Relationship Between Blood Glucose and Hemoglobin A1c Levels and Urinary Incontinence in Women

Liu, Ning; Li, Xing; Mao, Weipu; Chen, Shuqiu; Wu, Jianping; Xu, Bin; Chen, Ming

doi:10.2147/ijgm.s324332

Cited by 7 publications

(3 citation statements)

References 35 publications

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“…This may be due to a discrepancy in patient populations where severity or control of diabetes may be different. Studies of non‐stroke female patients yielded conflicting findings, with some reported an increased risk of UI with poorer glycaemic control, as reflected by higher levels of glycated hemoglobin (HbA1c), 23,24 whilst others found no association 25,26 …”

Section: Discussionmentioning

confidence: 99%

“…13 This may be due to a discrepancy in patient populations where severity or control of diabetes may be different. Studies of nonstroke female patients yielded conflicting findings, with some reported an increased risk of UI with poorer glycaemic control, as reflected by higher levels of glycated hemoglobin (HbA1c), 23,24 whilst others found no association. 25,26 There exists a paucity of analysis on sex-specific risk factors for UI, our findings are therefore novel and revealed similar (although not identical) ORs for men and women in multivariable regression model.…”

Section: Key Findingsmentioning

confidence: 99%

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Sex‐specific independent risk factors of urinary incontinence in acute stroke patients: A multicentre registry‐based cohort study

Fluck,

Fry,

Affley

et al. 2024

Neurourology and Urodynamics

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BackgroundThe presence of urinary incontinence (UI) in acute stroke patients indicates poor outcomes in men and women. However, there is a paucity and inconsistency of data on UI risk factors in this group and hence we conducted a sex‐specific analysis to identify risk factors.MethodsData were collected prospectively (2014–2016) from the Sentinel Stroke National Audit Program for patients admitted to four UK hyperacute stroke units. Relevant risk factors for UI were determined by stepwise multivariable logistic regression, presented as odds ratios (OR) and 95% confidence intervals (CI).ResultsThe mean (±SD) age of UI onset in men (73.9 year ± 13.1; n = 1593) was significantly earlier than for women (79.8 year ± 12.9; n = 1591: p < 0.001). Older age between 70 and 79 year in men (OR = 1.61: CI = 1.24–2.10) and women (OR = 1.55: CI = 1.12–2.15), or ≥80 year in men (OR = 2.19: CI = 1.71–2.81), and women (OR = 2.07: CI = 1.57–2.74)–reference: <70 year–both predicted UI. In addition, intracranial hemorrhage (reference: acute ischemic stroke) in men (OR = 1.64: CI = 1.22–2.20) and women (OR = 1.75: CI = 1.30–2.34); and prestroke disability (mRS scores ≥ 4) in men (OR = 1.90: CI = 1.02–3.5) and women (OR = 1.62: CI = 1.05–2.49) (reference: mRS scores < 4); and stroke severity at admission: NIHSS scores = 5–15 in men (OR = 1.50: CI = 1.20–1.88) and women (OR = 1.72: CI = 1.37–2.16), and NIHSS scores = 16–42 in men (OR = 4.68: CI = 3.20–6.85) and women (OR = 3.89: CI = 2.82–5.37) (reference: NIHSS scores = 0–4) were also significant. Factors not selected were: a history of congestive heart failure, hypertension, atrial fibrillation, diabetes and previous stroke.ConclusionsWe have identified similar risk factors for UI after stroke in men and women including age >70 year, intracranial hemorrhage, prestroke disability and stroke severity.

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Section: Discussionmentioning

confidence: 99%

Section: Key Findingsmentioning

confidence: 99%

Sex‐specific independent risk factors of urinary incontinence in acute stroke patients: A multicentre registry‐based cohort study

Fluck,

Fry,

Affley

et al. 2024

Neurourology and Urodynamics

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“…Prevalensi UI tinggi dan meningkat sesuai dengan usia. Tingkat kejadian UI lebih tinggi pada pasien lanjut usia yang tinggal di panti jompo atau pasien yang mengalami demensia atau gangguan kognitif (Liu et al, 2021). Sekitar 77% perempuan lanjut usia yang tinggal dengan home care service memiliki inkontinensia urin (Batmani et al, 2021).…”

Section: Pendahuluanunclassified

Korelasi Kadar Gula Darah Sewaktu dengan Nilai International Consultant Incontinence Questionnaire – Urine Incontinence Short Form (ICIQ-UISF) pada Kelompok Lanjut Usia

Tambunan,

Firmansyah,

Nathaniel

et al. 2023

Mal Health Stu J.

