subject><issn>0733-2467</issn><issn>1520-6777</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp10T2PFCEYB3BiNN56WvgFDInNWcwdrwNjt7n4lly0cesJA8-43M3ACkw229na-Rn9JOLuaWFiRQg__jzhj9BzSi4pIewqmOWSSd7JB2hFJSNNq5R6iFZEcd4w0aoz9CTnW0KI5qJ7jM64ZkJxyVbo-yb5YNIB-2BjKD5AsFA3ePbOTfDz2w_zBRw2weE4OUh4H2cIeO_LFm_97nhwFwBwzAWiSWWbfPH5NV4HHJeyM8VDKDiXxR1wHPGY4OtS3zgcbyaf7_BobIkpP0WPRjNleHa_nqPN2zefr983N5_efbhe3zSWUy4bPnLBpR4EaKocaTWIgRFHYaSaWysG2knniHVuZFaIjlhLW6oUHazUppP8HF2ccncp1lFy6WefLUyTCRCX3LOOKimFVLrSl__Q27ikUKerqtUtF63mVb06KZtizgnGfpf8XP-0p6T_3U9f--mP_VT74j5xGWZwf-WfQiq4OoG9n-Dw_6T-43pzivwFeSWcUw</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Melo, Gisele A. S. C.</creator><creator>Fernandes, Vanessa de O.</creator><creator>Costa, Henrique Silveira</creator><creator>Lacerda, Ana Cristina Rodrigues</creator><creator>Nobre, Luciana N.</creator><creator>F. de M. Vitorino, Débora</creator><creator>Carvalho Bastone, Alessandra</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5709-7729</orcidid><orcidid>https://orcid.org/0000-0001-5366-3754</orcidid><orcidid>https://orcid.org/0000-0002-7199-8897</orcidid><orcidid>https://orcid.org/0000-0003-2061-1303</orcidid><orcidid>https://orcid.org/0000-0002-1426-7246</orcidid><orcidid>https://orcid.org/0000-0002-2414-3730</orcidid><orcidid>https://orcid.org/0000-0002-4245-5690</orcidid></search><sort><creationdate>202403</creationdate><title>Urinary incontinence in middle‐aged and older women with hip and knee osteoarthritis: An outpatient study of frequency and risk factors</title><author>Melo, Gisele A. S. C. ; Fernandes, Vanessa de O. ; Costa, Henrique Silveira ; Lacerda, Ana Cristina Rodrigues ; Nobre, Luciana N. ; F. de M. Vitorino, Débora ; Carvalho Bastone, Alessandra</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3135-3f34358b4e817d068e4b20d1ef183cc4b195dd0cddf2c4490cc161771bc58a953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Arthritis</topic><topic>assessment of healthcare needs</topic><topic>Body composition</topic><topic>Body mass index</topic><topic>Exercise</topic><topic>Hip</topic><topic>hip osteoarthritis</topic><topic>Knee</topic><topic>knee osteoarthritis</topic><topic>Lung diseases</topic><topic>Muscle strength</topic><topic>Obesity</topic><topic>Osteoarthritis</topic><topic>Physical activity</topic><topic>physical performance</topic><topic>Risk factors</topic><topic>Urinary incontinence</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Melo, Gisele A. S. C.</creatorcontrib><creatorcontrib>Fernandes, Vanessa de O.</creatorcontrib><creatorcontrib>Costa, Henrique Silveira</creatorcontrib><creatorcontrib>Lacerda, Ana Cristina Rodrigues</creatorcontrib><creatorcontrib>Nobre, Luciana N.</creatorcontrib><creatorcontrib>F. de M. Vitorino, Débora</creatorcontrib><creatorcontrib>Carvalho Bastone, Alessandra</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Neurourology and urodynamics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Melo, Gisele A. S. C.</au><au>Fernandes, Vanessa de O.</au><au>Costa, Henrique Silveira</au><au>Lacerda, Ana Cristina Rodrigues</au><au>Nobre, Luciana N.</au><au>F. de M. Vitorino, Débora</au><au>Carvalho Bastone, Alessandra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Urinary incontinence in middle‐aged and older women with hip and knee osteoarthritis: An outpatient study of frequency and risk factors</atitle><jtitle>Neurourology and urodynamics</jtitle><addtitle>Neurourol Urodyn</addtitle><date>2024-03</date><risdate>2024</risdate><volume>43</volume><issue>3</issue><spage>672</spage><epage>679</epage><pages>672-679</pages><issn>0733-2467</issn><eissn>1520-6777</eissn><abstract>Aims
To investigate the frequency and the factors associated with urinary incontinence (UI) in a sample of middle‐aged and older women with lower limb osteoarthritis (OA).
Methods
Women aged 50 years or older with clinical hip/knee OA diagnoses were recruited for this cross‐sectional study. Self‐reported UI and type, sociodemographic characteristics, medical conditions, physical activity level, anthropometric and body composition measurements, muscle strength, and physical function were assessed. Uni and multivariable logistic regression were used to investigate the factors associated with UI.
Results
Among 100 middle‐aged and older women (mean 67.27 ± 8.77 SD years), 67% reported UI. In the UI group, 33% reported stress UI, 36% reported urgency UI, and 31% reported mixed UI. In the univariate analysis, age, level of physical activity, pulmonary disease, number of medications, body mass index (BMI), number of deliveries, and activity limitation were significantly associated with UI. In the multivariable analysis, older age (60−69 years OR: 4.91, 95% CI: 1.25−19.36; ≥70 years OR: 8.06, 95% CI: 1.96−33.22), compared to 50−59 years, morbid obesity (OR: 14.10, 95% CI: 1.36−146.48), compared to BMI < 30 kg/m2, and activity limitation (OR: 5.31, 95% CI: 1.61−17.54), assessed as short physical performance battery ≤8, remained significantly associated with UI.
Conclusions
UI was highly frequent among middle‐aged and older women with hip/knee OA. Older age, activity limitation, and morbid obesity were independently associated with UI. Interventions targeting physical function and weight management must be considered to prevent and treat UI in this population.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38247352</pmid><doi>10.1002/nau.25395</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-5709-7729</orcidid><orcidid>https://orcid.org/0000-0001-5366-3754</orcidid><orcidid>https://orcid.org/0000-0002-7199-8897</orcidid><orcidid>https://orcid.org/0000-0003-2061-1303</orcidid><orcidid>https://orcid.org/0000-0002-1426-7246</orcidid><orcidid>https://orcid.org/0000-0002-2414-3730</orcidid><orcidid>https://orcid.org/0000-0002-4245-5690</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0733-2467 |
| ispartof | Neurourology and urodynamics, 2024-03, Vol.43 (3), p.672-679 |
| issn | 0733-2467 1520-6777 |
| language | eng |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Arthritis assessment of healthcare needs Body composition Body mass index Exercise Hip hip osteoarthritis Knee knee osteoarthritis Lung diseases Muscle strength Obesity Osteoarthritis Physical activity physical performance Risk factors Urinary incontinence Weight control |
| title | Urinary incontinence in middle‐aged and older women with hip and knee osteoarthritis: An outpatient study of frequency and risk factors |
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