Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT)

Ebbesen, Marit Helen; Hunskaar, Steinar; Rørtveit, Guri; Hannestad, Yngvild S.

doi:10.1186/1471-2490-13-27

Cited by 126 publications

(125 citation statements)

References 39 publications

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“…), as the majority reported urine loss in three or more of the aforementioned situations, which indicates the severity of UI in these women. The higher prevalence of UUI and mixed UI in the elderly women of this study confirms the findings of other authors 12,13,22,23 . The elderly women reported having lived with urine leakage for a median of three years, which corroborates the findings of other studies on women, particularly elderly, that state that these individuals live with UI for long periods of time before seeking help 20,21,24,25 .…”

supporting

confidence: 82%

“…An increase in the prevalence of UI is a fact that has already been determined in a longitudinal study conducted in Norway over a period of 13 years 13 . Unfortunately, a thorough set of records concerning UI is not available in Brazil.…”

mentioning

confidence: 99%

“…Each prevalence mentioned above, as well as others that are even more recent 12,13 and above 50%, point to the gravity of this issue among elderly women.…”

mentioning

confidence: 99%

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Urinary incontinence in elderly women from Porto Alegre: its prevalence and relation to pelvic floor muscle function

et al. 2014

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| The purpose of this cross-sectional study was to assess the prevalence of self-reported urinary loss in elderly women living in the city of Porto Alegre (Rio Grande do Sul, Brazil), as well as to determine the relation between urinary incontinence (UI) and pelvic floor muscle function (PFMF). It included 270 elderly women (aged from 60 to 92 years) from a population sample, who reported the presence (n=155; 69.1±7.8 years) or absence (n=115; 67.7±7.9 years) of urine loss. Those who reported UI were asked about how long they had been experiencing urinary leakage, the amount of urine lost (drops, jets or complete micturition) and situations in which they lost urine. Out of the total number of individuals, 178 agreed to undergo the assessment of PFMF by means of a perineometry and a bidigital test. The prevalence of elderly women who reported UI (57.4%) was significantly higher, and the most common isolated situation of urine loss was being unable to get to the toilet in time (26.1%), and this occurred mainly in drops (52.3%). The UI lasted for a median of three years. The elderly women with UI had significantly lower PFMF than those without it, regardless of the type of measurement used (perineometry or bidigital test). Therefore, we conclude that, in this sample, UI had a high prevalence and was associated with decreased PFMF. Bearing these findings in mind and taking into account the data available in the literature about the impact of UI on health and quality of life, as well as the low cost of its assessment and treatment, we suggest that the management and care of this dysfunction should be carried out at the Primary Health Care level.Keywords | Pelvic Diaphragm; Physical Therapy Specialty; Aged; Women's Health.RESUMO | O objetivo deste estudo foi avaliar a prevalên-cia do relato de perda urinária em idosas residentes no município de Porto Alegre (RS-Brasil), bem como determinar a relação entre incontinência urinária (IU) e a função muscular do assoalho pélvico (FMAP). Participaram 270 idosas (60 a 92 anos) provenientes de uma amostra populacional, que relataram (n=155; 69,1±7,8 anos) ou não (n=115; 67,7±7,9 anos) perda urinária. As idosas que referiram IU foram questionadas quanto a: duração da perda urinária, quantidade de urina perdida (gotas, jato ou completa) e situações em que perdiam urina. Desse total, 178 aceitaram ser submetidas a uma avaliação da FMAP por meio da perineometria e do teste bidigital. A prevalência de idosas com relato de IU (57,4%) foi significativamente mais elevada, sendo que a situação isolada de perda miccional mais

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supporting

confidence: 82%

mentioning

confidence: 99%

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Urinary incontinence in elderly women from Porto Alegre: its prevalence and relation to pelvic floor muscle function

et al. 2014

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“…10 adult women suffer from this condition, 6 which causes substantial impairment of quality of life and a considerable economic burden. 7 Historically, treatment has consisted of conservative measures such as training of pelvic floor muscles or surgery.…”

Section: Resultsmentioning

confidence: 99%

Considering benefits and harms of duloxetine for treatment of stress urinary incontinence: a meta-analysis of clinical study reports

Maund

Guski

Gøtzsche

2016

CMAJ

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The European Medicines Agency makes clinical study reports publicly available and publishes reasons for not approving applications for marketing authorization. Duloxe tine has been approved in Europe for the treatment of stress urinary incontinence in women. The reported adverse effects of duloxe tine include mental health problems and suicidality. We obtained clinical study reports from the European Medicines Agency concerning use of this drug for stress urinary incontinence.

