Incidence and remission rates of lower urinary tract symptoms at one year in women aged 40-60: longitudinal study

Møller, Lars Alling

doi:10.1136/bmj.320.7247.1429

Cited by 78 publications

(81 citation statements)

References 20 publications

(33 reference statements)

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“…Two population-based studies 11,12 of women younger than age 60 years reported mean annual incidences ranging from 4% to 5%. Also, similar to our observation of a 1.8% average 1-year incidence of leaking at least once per week, Moller et al 13 Several limitations of this study should be considered. Classification of incontinence frequency and type was based on self-report.…”

Section: Commentsupporting

confidence: 56%

Incidence and remission of urinary incontinence in middle-aged women

Townsend

Danforth

Lifford

et al. 2007

American Journal of Obstetrics and Gynecology

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Objective-To describe changes in urinary incontinence in middle-aged women.Study Design-A prospective analysis of 64,650 women aged 36 to 55 years in the Nurses' Health Study II. Participants reported urine leaking in 2001 and 2003. Among continent women, we estimated 2-year incidence proportions; among incontinent women, we estimated proportions with remission.Results-The 2-year incidence of incontinence was 13.7%. Incidence generally increased through age 50 years, then declined slightly between ages 51 and 55 years. Among women with incident incontinence at least once per week, the 2-year incidence of stress incontinence was 1.7%; this incidence increased through age 50 years. The incidence of urge incontinence was stable across age groups (overall 2-year incidence=0.4%). Complete remission of symptoms occurred in 13.9% of women with incontinence at baseline; remission was more common in younger than older women.Conclusion-In our study, both incident urinary incontinence and remission of symptoms were common.

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Section: Commentsupporting

confidence: 56%

Incidence and remission of urinary incontinence in middle-aged women

Townsend

Danforth

Lifford

et al. 2007

American Journal of Obstetrics and Gynecology

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“…Seven studies examined the incidence of UI in Europe [20,21,22,23,24,25,26]. One study used a validated questionnaire (BLUTS) to investigate UI [22].…”

Section: Resultsmentioning

confidence: 99%

Prevalence, Incidence and Obstetric Factors’ Impact on Female Urinary Incontinence in Europe: A Systematic Review

et al. 2012

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Objectives: A systematic review of the published data on the prevalence, incidence and risk factors of female urinary incontinence (UI) and obstetric treatment of UI in Europe. Data Sources: Epidemiologic studies were sought via PubMed to identify articles published in English, French, Spanish, German and Italian between 2000 and September 30, 2010, in Europe. Results: The prevalence of UI ranged from 14.1 to 68.8% and increased with increasing age. Significant risk factors for UI in pregnancy were maternal age ≥35 years and initial body mass index, a family history of UI and parity. UI in women who delivered ‘at term’ ranged from 26 to 40.2%, with a remission rate of 3 months after childbirth of up to 86.4%. Pelvic floor muscle training may help to prevent postpartum UI in primiparous women without UI during pregnancy. Conclusion: UI definition, outcome measures, survey methods and validation criteria are still heterogeneous, and thus it is difficult to compare data and impossible to draw definite conclusions.

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“…16 Annual rates of UI incidence vary from 1% to 11% and of UI remission from 5% to 11%. [17][18][19][20][21][22][23][24] Most studies assessing the causes of UI are cross-sectional and therefore cannot assess UI as a dynamic condition. Moreover, the few longitudinal studies have had relatively limited follow-ups (2-5 years) or no interval evaluation of the UI evolution during the study period.…”

Section: Introductionmentioning

confidence: 99%

Incidence and remission of urinary incontinence at midlife: a cohort study

Legendre

Ringa

Panjo

et al. 2014

BJOG

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Objective Urinary incontinence (UI) is often considered to be an age-related disease that develops gradually as women grow older. Much remains to be learnt about factors that promote its incidence or its remission. Our objective was to assess its incidence and risk factors.Design Longitudinal cohort study.Setting French GAZEL cohort.Population A cohort of 4127 middle-aged women (aged 47-52 years at baseline) over an 18-year period (1990-2008).Methods UI was defined as 'difficulty retaining urine'. The question was asked at baseline and repeated every 3 years over an 18-year period. Two groups (UI incidence and remission) were analysed according to status at baseline (continent or incontinent). A multivariable analysis (Cox model) was used to estimate the risk factors for UI incidence and remission.Main outcome measures Annual incidence and remission rates and risk factors for UI incidence and remission.Results The annual incidence and remission rates for UI were 3.3% and 6.2%, respectively. High educational level (hazard ratio[HR] = 1.28; 95% confidence interval [95% CI] = 1.05-1.55), parity, i.e. at least one baby versus no baby (HR = 1.64; 95% CI = 1.19-2.27), menopause (HR = 5.44; 95% CI = 4.47-6.63), weight gain, i.e. for each kilogram change in weight (HR = 1.00; 95% CI = 1.00-1.02), onset of depressive symptoms (HR = 1.31; 95% CI = 1.09-1.57) and impairment in health-related quality of life incidence (social isolation dimension [HR = 1.29; 95% CI = 1.04-1.60] and energy dimension [HR = 1.41; 95% CI = 1.17-1.70]) were associated with an increased probability of UI. The factors associated with persistent UI were age (HR = 0.58; 95% CI = 0.55-0.61), weight gain (HR = 0.99; 95% CI = 0.98-0.99) and transition to menopausal status (HR = 1.54; 95% CI = 1.19-1.99).Conclusions Our study suggests that, in our population of middleaged women, age, menopause, weight gain, onset of depression and impaired health-related quality of life may promote UI.

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Incidence and remission rates of lower urinary tract symptoms at one year in women aged 40-60: longitudinal study

Cited by 78 publications

References 20 publications

Incidence and remission of urinary incontinence in middle-aged women

Incidence and remission of urinary incontinence in middle-aged women

Prevalence, Incidence and Obstetric Factors’ Impact on Female Urinary Incontinence in Europe: A Systematic Review

Incidence and remission of urinary incontinence at midlife: a cohort study

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