Influence of urinary urgency and other urinary disturbances on falls in Parkinson's disease

Sakushima, Ken; Yamazaki, Shin; Fukuma, Shingo; Hayashino, Yasuaki; Yabe, Ichiro; Fukuhara, Shunichi; Sasaki, Hidenao

doi:10.1016/j.jns.2015.11.055

Cited by 35 publications

(40 citation statements)

References 26 publications

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“…This study yielded several important findings. First, urinary urgency was independently associated with the number of falls among community‐dwelling older women, which is consistent with previous studies (Brown et al, ; Jayadevappa et al, ; Sakushima et al, ). A Japanese study found that the presence of urinary urgency was significantly associated with an increased risk of falls (OR = 5.14, 95% CI: 1.51–17.48) (Sakushima et al, ).…”

Section: Discussionsupporting

confidence: 90%

Association between urinary urgency and falls among rural dwelling older women

Park

Lee

2019

Journal of Advanced Nursing

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Aim To examine the association between urinary urgency and falls in older women living in rural areas in South Korea. Design A secondary analysis was conducted using cross‐sectional data. Methods This study used dataset obtained from 246 women aged 65 years or older living in 15 rural mountain communities in South Korea between February 2016–March 2016. Falls were measured by self‐reports including the number, location, reasons of falls during the past year. Frequency of urinary urgency and nocturia were assessed by self‐reports. Covariates included age, body mass index, self‐reported health problems. Mixed‐effects negative binomial regression was used to analyse the association between urinary urgency and the number of falls. Results The mean age of the 246 women was 77.3 years. Among the sample, 30.1% experienced at least one fall in the past year and 16% had required hospital treatments. The analysis showed that urinary urgency and osteoporosis were significantly associated with a greater number of falls after adjusting for other covariates. Among those who had experienced falls, nearly 60% reported that the reasons for falls were environmental factors, such as slippery floors or uneven sidewalks/thresholds. Conclusion Improving urinary urgency may be a strategy to decrease the fall risk in older women. Accordingly, community nurses can provide intervention programs on lifestyle and behavioural changes such as bladder training, dietary modification and pelvic floor muscle training. Interventions for fall prevention need to be developed while considering the unique features of indoor and outdoor environments. Impact The findings have implications for healthcare providers and policy makers with regard to the development of safer indoor and outdoor environments for older women living in rural areas by remodelling their residential spaces and neighbourhoods. In addition, more prospective studies using larger samples are needed to investigate the causal mechanism between urinary urgency and falls.

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Section: Discussionsupporting

confidence: 90%

Association between urinary urgency and falls among rural dwelling older women

Park

Lee

2019

Journal of Advanced Nursing

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“…A Japanese study of patients with Parkinson's disease found that increased micturition frequency either by day or night was not associated with falls, but that the presence of urinary urgency was strongly associated with a large increase in the odds of falling (OR 5.14 95%CI 1.51‐17.48). Only 14% of the falls reported in this study occurred on the way to or from the toilet …”

Section: What Is Known About the Association Between Falls And Luts?mentioning

confidence: 69%

The association between lower urinary tract symptoms and falls: Forming a theoretical model for a research agenda

Gibson

Hunter

Camicioli

et al. 2017

Neurourology and Urodynamics

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Background There is a well‐recognised association between falls and lower urinary tract symptoms (LUTS) in older adults, with estimates of odd ratios for falls in the presence of LUTS ranging between 1.5 and 2.3. Falls and LUTS are both highly prevalent among older people and both are markers of frailty, with significant associated morbidity, mortality, and healthcare resource cost. This association is not well examined or explained in the literature. Aims We aimed to outline current knowledge of the association between falls and lower urinary tract symptoms and suggest a research program to further investigate this. Materials and Methods A consensus conference of experts in the field was convened to review the current literature and brainstorm potential future investigative avenues. Results and Discussion Despite the recognition of this association, there has been little research to examine its potential causes, and no intervention trial has established if reducing LUTS or urinary incontinence can reduce the risk of falls. The commonly held assumption that urgency causes falls through rushing to the toilet is likely incorrect. Falls and LUTS are both symptoms of frailty and have many common causes. Gait, balance, and continence are all processes requiring cognitive input, and the concept of dual tasking may be a further link. Conclusion The significant association between lower urinary tract symptoms and falls is currently unexplained, and further research into the potential causes of this association is needed.

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“…It has been used in different populations suffering from symptoms of OAB, including for studying treatment effects. Several investigators used it in PD population …”

Section: Resultsmentioning

confidence: 99%

Clinical Rating Scales for Urinary Symptoms in Parkinson Disease: Critique and Recommendations

Traon¹,

Cotterill

Amarenco

et al. 2018

Movement Disord Clin Pract

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Background The prevalence of lower urinary tract symptoms (LUTS) is high in Parkinson's disease (PD). These problems negatively affect quality of life and include both storage and voiding problems. The International Parkinson and Movement Disorder Society established a task force to review clinical rating scales/questionnaires for the assessment of urinary symptoms in PD. Methods According to prespecified criteria, these scales/questionnaires were classified as “Recommended” or “Recommended with caveats” when clinimetric properties were satisfactory for Recommended status but had not been assessed specifically in PD, “Suggested” or “Listed.” These assessments were applied to rate scales as screening tools for the diagnosis of LUTS and for the rating of symptom severity. Results Among scales that included LUTS but focused on overall autonomic or non‐motor symptoms in PD, no scale reached the clinimetric rigor to be designated as Recommended or Recommended with caveats, but some were Suggested for either diagnostic screening tools or severity measures. Among primary urological scales, most are well validated in urological setting, but none was validated specifically in PD. DAN‐PSS (Danish PSS), ICIQ (International Consultation for Incontinence Questionnaire)‐MLUTS (Male Lower Urinary Tract Symptoms), OABq, OABq‐SF (ICIQ‐OABqol), OAB‐V8 (as screening tool), and OABSS (OAB Symptom Score) met criteria for Recommended with caveats. Conclusion The Task Force does not recommend the development of a new scale. However, all above‐mentioned questionnaires need to be studied further and specifically validated in PD.

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Influence of urinary urgency and other urinary disturbances on falls in Parkinson's disease

Cited by 35 publications

References 26 publications

Association between urinary urgency and falls among rural dwelling older women

Association between urinary urgency and falls among rural dwelling older women

The association between lower urinary tract symptoms and falls: Forming a theoretical model for a research agenda

Clinical Rating Scales for Urinary Symptoms in Parkinson Disease: Critique and Recommendations

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