Biochemical Measures of Diabetes are Not Independent Predictors of Urinary Incontinence in Women

Weinberg, Aviva E.; Leppert, John T.; Elliott, Christopher S.

doi:10.1016/j.juro.2015.06.074

Cited by 19 publications

(18 citation statements)

References 22 publications

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“…Individuals who experience LUTS are less likely than individuals with normal bladder function to achieve recommended levels of physical activity, 3 and women with LUTS have reported their symptoms as a barrier to physical activity and a contributor to weight gain. 4 As a potential barrier to physical activity, LUTS may increase the risk for obesity and related conditions, which is consistent with the strong association between urinary incontinence and both obesity 5-8 and diabetes 910 in women. Among the elderly, nocturia and urgency may increase risk for falls and fractures.…”

Section: Introductionsupporting

confidence: 61%

Advancing a Comprehensive Approach to the Study of Lower Urinary Tract Symptoms

et al. 2016

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Purpose Lower urinary tract symptoms (LUTS) are common in the United States leading to a significant economic, quality-of-life, and public health burden. This burden will increase as the population ages and risk factors for LUTS such as diabetes and obesity remain highly prevalent. Improving clinical management and establishing the knowledge base to prevent LUTS will require a comprehensive research approach that examines factors beyond the lower urinary tract (LUT). While the study of these “extra-LUT” factors has increased recently, current urologic research does not systematically account for the broad set of potential LUTS contributors that span biologic, behavioral, psychological/executive function, and sociocultural factors. A comprehensive assessment of potential contributors to LUTS risk, treatment response, and progression is necessary to reduce the burden of this condition within the United States. Materials and Methods We consider challenges to continuing the predominantly LUT dysfunctioncentric approach that has dominated previous LUTS research, and propose a new, comprehensive framework for future urology research that includes a broader set of potential LUTS contributors. Results and Conclusions This comprehensive approach should help reduce the medical and economic burden of LUTS in the U.S. population.

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Section: Introductionsupporting

confidence: 61%

Advancing a Comprehensive Approach to the Study of Lower Urinary Tract Symptoms

et al. 2016

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“…However, the impact of glycemic control on UI risk remains unclear. 16) Our study indicates that there is no association between UI and diabetes. This may be explained by a lack of data distinguishing the different types of UI.…”

Section: Discussionmentioning

confidence: 50%

“…Many studies have only used a self-reported history of diabetes in their analyses of associations between UI and diabetes. 16) Further studies are required to explain the relationships between different types of UI and diabetes.…”

Section: Discussionmentioning

confidence: 99%

Association between Female Urinary Incontinence and Geriatric Health Problems: Results from Korean Longitudinal Study of Ageing (2006)

Sohn

Lee²,

Shin

et al. 2018

Korean J Fam Med

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BackgroundUrinary incontinence (UI) is highly prevalent in the aging population. UI is one of the most common geriatric syndromes and affects overall health, quality of life, and economical burden in patients. The aims of this study were to investigate the characteristics of patients with UI and to assess its association with other geriatric health problems.MethodsWe used data from the Korean Longitudinal Study of Ageing obtained in 2006. Among the 10,254 individuals aged 45 years and older, we analyzed data from 2,418 women aged 65 years and older. Data were obtained using questionnaires for UI, comorbidities, and lifestyle factors.ResultsAmong the 2,418 women aged 65 years and older, 506 (20.9%) had UI. Cerebrovascular disease (odds ratio [OR], 2.02; 95% confidence interval [CI], 1.26 to 3.23), arthritis (OR, 1.44; 95% CI, 1.18 to 1.77), and fear of falling (OR, 1.62; 95% CI, 1.18 to 2.22) were significantly associated with UI, while chronic lung disease, psychiatric disease, difficulty in daily living due to visual and hearing problems, and experiencing a fall in the last 2 years were not associated with UI.ConclusionCerebrovascular disease, arthritis, and especially fear of falls were significantly associated with UI in elderly Korean women.

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“…A recent study suggests that biochemical measures, mainly hyperglycemia, are not independent predictors of the presence of urinary incontinence in DM patients 28 . Hsu, et al investigated the association of risk factors related to the presence of urinary incontinence in elderly DM subjects 29 .…”

Section: Discussionmentioning

confidence: 98%

Geriatric Syndromes and Not Cardiovascular Risk Factors are Associated with Cognitive Impairment among Mexican Community-Dwelling Elderly with Type 2 Diabetes

Bello‐Chavolla

Aguilar-Salinas

Ávila-Funes

2017

RIC

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Background: The association of cognitive impairment and type 2 diabetes has been consistently shown in several studies, yet its association with geriatric syndromes has not been fully explored. Objective: To study the correlates of cognitive impairment among community-dwelling elderly with type 2 diabetes. Methods: Cross-sectional study of 135 diabetic persons aged 70 years or older participating in the Coyoacán Cohort Study in Mexico City. Baseline data included chronic illnesses, geriatric syndromes, and diabetes-related variables. The lowest quartile in both the Mini-Mental State Examination and the Isaacs Set Test, according to age and schooling, was used to identify participants with cognitive impairment. Multivariate logistic regression analyses were used to identify the correlates of cognitive impairment. Results: Mean age of participants was 77.7 ± 5.8 years. The prevalence of cognitive impairment was 14.1%. Univariate logistic regression analyses showed that diabetic nephropathy, depression symptoms, falls, and frailty were associated with cognitive impairment. Multivariate logistic regression analyses showed that urinary incontinence and frailty were independently associated with cognitive impairment. Cardiovascular risk factors and diabetes-related variables did not show significant association to cognitive impairment. Conclusions: Geriatric syndromes, but not cardiovascular risk factors, were independently associated with cognitive impairment among diabetic elderlies. Intentional evaluation of these conditions may be important to improve management of the elderly patient with type 2 diabetes and cognitive impairment. (REV INVES CLIN. 2017;69:166-72)

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Biochemical Measures of Diabetes are Not Independent Predictors of Urinary Incontinence in Women

Cited by 19 publications

References 22 publications

Advancing a Comprehensive Approach to the Study of Lower Urinary Tract Symptoms

Advancing a Comprehensive Approach to the Study of Lower Urinary Tract Symptoms

Association between Female Urinary Incontinence and Geriatric Health Problems: Results from Korean Longitudinal Study of Ageing (2006)

Geriatric Syndromes and Not Cardiovascular Risk Factors are Associated with Cognitive Impairment among Mexican Community-Dwelling Elderly with Type 2 Diabetes

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