Diabetes and urinary incontinence – prevalence data from Norway

Ebbesen, Marit Helen; Hannestad, Yngvild S.; Midthjell, Kristian; Hunskaar, Steinar

doi:10.1080/00016340701625347

Cited by 54 publications

(80 citation statements)

References 23 publications

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“…8,10,14,30 In our study, SUI affected 15.9% of climacteric women and was similar to the population findings by Brito et al 8 With regard to factors associated with UI, the literature is controversial and often shows association between UI and socio-demographic data such as age, education and race; obstetric factors such as pregnancy, multiparity, type of delivery, newborn weight; gynecological factors such as gynecological surgeries and menopausal status; and morbidities such as diabetes mellitus and obesity. 1,4,[27][28][29][30][31] The bivariate analysis performed in our study showed a positive association with education, skin color, pregnancy, gynecologic surgery, which was not confirmed in the logistic regression. Our findings are in line with those documented by Brito et al 8 and Guarisi et al, 14 who also found no association between UI and socioeconomic and reproductive factors.…”

Section: Discussionmentioning

confidence: 92%

Prevalence and factors associated with urinary incontinence in climacteric

Dellú

Schmitt

Cardoso

et al. 2016

Rev. Assoc. Med. Bras.

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Objective: To estimate the prevalence and identify associated factors to urinary incontinence (UI) in climacteric women. Method: In a cross-sectional study with a stratified random sample, 1,200 women aged between 35 and 72 years were studied, enrolled in the Family Health Strategy in the city of Pindamonhangaba, São Paulo. Urinary incontinence was investigated using the International Consultation of Incontinence Questionnaire -Short Form, while associated factors were assessed based on a self-reported questionnaire with socio-demographic, obstetric and gynecological history, morbidities and drug use. The prevalence of urinary incontinence was estimated with a 95% confidence interval (95CI) and the associated factors were identified through multiple logistic regression model performed using Stata software, version 11.0. Results: Women had a mean age of 51.9 years, most were in menopause (59.4%), married (87.5%), Catholic (48.9%), and declared themselves black or brown (47.2%). The mean age of menopause of women with UI was 47.3 years. The prevalence of UI was 20.4% (95CI: 17.8-23.1%). The factors associated with UI were urinary loss during pregnancy (p=0.000) and after delivery (p=0.000), genital prolapse (p=0.000), stress (p=0.001), depression (p=0.002), and obesity (p=0.006). Conclusion: The prevalence of UI was lower but similar to that found in most similar studies. Factors associated with the genesis of UI were urinary loss during pregnancy and after delivery, genital prolapse and obesity.

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Section: Discussionmentioning

confidence: 92%

Prevalence and factors associated with urinary incontinence in climacteric

Dellú

Schmitt

Cardoso

et al. 2016

Rev. Assoc. Med. Bras.

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“…In several US studies, stress urinary incontinence is more common in white women than in African-American or Asian-American women 19,34,35 . Other factors associated with urinary incontinence in multiple, large, population-based studies 25,[36][37][38] include parity 25,26,36 , obesity 25,26,36,38 , …”

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confidence: 99%

Urinary incontinence in women

Rm²

2017

Nat Rev Dis Primers

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Urinary incontinence symptoms are highly prevalent among women, have a substantial effect on health-related quality of life and are associated with considerable personal and societal expenditure. Two main types are described: stress urinary incontinence, in which urine leaks in association with physical exertion, and urgency urinary incontinence, in which urine leaks in association with a sudden compelling desire to void. Women who experience both symptoms are considered as having mixed urinary incontinence. Research has revealed overlapping potential causes of incontinence, including dysfunction of the detrusor muscle or muscles of the pelvic floor, dysfunction of the neural controls of storage and voiding, and perturbation of the local environment within the bladder. A full diagnostic evaluation of urinary incontinence requires a medical history, physical examination, urinalysis, assessment of quality of life and, when initial treatments fail, invasive urodynamics. Interventions can include non-surgical options (such as lifestyle modifications, pelvic floor muscle training and drugs) and surgical options to support the urethra or increase bladder capacity. Future directions in research may increasingly target primary prevention through understanding of environmental and genetic risks for incontinence.Correspondence to R.C. Department of Epidemiology and Biostatistics, Imperial College London, Norfolk Place, London W2 1PG, UK. r.cartwright@imperial.ac.uk. Author contributions Competing interestsThe authors declare no competing interests. Publisher's noteSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. HHS Public AccessAuthor manuscript Nat Rev Dis Primers. Author manuscript; available in PMC 2018 April 01. Published in final edited form as:Nat Rev Dis Primers. ; 3: 17042. doi:10.1038/nrdp.2017.42. Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptUrinary incontinence is the complaint of involuntary loss (leakage) of urine 1 . The condition occurs in both sexes, but is much more frequent in women. Although some overlap in pathophysiology is evident between sexes, incontinence in men is often a consequence of prostatic enlargement or from damage to continence mechanisms during surgery or radiotherapy for prostate cancer. By contrast, incontinence in women is typically related to dysfunction of the bladder or pelvic floor muscles, with such dysfunction often arising during pregnancy or childbirth, or at the time of menopause. This Primer focuses on female urinary incontinence because of its higher prevalence and unique pathophysiology.There are two main subtypes of urinary incontinence: stress incontinence and urgency incontinence. According to the International Urogynecological Association (IUGA) and the International Continence Society (ICS) standard definition, stress incontinence is the complaint of urine leakage in association with coughing, sneezing or physical exertion, whereas urgency incontinence is the comp...

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“…Diabetes has been implicated in fall risk (Volpato et al 2005), fractures (Schwartz et al 2001), urinary incontinence (Ebbesen et al 2007) and depression (Anderson et al 2001). …”

Section: Diabetes and Geriatric Syndromesmentioning

confidence: 99%