Impact of Female Stress Urinary Incontinence on Quality of Life, Mental Health, Work Limitation, and Healthcare Seeking in China, Taiwan, and South Korea (LUTS Asia): Results from a Cross-Sectional, Population-Based Study

Chow, Po-Ming; Chuang, Yao‐Chi; Shen, Yuan Chi; Shen, Yeh-You; Liu, Shih‐Ping

doi:10.2147/ijwh.s383651

Cited by 17 publications

(20 citation statements)

References 22 publications

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“…14 Similarly, a study of 4208 women aged ≥40 years conducted by Chow et al showed a significant association between SUI and work dysfunction in terms of starting working, continuing working, staying focused at work, interacting with people and completing work. 15 Regarding the potential role of comorbidities, we found that self-rated health, a comorbidity measure, 30,31 influenced the association between UI and WA, especially in SUI.…”

Section: Discussionmentioning

confidence: 84%

“…Previous studies have reported UI associating with lower education, lower occupational status and severe economic hardships 12,13 . In working life, UI has a negative impact on concentration, interaction with people, performance of physical activities, self‐confidence and the ability to complete tasks without interruption 14,15 . Regarding outcomes of work ability, a previous population‐based longitudinal cohort study of women aged 54–65 years and followed for 14 years with biennial interviews showed that urinary incontinence was associated with increased risks for work disability, 16 operationalized as experiencing impairments or health problems limiting the kind or amount of paid work one can do.…”

Section: Introductionmentioning

confidence: 99%

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Urinary incontinence associates with poor work ability in middle‐aged women: A Northern Finland Birth cohort 1966 study

Salo,

Mäkelä‐Kaikkonen,

Sova

et al. 2023

Acta Obstet Gynecol Scand

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IntroductionUrinary incontinence is a common ailment in women and is likely to affect their work ability. We investigated the associations between the different subtypes of urinary incontinence and several dimensions of perceived work ability in middle‐aged general population.Material and methodsCross‐sectional survey at age 46 among participants of the Northern Finland Birth Cohort 1966 study (n = 3706, response rate 72%). Urinary incontinence symptoms and several items of Work Ability Index were collected by postal questionnaire. Work ability was dichotomized as good or poor work ability in general, in relation to physical job demands, to diseases and own 2‐year prospect of work ability. The associations between urinary incontinence and work ability measures were assessed using logistic regression models, with further adjustments for biological, behavioral and work‐related factors as well as general health.ResultsThe odds ratio (OR), from lowest to highest, for poor work ability were 1.4‐fold among women with stress urinary incontinence (OR 1.37, 95% confidence interval [CI] 1.09–1.72), 2.5‐fold with mixed urinary incontinence (OR 2.51, 95% CI 1.68–3.74) and 3.3‐fold with urgency urinary incontinence (OR 3.34, 95% CI 1.95–5.70). We note that our results reflect work ability in a Nordic society.ConclusionsEspecially urgency and mixed types of urinary incontinence are associated with poor work ability among middle‐aged women.

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Section: Discussionmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Urinary incontinence associates with poor work ability in middle‐aged women: A Northern Finland Birth cohort 1966 study

Salo,

Mäkelä‐Kaikkonen,

Sova

et al. 2023

Acta Obstet Gynecol Scand

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“…Urinary incontinence has been shown to be associated with increased rates of depression and higher stress in women across the globe. [4][5][6] Chronic obstructive pulmonary disease (COPD) and asthma are significant causes of pulmonary morbidity. The Global Burden of Disease study reports that 212 million and 262 million people are affected by COPD and asthma, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Left untreated, SUI can have a strong impact on quality of life (QoL). Urinary incontinence has been shown to be associated with increased rates of depression and higher stress in women across the globe 4–6 …”

Section: Introductionmentioning

confidence: 99%

Association between respiratory disease and stress urinary incontinence: An analysis of the 2015−2020 National Health and Nutrition Examination Survey

