Fatores associados à incontinência urinária em idosos com critérios de fragilidade

Abstract

ABSTRACT:This study presents an analysis of factors associated with Urinary Incontinence among elderly individuals who meet frailty criteria (pre-frail and frail). It is a cross-sectional and quantitative study. One hundred elderly patients from a geriatric outpatient clinic at a university hospital in Campinas, SP, Brazil were interviewed. A total of 65.0% of the participants reported Urinary Incontinence, 40 (61.4%) of which reported loss of small quantities of urine several times a day. The multivariate regression analysis showed a statistically significant relationship among gender (OR=3.67), urinary tract infection (OR=6.16), and scores on the Functional Independence Measure (mobility), (OR=0.85). The results show that urinary tract infection, loss of mobility, and gender are factors associated with Urinary Incontinence in elderly patients who meet frailty criteria. These factors are susceptible to interventions designed to prevent and even reduce episodes of Urinary Incontinence. DESCRIPTORS: FACTORES ASOCIADOS CON INCONTINENCIA URINARIA EN ANCIANOS CON CRITERIOS DE FRAGILIDAD RESUMEN:Este estudio tiene como objetivo analizar los factores asociados con la incontinencia urinaria en los adultos mayores con criterios de fragilidad (pre-frágil y frágil). Se trata de un estudio transversal y cuantitativo. Fueron entrevistados cien ancianos en el ambulatorio de geriatría de un hospital universitario del municipio de Campinas, São Paulo, Brasil. Refirieron incontinencia urinaria 65,0% de los ancianos, de estos 40 (OR=61,4%) relataron pérdidas de orina varias veces al día en pequeñas cantidades. El análisis de regresión multi-variado apuntó una relación estadísticamente significante entre los sexos (OR=3.67), e infección del tracto urinario (6,16) con índices de medida de independencia funcional (movilidad) (OR=0.85). Los resultados muestran que la infección del tracto urinario, la pérdida de movilidad y el sexo son factores de riesgo para la incontinencia urinaria en ancianos con criterios de fragilidad. Estos factores son susceptibles a la intervención visando la prevención y los episodios de incontinencia urinaria.

Urinary incontinence in elderly women from Porto Alegre: its prevalence and relation to pelvic floor muscle function

“…), as the majority reported urine loss in three or more of the aforementioned situations, which indicates the severity of UI in these women. The higher prevalence of UUI and mixed UI in the elderly women of this study confirms the findings of other authors 12,13,22,23 . The elderly women reported having lived with urine leakage for a median of three years, which corroborates the findings of other studies on women, particularly elderly, that state that these individuals live with UI for long periods of time before seeking help 20,21,24,25 .…”

Associated factors to urinary incontinence in women undergoing urodynamic testing

“…The age of women affected by UI is revealed in several studies, showing that UI affects women across a wide age group, especially after the age of 40, with increasing incidence over the course of aging, as also evidenced in this study. In older adults, the most common type of UI is SUI, with loss of urine when coughing and sneezing (9) ; followed by DI, characterized by loss of urine before reaching the bathroom (6)(7)(8)(9)(10)(11) . SUI affects 50% of North American women, mainly women from the younger age group (11)(12) .…”

Frailty Assessment and its Association with Sociodemographic and Health Characteristics in Community Elderly

“…Through the results, the frailty associated with heart disease, diabetes mellitus, osteoporosis, respiratory diseases, urinary tract infection and depression. Six studies found similar results, in which half of the results related frailty to heart diseases [2,10,12,19,20].…”