The epidemiological study of women with urinary incontinence and risk factors for stress urinary incontinence in China

Zhu, Lan; Lang, Jinghe; Liu, Chunyan; Han, Shaomei; Huang, Jian-shi; Li, Xingming

doi:10.1097/gme.0b013e3181967b5d

Cited by 180 publications

(166 citation statements)

References 21 publications

(16 reference statements)

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“…Concerning those who sought medical care because of UI, less than half of the women who participated in the study had not been through any prior consultation for such reason. These findings coincide with other reports in the literature, in which 21.3 to 27% of women visited physicians on account of their UI (5,23,24) . Considering the impact on quality of life that such problem can cause, most women in the present study considered loss of urine as a severe problem or felt very upset because of it, differently from the results reported by Hannestad et al, in which most women with incontinence reported it as a mild problem (18) .…”

Section: Discussionsupporting

confidence: 82%

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Correlation between urodynamic tests, history and clinical findings in treatment of women with urinary incontinence

Borges

Guarisi

Camargo

et al. 2010

Einstein (São Paulo)

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Objective: The aim of this study was to evaluate the role of urodynamic test in diagnosis of urinary incontinence, comparing detailed data of history and physical examination, and some easy- to-apply clinical tests. Methods: A cross-sectional retrospective study was carried out by reviewing the medical charts of 55 patients with complaint of loss of urine, seen at the Urogynecology Service of Women's Health Outpatient Clinic of Hospital Universitário de Jundiaí, between October 2006 and March 2007. The patients answered a specific questionnaire involving the epidemiological and physical examination variables considered in this study. They were submitted to physical examination and urodynamic tests. Results: The complaint of loss of urine upon exertion, either isolated or associated with urge incontinence, was confirmed by urodynamic tests in most women, and only 4 of 49 symptomatic women had negative results. The clinical sign was present in 35 patients (63.6%), and 46 patients (83.6%) had the exertion component in the urodynamic test. The exertion component was observed in 10 (18%) out of 15 patients without symptoms (30%). The positive and negative predictive values of the clinical sign for diagnosis of any type of urinary incontinence in this studied group were 97.1 and 26.7%, respectively. As for the clinical complaint of urinary loss upon exertion, the positive and negative predictive values for any type of urinary incontinence were 92 and 40%, respectively. For the clinical complaint of urge incontinence, the positive and negative predictive values of 92.5 and 23.1%, respectively. Conclusions: It was concluded that the urodynamic evaluation is an important instrument to evaluate the severity of incontinence, although it was not necessary to diagnose loss of urine. The finding of urinary loss during physical examination had low sensitivity and specificity in diagnosis of the type of loss of urine. Urodynamic tests had better performance in demonstrating urinary incontinence in patients with complaint of incontinence upon exertion and without loss of urine seen upon physical examination than in confirming urge incontinence in patients with those symptoms.

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Section: Discussionsupporting

confidence: 82%

“…The prevalence of UI in the different studies varies broadly, with reports ranging from 17 to 45% of adult women (4)(5) . One of the hypotheses used to explain the broad variation in these studies would be the type of population studied, the definition of UI used and the patient selection criteria.…”

Section: Introductionmentioning

confidence: 99%

Correlation between urodynamic tests, history and clinical findings in treatment of women with urinary incontinence

Borges

Guarisi

Camargo

et al. 2010

Einstein (São Paulo)

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“…The only factor of reproductive life significantly associated with UI was the number of vaginal deliveries, which was also found in a study carried out in China with women 20 years old or older, also associated with SUI (26) . During visits to the studied households, feelings such as shock, shame, and embarrassment were observed in some people over the fact that we were addressing urinary leakage, an issue related to intimacy and aspects of which, sometimes, even the spouse was not aware.…”

Section: Resultsmentioning

confidence: 54%

Prevalence of Urinary Incontinence in a Random Sample of the Urban Population of Pouso Alegre, Minas Gerais, Brazil