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“…The "continence" BADL may be associated with the aging process itself, since the genitourinary system changes over time, mainly organs such as the bladder, which undergoes changes between the striated and smooth muscles, and may cause urinary incontinence (10) . As for the IADLs, the elderly had the least independence to get around using a means of transportation, to use the phone, to do handwork, and to wash and iron clothes.…”

Section: Discussionmentioning

confidence: 99%

Fatores preditores para incapacidade funcional de idosos atendidos na atenção básica

et al. 2017

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Objectives: to assess the predictors for the functional incapacity of the elderly in primary health care. Method: cross-sectional study, of which 388 older people participated, conducted in three Primary health care Units, using the Katz index and Lawton's scale. The research project was approved by the Research Ethics Committee. Results: regarding the degree of dependency for Basic Activities, 90.2% were less independent for dressing themselves; and for Instrumental Activities, 77.1% of the elderly were less independent for doing handwork. The functional incapacity for basic activities was associated with age and color; for instrumental activities, with age, education, income of the elderly and self-assessment of health. Conclusion: attention should be paid to the overall assessment of the elderly person, in order to tailor care plans geared towards the preservation of their autonomy and the promotion of active ageing. Descriptors: Primary Health Care; Elderly; Health of the Elderly, Daily Activities, Nursing. RESUMO Objetivos: avaliar os fatores preditores para incapacidade funcional de idosos atendidos na atenção básica. Método: estudo transversal, do qual participaram 388 idosos, realizado em três Unidades Básicas de Saúde, utilizando-se o Índice de Katz e a escala de Lawton. O projeto de pesquisa foi aprovado pelo Comitê de Ética em Pesquisa. Resultados: Quanto ao grau de dependência para Atividades Básicas, 90,2% eram menos independentes para vestir-se; e para as Atividades Instrumentais, 77,1% dos idosos foram menos independentes para fazer trabalhos manuais. A incapacidade funcional para atividades básicas esteve associada à idade e à cor; as atividades instrumentais, à idade, à escolaridade, à renda do idoso e à autoavaliação de saúde. Conclusão: deve-se atentar para a avaliação global da pessoa idosa, com vistas a adequar planos de cuidados voltados para a preservação da autonomia dos idosos e para a promoção do envelhecimento ativo. Descritores: Atenção Primária à Saúde; Idoso; Saúde do Idoso, Atividades Cotidianas, Enfermagem. RESUMEN Objetivos: valorar los factores predictores para la incapacidad funcional de adultos mayores atendidos en la atención básica. Método: estudio transversal, del cual han participado 388 adultos mayores, llevado a cabo en tres unidades de atención básica de salud, empleando el índice de Katz y la escala de Lawton. El proyecto de investigación ha sido aprobado por el Comité de Ética en Investigación brasileño. Resultados: En relación al grado de dependencia para sus actividades básicas, un 90,2% de los adultos mayores eran menos independientes para vestirse; y para las actividades instrumentales, un 77,1% eran menos independientes para los trabajos manuales. La incapacidad funcional para las actividades básicas está asociada con la edad y etnia; y la de las actividades instrumentales con la edad, nivel de instrucción, renta y autovaloración de la salud del adulto Rev Bras Enferm [Internet]. 2017 jan-fev;70(1):106-12.

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Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT)

Cited by 126 publications

References 39 publications

Urinary incontinence in elderly women from Porto Alegre: its prevalence and relation to pelvic floor muscle function

Urinary incontinence in elderly women from Porto Alegre: its prevalence and relation to pelvic floor muscle function

Considering benefits and harms of duloxetine for treatment of stress urinary incontinence: a meta-analysis of clinical study reports

Fatores preditores para incapacidade funcional de idosos atendidos na atenção básica

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