Zhu

Sim

Okada

et al. 2023

Neurourology and Urodynamics

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Introduction There is a logical association between chronic obstructive pulmonary disease (COPD) or asthma with stress urinary incontinence (SUI), given the propensity for coughing which increases intra‐abdominal pressure. However, there are few studies examining the association between COPD or asthma and specifically SUI. We aimed to utilize the National Health and Nutrition Examination Survey (NHANES) data from 2015 to 2020 to measure the association between respiratory diseases like COPD and asthma with SUI. Methods Data was collected from NHANES, a database representative of the United States population. Participants were included if they were female, older than 20 years, and completed the incontinence survey question. Self‐reported history of asthma and COPD diagnosis from a physician, as well as history of incontinence associated with activities such as coughing, lifting, or exercise, were collected. Characteristics of participants were compared using χ2 and Student t‐tests. Multivariable logistic regression was performed using a multimodel approach to adjust for sociodemographic and health‐related covariates. Results A total of 9059 women were included in this study. 42.13% reported an episode of SUI in the past year, 6.29% had a COPD diagnosis, and 11.86% had an asthma diagnosis. In the unadjusted analysis, participants with COPD were more likely to report SUI (odds ratio [OR] 3.42, 95% confidence interval [CI] 2.13−5.49, p < 0.001); this association persisted on multivariable analysis (OR 2.87, 95% CI 1.46−5.60, p = 0.003). There was no significant association between asthma and SUI in the unadjusted (OR 1.15, 95% CI 0.96−1.38, p = 0.14) or adjusted model (OR 1.18, 95% CI 0.86−1.60, p = 0.30). Conclusion Although a strong association between COPD and SUI was observed, an analogous one was not found between asthma and SUI. Chronic cough may be more difficult to control with treatment or more common in those with COPD than asthma, explaining this difference. Future research should continue to explore drivers for SUI in large populations to dispel or affirm historically assumed SUI risk factors.

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“…SUI may be caused by an anatomical defect in the bladder neck, hypermobility of the urethra, or intrinsic sphincter deficiency 1 and can negatively impact quality of life, self-esteem, and social activity in women. 2 The International Consultation on Incontinence (ICS) recommends pelvic floor muscle training (PFMT) as the initial standard nonsurgical treatment for SUI. 3 Traditional conservative treatment for SUI in women involves strengthening of the pelvic floor muscles.…”

Section: Introductionmentioning

confidence: 99%

Autologous platelet rich plasma (A‐PRP) combined with pelvic floor muscle training for the treatment of female stress urinary incontinence (SUI): A randomized control clinical trial

Saraluck,

Chinthakanan,

Kijmanawat

et al. 2023

Neurourology and Urodynamics

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ImportanceAutologous platelet‐rich plasma (A‐PRP) injection is a novel intervention for stress urinary incontinence (SUI) in women. However, no Phase II clinical trial has compared the outcomes of A‐PRP injection combined with pelvic floor muscle training (PFMT) with those of PFMT alone in these women.ObjectiveThe primary aim was to compare the efficacy of A‐PRP + PFMT versus PFMT alone in women with SUI. The secondary aim was to determine any adverse effects of A‐PRP injection.DesignRandomized clinical trial, single‐blind assessment.SettingUrogynecology clinic at a tertiary medical center.ParticipantsWomen with previously untreated SUI. Women in whom there was any suspicion of urgency, those with an Overactive Bladder Symptoms Score of ≥1, and those with obesity, pelvic organ prolapse, thrombocytopenia, or coagulopathy were excluded.InterventionsTwo injections of A‐PRP were administered with a 1‐month interval between injections in the A‐PRP injection + PFMT group. Both groups received PFMT.Main Outcomes and MeasuresThe primary outcome was determined using the 1‐h pad weight test (PWT). Secondary outcomes were measured using the Incontinence Quality of Life Questionnaire, item 11 on the International Consultation on Incontinence Questionnaire‐Female Lower Urinary Tract Symptoms questionnaire, Patient Global Impression of Improvement, and the percentage subjective improvement score.ResultsData for 60 study participants were available for analysis (A‐PRP + PFMT group, n = 31; PFMT group, n = 29). The 1‐h PWT decreased significantly in the A‐PRP + PFMT group but only slightly in the PFMT group at the 5‐month follow‐up. There was a statistically significant between‐group difference in the 1‐h pad weight of about 8 g in favor of the A‐PRP + PFMT group. A statistically significant difference in symptoms of SUI measured by the questionnaires was found between the A‐PRP + PFMT group and the PFMT group at the 2‐ and 5‐month follow‐up assessments. There were no reports of adverse events following injection of A‐PRP.Conclusions and RelevanceA‐PRP + PFMT could be a treatment option for women with SUI. Large Phase III randomized controlled trials are required to confirm our findings.

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Impact of Female Stress Urinary Incontinence on Quality of Life, Mental Health, Work Limitation, and Healthcare Seeking in China, Taiwan, and South Korea (LUTS Asia): Results from a Cross-Sectional, Population-Based Study

Cited by 17 publications

References 22 publications

Urinary incontinence associates with poor work ability in middle‐aged women: A Northern Finland Birth cohort 1966 study

Urinary incontinence associates with poor work ability in middle‐aged women: A Northern Finland Birth cohort 1966 study

Association between respiratory disease and stress urinary incontinence: An analysis of the 2015−2020 National Health and Nutrition Examination Survey

Autologous platelet rich plasma (A‐PRP) combined with pelvic floor muscle training for the treatment of female stress urinary incontinence (SUI): A randomized control clinical trial

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