Lower urinary tract symptoms and falls in older women: A case control study

Edwards, Robert; Hunter, Kathleen F.; Wagg, Adrian

doi:10.1016/j.maturitas.2014.12.008

Cited by 11 publications

(14 citation statements)

References 23 publications

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“…These were reviews and cited no data relevant to this claim. A case‐control study in the United Kingdom found no temporal association between getting to the toilet and falling, suggesting that a simplistic explanation such as rushing is unlikely to be the underlying link between the two entities . In this study, only 6% of participants identified a temporal relationship between their fall and experience of urgency.…”

Section: Potential Links and Avenues For Further Studycontrasting

confidence: 68%

“…A case-control study in the United Kingdom found no temporal association between getting to the toilet and falling, suggesting that a simplistic explanation such as rushing is unlikely to be the underlying link between the two entities. 32 In this study, only 6% of participants identified a temporal relationship between their fall and experience of urgency. This is similar to the finding of Sakushima et al, 24 which reported 14% of falls related to getting to or from the toilet, but did not examine whether or not those people perceived themselves to be "rushing."…”

Section: Rushing To the Toilet Or Slipping In Urinementioning

confidence: 66%

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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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Section: Potential Links and Avenues For Further Studycontrasting

confidence: 68%

Section: Rushing To the Toilet Or Slipping In Urinementioning

confidence: 66%

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

Self Cite

View full text Add to dashboard Cite

show abstract

“…This same study also analyzed females who visited the emergency department for falls. 31 In our study, all LUTS were significantly correlated with falling; among these, frequency and urgency were the most significant risk factors. Because urgency is a symptom in which a person experiences an immediate need to urinate, it is considered a symptom of great relevance.…”

Section: Discussionsupporting

confidence: 49%

“…A study targeting 746 people investigated the relationship between falling and LUTS and reported an association between falling and LUTS; however, they did not find an association between falling and urgency or urge incontinence. This same study also analyzed females who visited the emergency department for falls . In our study, all LUTS were significantly correlated with falling; among these, frequency and urgency were the most significant risk factors.…”

Section: Discussionmentioning

confidence: 59%

The association of lower urinary tract symptoms with incidental falls and fear of falling in later life: The Community Health Survey

Kim

Nam

Choi

et al. 2017

Neurourology and Urodynamics

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“…Falls and fall‐related morbidity have often been linked with OAB symptoms, in particular nocturia. Interestingly, in a prospective case controlled cohort study in older women, no relationship between urgency or urgency UI and falls was found, raising doubt as to the causal nature of this association (Abstract 217). In contrast, Booth et al evaluated the possibility that in the elderly, urgency affects balance and gait (Abstract 204).…”

Section: Elderlymentioning

confidence: 99%