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Urinary incontinence (UI) is one of health problems that occur in elderly population. This cross-sectional study aims to determine correlation between blood sugar levels and International Consultation Incontinence Questionnaire - Urine Incontinence Short Form (ICIQ-UISF) scores in elderly group selected through total sampling criteria at Santa Anna Elderly Care Center in July 2023. ICIQ-UISF questionnaire was used to evaluate UI. Blood sugar level was measured using POCT according to standard procedures. Statistical analysis using Spearman correlation test. Out of 60 respondents, average age was 76.30 years, with 66.7% of respondents being female. Mean blood sugar level was 118.12 mg/dL and 11.7% of respondents showed high blood sugar levels. Average ICIQ-UISF score was 4.58 with 21.7% of respondents experiencing UI onset before reaching toilet, 20% during sleep, and the rest never experienced it. Spearman correlation test indicated a significant correlation between blood sugar levels and ICIQ-UISF scores (p-value: 0.028) with a correlation strength value of 0.264 (r-correlation: 0.283), which falls into weak category. The results show there is a significant correlation between blood sugar levels and ICIQ-UISF questionnaire scores. Blood sugar levels influence 8.0% of ICIQ-UISF scores, while the remaining 92% is attributed to other variables not examined in this study. Keywords: Blood Glucose, Elderly, Urine Incontinence ABSTRAK Inkontinensia urin merupakan salah satu masalah kesehatan yang terjadi pada kalangan lanjut usia. Penelitian potong lintang ini bertujuan untuk mengetahui korelasi kadar gula darah sewaktu (GDS) dengan nilai kuesioner International Consultant Incontinence Questionnaire – Urine Incontinence Short Form (ICIQ-UISF) pada kelompok lanjut usia yang dipilih sesuai kriteria secara total sampling di Panti Lansia Santa Anna pada Juli 2023. Kuesioner ICIQ-UISF digunakan untuk mengevaluasi inkontinensia urin. GDS diukur menggunakan POCT sesuai prosedur standar. Analisis statistik menggunakan uji korelasi Spearman. Dari 60 responden, rata-rata usia adalah 76,30 tahun dengan 66,7% responden adalah perempuan. Didapatkan rata-rata GDS sebesar 118,12 mg/dL dan 11,7% responden menunjukkan kadar GDS yang tinggi. Rata-rata nilai ICIQ-UISF sebesar 4,58 dengan 21,7% responden mengalami onset inkontinensia urin sebelum sampai toilet, 20% saat tidur dan sisanya tidak pernah. Uji korelasi Spearman menyatakan adanya korelasi bermakna antara kadar GDS dengan nilai ICIQ-UISF (p-value : 0,028) dengan nilai kekuatan korelasi sebesar 0,264 (r-correlation : 0,283) atau masuk dalam kategori lemah. Hasil penelitian menyatakan bahwa terdapat korelasi yang bermakna antara kadar GDS dengan nilai kuesioner ICIQ-UISF. Kadar GDS memengaruhi 8% nilai ICIQ-UISF sedangkan 92% lainnya disebabkan oleh variabel lain yang tidak diteliti pada penelitian ini. Kata Kunci: Gula Darah, Inkontinensia Urin, Lanjut Usia

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Association between Life's essential 8 and stress urinary incontinence in women from the National Health and nutrition examination survey 2005–2018: A cross‐sectional study

Xu,

Wu,

et al. 2024

Intl J Gynecology & Obste

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ObjectiveStress urinary incontinence (SUI) may be associated with cardiovascular disease. Life's Essential 8 (LE8), a recently updated measure of cardiovascular health (CVH), has been investigated for its association with SUI in women.MethodsThe study adopted a cross‐sectional design with national scope, incorporating 9332 women aged 20 and above, selected from the National Health and Nutrition Examination Survey dataset from 2005 to 2018. The LE8 metric, which varies from 0 to 100, was evaluated based on the criteria set by the American Heart Association. SUI was determined based on self‐report. To evaluate these correlations, we employed models with multivariable logistic variables and a restricted cubic spline.ResultsIn the cross‐sectional study, a total of 9332 participants were included (weighted average age, 52.23 years), and 4274 had SUI (weighted percentage, 48.64%). Considering potential confounders, it was found that higher LE8 scores were associated with lower odds of SUI (odds ratio [OR] for each 10‐point increase was 0.83; 95% confidence interval [CI], 0.80–0.87). Compared to participants with lower LE8 scores, those with higher LE8 scores had a 57% lower probability of developing SUI. There was a statistically significant association between LE8 score and SUI among participants who were middle‐aged, non‐Hispanic white, had higher levels of education and income, and were living with a partner.ConclusionAccording to this study, there was an association between increase in Life's Essential 8 and reduction in SUI risk. Therefore, promoting optimal CVH may associate with reducing SUI in women.

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Relationship Between Blood Glucose and Hemoglobin A1c Levels and Urinary Incontinence in Women

Cited by 7 publications

References 35 publications

Sex‐specific independent risk factors of urinary incontinence in acute stroke patients: A multicentre registry‐based cohort study

Sex‐specific independent risk factors of urinary incontinence in acute stroke patients: A multicentre registry‐based cohort study

Korelasi Kadar Gula Darah Sewaktu dengan Nilai International Consultant Incontinence Questionnaire – Urine Incontinence Short Form (ICIQ-UISF) pada Kelompok Lanjut Usia

Association between Life's essential 8 and stress urinary incontinence in women from the National Health and nutrition examination survey 2005–2018: A cross‐sectional study

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