Prevalence and Psychosocial Impact of Urinary Incontinence in Older People of a Spanish Rural Population

Iglesias, F.J. Gavira; Ocerín, J.M. Caridad y; Martín, J. Pérez del Molino; Gama, E Valderrama; Pérez, Maite; López, M. Romero; Aranguren, Marín; Muñoz, J.B. Guerrero

doi:10.1093/gerona/55.4.m207

Cited by 48 publications

(11 citation statements)

References 22 publications

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“…Frequency (four levels) was multiplied by the amount of leakage (three levels). The resulting index values (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12) were further categorized into slight, moderate, severe, and very severe ( Table 1).…”

Section: Methodsmentioning

confidence: 99%

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Validity of the incontinence severity index: comparison with pad-weighing tests

2006

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The incontinence severity index (ISI) consists of two questions, regarding frequency and amount of leakage. It categorizes urinary incontinence (UI) into slight, moderate, severe, and very severe. The purpose of this study was to test its validity. The index was compared with the results of pad-weighing tests performed by 200 incontinent women referred to a hospital clinic and 103 at a primary care incontinence clinic. Inconvenience was scored by a six-level Likert scale. Mean pad-weighing results (grams per 24 hours, 95% confidence intervals) were 7 (4-10) for slight, 39 (26-51) for moderate, 102 (75-128) for severe, and 200 (131-268) for very severe UI. Spearman's correlation coefficient for pad-weighing results and severity index was 0.58 (p<0.01), and inconvenience increased significantly with increasing severity. The ISI demonstrated good criterion validity against 24-h pad tests. Good construct validity was indicated by a clear link between ISI and inconvenience.

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Section: Methodsmentioning

confidence: 99%

“…Over the years, the ISI has been used in many different studies of UI, both epidemiological [5][6][7][8][9][10] and clinical [11][12][13][14][15][16], and it has received the highest recommendation from the 2nd and 3rd International Consultation on Incontinence [17,18].…”

Section: Introductionmentioning

confidence: 99%

Validity of the incontinence severity index: comparison with pad-weighing tests

2006

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“…The subjects in this comprehensive geriatric health examination survey were women randomly selected from the Basic Resident Register of 15,773 people aged 70 and older residing in Itabashi ward of Metropolitan Tokyo as of October 1,2002. A letter outlining the study and describing its objective, and the way that the personal data would be used was mailed to the people selected, inviting them to participate in the study.…”

Section: Study Populationmentioning

confidence: 99%

Effectiveness of Multidimensional Exercises for the Treatment of Stress Urinary Incontinence in Elderly Community‐Dwelling Japanese Women: A Randomized, Controlled, Crossover Trial

Kim

Suzuki

Yoshida

et al. 2007

J American Geriatrics Society

117

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“…Studies have indicated that UI can have a significant negative effect on the lives of older people [10]. For example, it has been associated with troublesome symptoms such as aches, pain, weakness, and shortness of breath [11], as well as with an increased risk for outcomes such as falls and fractures [12, 13].…”

Section: Introductionmentioning

confidence: 99%

Urinary incontinence, mental health and loneliness among community-dwelling older adults in Ireland

Stickley¹,

Santini²,

Koyanagi³

2017

BMC Urol

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BackgroundUrinary incontinence (UI) is associated with worse health among older adults. Little is known however, about its relation with loneliness or the role of mental health in this association. This study examined these factors among older adults in Ireland.MethodsData were analyzed from 6903 community-dwelling adults aged ≥ 50 collected in the first wave of The Irish Longitudinal Study on Ageing (TILDA) in 2009–11. Information was obtained on the self-reported occurrence (yes/no) and severity (frequency/activity limitations) of UI in the past 12 months. Loneliness was measured using the UCLA Loneliness Scale short form. Information was also obtained on depression (CES-D), anxiety (HADS-A) and other sociodemographic variables. Logistic regression analysis was used to examine the association between variables.ResultsIn a model adjusted for all potential confounders except mental disorders, compared to no UI, any UI was associated with significantly higher odds for loneliness (odds ratio: 1.51). When depression was included in the analysis, the association was attenuated and became non-significant while the inclusion of anxiety had a much smaller effect. Similarly, although frequency of UI and activity limitations due to UI were both significantly associated with loneliness prior to adjustment for mental disorders, neither association remained significant after adjustment for both depression and anxiety.ConclusionUI is associated with higher odds for loneliness among older community-dwelling adults but this association is largely explained by comorbid mental health problems, in particular, depression.

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Prevalence and Psychosocial Impact of Urinary Incontinence in Older People of a Spanish Rural Population

Abstract: Urinary incontinence is a very frequent symptom in our population. Half the incontinent subjects suffer from some degree of psychosocial limitation. The volume of urine loss and being married are the most important factors with psychosocial impact.

Cited by 48 publications

References 22 publications

Validity of the incontinence severity index: comparison with pad-weighing tests

Validity of the incontinence severity index: comparison with pad-weighing tests

Effectiveness of Multidimensional Exercises for the Treatment of Stress Urinary Incontinence in Elderly Community‐Dwelling Japanese Women: A Randomized, Controlled, Crossover Trial

Urinary incontinence, mental health and loneliness among community-dwelling older adults in Ireland

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