Predictors of female urinary incontinence at midlife and beyond

Menezes, Mariane de Oliveira; Pereira, M.F.R.; Hextall, Andrew

doi:10.1016/j.maturitas.2009.10.004

Cited by 41 publications

(53 citation statements)

References 37 publications

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“…Prevalence of incontinence increases with age, and etiology is multifactorial. Aging causes a number of changes in urinary tract physiology, particularly due to diseases outside the urinary tract, and age-related structural changes in the urinary tract (Menezes, Pereira, Hextall, 2010). In this study, 80.3% of incontinent women were over 40 years of age.…”

Section: Agementioning

confidence: 55%

“…Multiple predictors such as pregnancy-related factors, menopause, high body mass index, hysterectomy, and age have been found to be associated with UI (Menezes, Pereira, Hextall, 2010). In this casecontrol study, we examined the risk factors associated with UI in 768 Turkish women between the ages of 20-80 years.…”

Section: Discussionmentioning

confidence: 99%

“…For years, pregnancy and childbirth have been considered to be major contributors to UI in female (Menezes, Pereira, Hextall, 2010). Many peripartum factors have also been found to increase the risk of post partum urinary and anal incontinence.…”

Section: Pregnancy and Childbirthmentioning

confidence: 99%

“…There are various factors which can cause incontinence, such as pregnancy, childbirth, obesity, menopause, or just inherent connective-tissue weakness. All of these factors can cause pathophysiological changes in the muscular and fascial structures of the pelvic floor, and lead to pelvic support defects and possibly pelvic floor dysfunction (Menezes, Pereira, Hextall, 2010). From a public health viewpoint, it is important to identify the risk factors for UI that might impair the quality of life of sufferers; identification of the risk factors will help women at risk to modify their lifestyle, which is important in the prevention and treatment of this disorder (Hsieh et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for urinary incontinence among Istanbul women: a hospital based case-control study

Beji¹,

Güngör²,

Onat³

et al. 2018

Cent Eur J Nurs Midw

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Aim: The study aimed to identify risk factors for urinary incontinence in women over 20 years of age in Istanbul. Design: The study was designed as a descriptive, retrospective, case control study. Methods: The study was conducted in a urogynecological unit at a university hospital in Istanbul. In total, 367 incontinent women who visited the urogynecological unit, and 401 continent women who visited outpatient clinics with other gynecological symptoms were included. Data were gathered via face-to-face interviews, using a questionnaire on risk factors for urinary incontinence. Adjusted odds ratios were given using logistic regression. Results: Variables which were found to be significantly different in chi-square analysis for urinary incontinence were age, education, marital status, number of pregnancies, birth and curettage, characteristics of first vaginal delivery (delivery mode, place, interventions), menopause, hormone therapy, history of gynecological operation, pulmonary disease, diabetes mellitus, hypertension, medicine use, constipation, flatus, hemorrhoids, herniated disc/varicose veins, stria during pregnancy, caffeine > 2 cups/day, body mass index (BMI ≥ 25 kg/m 2 ), weight gain ≥ 10 kg, fecal incontinence, and history of urinary incontinence in childhood, in patients' mothers and relatives. When these variables were assessed in multivariate logistic regression analysis, number of births ("1-birth" OR = 38.8; CI = 2.2-669.5; "2-births" OR = 20.1; CI = 1.2-327.4; "≥ 3-births" OR = 35.0; CI = 1.9-621.8), BMI ≥ 25 kg/m 2 (OR = 7.2; CI = 2.1-24.1), and history of incontinence in mothers (OR = 7.2; CI = 1.3-37.2) were identified as significant risk factors. Conclusion: The main risk factors for urinary incontinence in the population under study were identified to be the number of births as an obstetric risk factor, obesity as a lifestyle factor, and 'incontinence in mothers' as a familial factor.

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Section: Agementioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Pregnancy and Childbirthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Risk factors for urinary incontinence among Istanbul women: a hospital based case-control study

Beji¹,

Güngör²,

Onat³

et al. 2018

Cent Eur J Nurs Midw

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“…When analyzing the age, it did not differ between women who never had urinary incontinence and those that had the resolution of the symptoms or remained incontinent. This occurred because one of the exclusion criteria was menopause, precisely because of the recognized influence of estrogen deficiency on pelvic floor function 18 . For future studies, it can be suggested the inclusion of a control group of women with normal body mass index, or the inclusion of women who continue to show urinary incontinence in a urogynecologic rehabilitation group, and thus check for how to maximize the improvement achieved in the strength of contraction of the pelvic floor and obtain greater benefits in the continence mechanism.…”

Section: Discussionmentioning

confidence: 99%

Efeitos da cirurgia bariátrica na função do assoalho pélvico

Castro¹,

Sobottka²,

Baretta³

et al. 2012

ABCD, arq. bras. cir. dig.

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-Background -Urinary incontinence is well documented as a comorbidity of obesity. Studies demonstrate improvement of incontinency after weight loss. However, the mechanisms are still not clear. Aim -To analyze the effects of bariatric surgery on pelvic floor function in women. Methods -Thirty women were invited to participate. They were waiting for bariatric surgery. Evaluations were done on pre-operative period and one year after surgery. It comprehended: body mass index, urinary incontinence prevalence, quality of life through the King's Health Questionnaire, quality of pelvic floor muscular contraction through the Oxford Modified Scale and perineometry.Results -Twenty four women were included in the study. ABCDDV/881RESUMO -Racional -A incontinência urinária é bem documentada como comorbidade da obesidade. Estudos demonstram resolução ou atenuação da incontinência após a perda de peso. Porém, os mecanismos pelos quais isso ocorre ainda não estão claros. Objetivo -Avaliar os efeitos da cirurgia bariátrica na função do assoalho pélvico em mulheres. Métodos -Foram avaliadas 30 mulheres que estavam em lista de espera para realizar a operação. Foi verificada a prevalência de incontinência urinária no pré e no pós-operatório e seu impacto na qualidade de vida através do King's Health Questionnaire. A qualidade da contração muscular do assoalho pélvico foi avaliada através da Escala de Oxford Modificada e da perineometria. Resultados -Vinte e quatro mulheres finalizaram o estudo. O índice de massa corporal passou de 46,96±5,77 kg/m2 no pré-operatório para 29,97±3,48 kg/m2 no pós-operatório, e a perda percentual do excesso de peso média foi de 70,77±13,26%. A prevalência de incontinência urinária passou de 70,8% no pré-operatório para 20,8% no pós-operatório. Após um ano da cirurgia bariátrica, houve redução do impacto da incontinência urinária na qualidade de vida em sete dos nove domínios avaliados no questionário. A mediana da Escala de Oxford Modificada aumentou de três no pré-operatório para quatro no pós-operatório. A perineometria apresentou aumento significativo na média das três contrações solicitadas, passou de 21,32±12,80 sauers para 28,83±16,17 sauers na comparação pré e pós-operatória. O pico de contração também aumentou significativamente no pós-operatório em relação ao pré-operatório, passou de 25,29±14,49 sauers para 30,92±16,20 sauers. Conclusão -A perda massiva de peso através da cirurgia bariátrica repercute positivamente na função do assoalho pélvico e na qualidade de vida das mulheres com obesidade mórbida.

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