Santos

2010

Rev. Latino-Am. Enfermagem

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This study determines and analyzes the prevalence of Urinary Incontinence (UI) and its demographic and clinical predictors. This epidemiological and cross-sectional study was approved by the Research Ethics Committee of the University of São Paulo, Nursing School.The sample was randomly selected by cluster technique and included 519 individuals aged ≥18 years, living in 341 houses in urban areas. Data were analyzed through Chi-Square, Hosmer Lemeshow's test and multivariate logistic regression (stepwise). Prevalence rates were standardized by gender and age. Of the 519 people composing the sample: 20.1% had UI, 32.9% were women and 6.2% were men. Longer duration of losses (OR = 29.3; p<0.001), diabetes mellitus (OR = 17.7; p<0.001), stroke (OR = 15.9; p<0.001), and cystocele (OR = 12.5; p <0.001) were the factors most strongly associated with UI. This study enabled the identification of UI epidemiology and can contribute to the development of public policies for its primary and secondary prevention and treatment, even if such measures are initially implemented at the city level. Descritores: Incontinência Urinária; Epidemiologia; Enfermagem. Prevalencia de la incontinencia urinaria en muestra aleatoria de la población urbana de Pouso Alegre, Minas Gerais, BrasilEl estudio tiene por objetivo conocer la prevalencia de la incontinencia urinaria (IU), de los factores de predicción demográficos y clínicos de la presencia de IU. Se trata de un estudio epidemiológico de corte transversal, aprobado por el Comité de Ética de la Escuela de Enfermería de la Universidad de Sao Paulo. Muestreo estratificado por conglomerado compuesto de 519 individuos con edad ≥18 años, residentes en 341 domicilios del área urbana, sorteados aleatoriamente. Las pruebas utilizadas fueron Chi-cuadrado, HosmerLemeshow y regresión logística multivariante (stepwise). Las prevalencias de IU fueron estandarizadas por sexo y edad, en una muestra de 519 personas, siendo 20,1 % en la población general -32,9% eran mujeres y 6,2% hombres. Los factores más fuertemente asociados a la IU fueron: mayor tiempo de pérdidas (OR=29,3; p<0,001), diabetes mellitus (OR=17,7; p<0,001), accidente vascular encefálico (OR=15,9; p<0,001) y cistocele (OR=12,5; p<0,001). El estudio permitió conocer la epidemiologia de la IU y puede contribuir para el desarrollo de políticas públicas para su prevención primaria y secundaria, su tratamiento, inclusive considerando su inicio en el ámbito municipal.

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“…A média de idade das mulheres que procuraram atendimento fisioterapêutico para o tratamento de disfunções do AP, bem como as queixas principais estão de acordo com os tipos de queixas descritos em outros estudos [13][14][15] . Atualmente descreve-se que mulheres com sobrepeso ou obesidade têm um risco maior de desenvolver IU 4,14,16-18 e mulheres obesas apresentam medidas de IU mais severas do que mulheres incontinentes com peso normal 19 .…”

Section: Discussionunclassified

“…26 . Em mulheres chinesas de 20 a 99 anos, circunferência abdominal ≥80 cm foi identificada como um dos fatores de risco para IU 15 . Já em enfermeiras dos Estados Unidos, foi observada uma tendência significante de aumento do risco, severidade e frequência de IU com o aumento do IMC e circunferência da cintura.…”

Section: Discussionunclassified

Qual o índice de massa corporal de mulheres com disfunções dos músculos do assoalho pélvico que procuram tratamento fisioterapêutico?

et al. 2012

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. Dessas mulheres, cerca de 70% apresentavam sobrepeso ou obesidade, resultado maior do que o índice nacional de 59%. A base fisiopatológica da relação entre obesidade e disfunções do AP está na correlação entre o IMC e a pressão intra-abdominal. A identificação do sobrepeso e da obesidade deve fazer parte dos programas de reabilitação do AP, uma vez que a redução do peso corporal pode contribuir para redução da severidade da disfunção. Com o presente estudo observa-se que as mulheres que procuram tratamento fisioterapêutico para disfunções do AP apresentam índice de obesidade maior do que a população feminina nacional.Descritores | índice de massa corporal; obesidade; assoalho pélvico.ABSTRACT | Overweight and obesity are reported as important risk factors for developing of female pelvic floor (PF) dysfunction. Thus, the objective was to verify the body mass index (BMI) of women with PF dysfunctions who sought physiotherapy treatment, and comparing it with national statistics. This is an observational study. There were evaluated the records of women with PF dysfunctions served by the Physiotherapy Service from 2004 to 2010, and included all women with the presence of any symptom of PF dysfunction. It was calculated the BMI of 312 women with PF dysfunction. The BMI mean was 28.1 kg/m 2 . Approximately 70% of these women were overweight or obese, a value higher than the national rate of 59%. The pathophysiological basis of the relationship between obesity and PF dysfunction is the correlation between BMI and intra-abdominal pressure. The identification of overweight and obesity should be part of the rehabilitation programs of the PF, since the reduction in body weight can contribute by reducing the severity of the disorder. With the present study it was observed that women seeking physiotherapy treatment for PF dysfunction have higher rates of obesity than the national female population.Keywords | body mass index; obesity; pelvic floor.Qual o índice de massa corporal de mulheres com disfunções dos músculos do assoalho pélvico que procuram tratamento fisioterapêutico?What is the body mass index of women with pelvic floor muscles dysfunctions that seek for physiotherapy treatment?

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The epidemiological study of women with urinary incontinence and risk factors for stress urinary incontinence in China

Abstract: Our findings suggest that the prevalence of UI is high in China, with SUI as the most common subtype. Age, vaginal delivery, and others are risk factors for SUI.

Cited by 180 publications

References 21 publications

Correlation between urodynamic tests, history and clinical findings in treatment of women with urinary incontinence

Correlation between urodynamic tests, history and clinical findings in treatment of women with urinary incontinence

Prevalence of Urinary Incontinence in a Random Sample of the Urban Population of Pouso Alegre, Minas Gerais, Brazil

Qual o índice de massa corporal de mulheres com disfunções dos músculos do assoalho pélvico que procuram tratamento fisioterapêutico?

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