Association between self-reported urinary incontinence and musculoskeletal conditions in community-dwelling elderly women: A cross-sectional study

Kim, Hunkyung; Yoshida, Hideyo; Hu, Xiuying; Saito, Kyoko; Yoshida, Yuko; Kim, Miji; Hirano, Hirohiko; Kojima, Narumi; Hosoi, Erika; Suzuki, Takao

doi:10.1002/nau.22567

Cited by 40 publications

(54 citation statements)

References 20 publications

(25 reference statements)

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“…In that study, an OR = 1.39 was found in women with comorbidities, confirming the increased risk of UI among women with other chronic diseases . An association between the prevalence of UI and the presence of multimorbidity indirectly reflects the progressive increase in life expectancy and its clinical/epidemiological implications, as confirmed by de Souza Santos Machado et al In our study, the presence of arterial hypertension also increased the risk of developing UI, as already demonstrated by Sensoy et al Similarly, other studies show that osteomuscular alterations common in elderly women, such as osteoarthritis, are among the factors associated with a higher prevalence of UI …”

Section: Discussionsupporting

confidence: 89%

Prevalence of urinary incontinence and its association with multimorbidity in women aged 50 years or older: A population‐based study

Reigota

Pedro

Machado

et al. 2014

Neurourology and Urodynamics

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Section: Discussionsupporting

confidence: 89%

Prevalence of urinary incontinence and its association with multimorbidity in women aged 50 years or older: A population‐based study

Reigota

Pedro

Machado

et al. 2014

Neurourology and Urodynamics

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“…Another important aspect is that UI not only impacts on the social life of older women [24] but also is related to lower handgrip strength and slower gait speed [25]. Taken together, the findings suggest that resistance exercise could be an accessible tool to improve the symptoms of urine loss, as well as other physical aspects relevant to the health of older women.…”

Section: Discussionmentioning

confidence: 85%

Acute effect of resistance exercise performed at different intensities on urine loss in older women

Menezes¹,

Virtuoso²,

Gurjão³

et al. 2018

Physiother Quart.

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Introduction. To evaluate the acute effect of resistance exercise performed at different intensities (moderate and vigorous) on urine loss in older women with mixed and stress urinary incontinence.Methods. The total of 16 older women with urinary incontinence underwent 2 sessions of resistance exercises involving different muscle groups. In a balanced crossover design, 1 of the 2 exercise intensities (12 or 6 repetitions maximum, RM) was applied in each session. The pad test was used to assess urine loss in the 2 sessions, with a weight increase of 2 g as the criterion. Differences in the pad test results between the sessions were compared with the use of the Wilcoxon test.Results. The mean pad weight was 0.69 ± 0.94 g at the intensity of 12RM and 0.50 ± 0.53 g at 6RM. In accordance with the cut-off adopted (2 g), only 2 of the 16 women lost urine. No significant difference in the pad test results (p = 0.975) was observed between the 2 resistance exercise intensities. Conclusions.Resistance exercise performed at different intensities (moderate and vigorous) did not cause urine loss in older women with urinary incontinence.

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“…Most studies included only women; two included both men and women, and a further two were done with a male‐only population . One study considered storage and voiding symptoms, and four studies evaluated specific subtypes of incontinence . The studies all demonstrated that there was a statistically significant association between the diagnosis of urinary incontinence or urinary symptoms and low back pain, with adjusted odds ratios varying from 1.1 to 3.1.…”

Section: Resultsmentioning

confidence: 99%

“…Sometimes it is in the setting of an acute low back injury, and other times the urinary and back pain symptoms have a more gradual onset. Prior studies have suggested there is a link between low back pain and urinary incontinence, and this has been hypothesized to be mediated through pelvic floor dysfunction …”

Section: Introductionmentioning

confidence: 99%

Is there a link between back pain and urinary symptoms?

Welk

Baverstock

2020

Neurourology and Urodynamics

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Aims: To identify epidemiological studies of mechanical low back pain and urinary dysfunction, and to identify potential evidence supporting a mechanism for this relationship.Methods: A systematic online search was conducted of EmBASE, Medline, CINAHL, and PEDro databases. We excluded studies where an obvious link between low back pain and urinary dysfunction exists (such as cauda equina syndrome). Two reviewers used inclusion/exclusion criteria to screen the articles. Data were extracted and summarised with a narrative review, and study quality was assessed.Results: We included 22/930 studies. Twelve studies addressed the epidemiological link between low back pain and urinary symptoms. The studies all found a statistically significant association between the diagnosis of urinary incontinence or urinary symptoms and low back pain, (aOR's 1.1 to 3.1).Results were consistent when stratified by sex, age, and when adjusted for confounders. The study quality was good in 4/12. Eight studies reported on an assessment/intervention related to pelvic floor function, urinary symptoms and low back pain. Pelvic floor dysfunction was common in women with low back pain, however randomized studies and pre-post studies reported mixed results for pelvic floor physiotherapy improving low back pain. The study quality was good in 3/8. Conclusions:Low back pain and urinary incontinence are associated in large epidemiological studies, and the presence of one condition seems to predispose the development of the other. There is limited evidence to suggest pelvic floor interventions are useful for low back pain in this patient population, therefore the mechanism for this relationship is still unclear. K E Y W O R D Slow back pain, overactive bladder, stress incontinence, urge incontinence, urinary incontinence

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Association between self-reported urinary incontinence and musculoskeletal conditions in community-dwelling elderly women: A cross-sectional study

Abstract: This study showed that UI was significantly associated with musculoskeletal conditions, including LBP, and the combination of pain and OA. The risk of urge UI was greater with increasing severity of LBP.

Cited by 40 publications

References 20 publications

Prevalence of urinary incontinence and its association with multimorbidity in women aged 50 years or older: A population‐based study

Prevalence of urinary incontinence and its association with multimorbidity in women aged 50 years or older: A population‐based study

Acute effect of resistance exercise performed at different intensities on urine loss in older women

Is there a link between back pain and urinary symptoms?

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