The relationship between sarcopenia and urinary incontinence

Erdoğan, Tuğba; Bahat, Gülistan; Kılıç, Cihan; Ören, Meryem Merve; Erdoğan, Onur; Karan, Mehmet Akif

doi:10.1007/s41999-019-00232-x

Cited by 28 publications

(25 citation statements)

References 28 publications

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“…Sarcopenia and LUTS are associated with each other, especially in the case of UI. Women with sarcopenia, adjusted by weight, have a 1.5 times higher rate of SUI than do typical women [ 14 ]. Pelvic floor muscles are composed of levator ani muscle, endopelvic fascia, and supporting ligaments, and these have important roles in supporting lower urinary structures, Pelvic floor muscles form a “hammock” that provides support under the urethra [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…Sarcopenia (a decline in skeletal muscle mass and strength and/or reduced physical performance) [ 11 ] is associated with various LUTS in both men and women [ 12 ]. A study reported significant correlations between sarcopenia and OAB [ 13 ], and one study in Europe suggested that stress urinary incontinence (SUI) might be caused by loss of sphincter muscle [ 14 ]. Likewise, another study showed that atrophy and/or weakness of the pelvic floor muscles may result in changes in the pelvic musculature and thereby UI [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…A study reported significant correlations between sarcopenia and OAB [ 13 ], and one study in Europe suggested that stress urinary incontinence (SUI) might be caused by loss of sphincter muscle [ 14 ]. Likewise, another study showed that atrophy and/or weakness of the pelvic floor muscles may result in changes in the pelvic musculature and thereby UI [ 14 ]. Furthermore, the symptoms of OAB or SUI can be improved through exercises such as pelvic muscle training [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Association of decreased grip strength with lower urinary tract symptoms in women: a cross‐sectional study from Korea

Yang

Park

et al. 2021

BMC Women's Health

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Background Lower urinary tract symptoms (LUTS) including frequency, nocturia, urgency, and incontinence, are common in women and cause significant discomfort in daily life. However, diagnosis and treatment of LUTS are often delayed because many patients with such symptoms do not complain to the physician of discomfort and do not seek medical attention. LUTS are known to be associated with muscle weakness. We investigated the association between grip strength and LUTS in women of different ages. Methods This study included 4225 women (mean age 48.6 years) who underwent self-referred health screening between April 2015 and December 2019. LUTS were evaluated using a self-reported questionnaire, and the overactive bladder symptom score was used to screen for an overactive bladder. Low muscle strength was defined as a hand grip strength of < 18 kg (decreased grip strength). Results We observed decreased grip strength in 13.7% (n = 580) of the participants. Nocturia, urgency, incontinence, and overactive bladder were more common in women with decreased grip strength than in women with normal grip strength. After adjusting for age, comorbidities (hypertension, diabetes, hyperlipidemia), smoking status, alcohol consumption, regular exercise, and stress, nocturia (odds ratio [OR] 1.19, 95% confidence interval [CI] 1.01–1.52), urinary incontinence (OR 1.32, 95% CI 1.01–1.72), and an overactive bladder (OR 1.75, 95% CI 1.35–2.27) were significantly associated with decreased grip strength. Conclusions The findings suggest that LUTS, especially nocturia, incontinence, and an overactive bladder are associated with decreased grip strength in women. Therefore, physicians should be aware that patients may not seek help, even if they are uncomfortable, and it is important to obtain a detailed medical history and perform additional tests, even in the absence of complaints, in patients with low grip strength, who are at high risk of LUTS.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association of decreased grip strength with lower urinary tract symptoms in women: a cross‐sectional study from Korea

Yang

Park

et al. 2021

BMC Women's Health

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“… 40 Fifth, sarcopenia could also have a mediating role in the association between multimorbidity and UI, as previous studies have found associations of sarcopenia with both multimorbidity 41 and UI. 42 Sixth, another important factor is physical activity, as less physical activity is associated with a higher prevalence of multimorbidity 43 and UI. 44 …”

Section: Discussionmentioning

confidence: 99%

Association of multimorbidity with higher levels of urinary incontinence: a cross-sectional study of 23 089 individuals aged ≥15 years residing in Spain

Jacob

Sánchez

et al. 2020

Br J Gen Pract

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BackgroundOne can assume a relatively high prevalence of urinary incontinence (UI) in people with multimorbidity. However, literature in this area is scarce. There is a need for further robust research to aid GPs to identify patients at a particular risk for UI, and to initiate the early treatment and multidisciplinary management of this condition.AimTo examine the association between multimorbidity and UI in 23 089 individuals aged ≥15 years and residing in Spain.Design and settingThis study used data from the Spanish National Health Survey 2017, a cross-sectional sample of 23 089 participants aged ≥15 years residing in Spain (54.1% female; mean [standard deviation] age = 53.4 [18.9] years).MethodUI and 30 other physical and mental chronic conditions were self-reported. Multimorbidity was defined as the presence of ≥2 physical and/or mental chronic conditions (excluding UI). Control variables included sex, age, marital status, education, smoking, and alcohol consumption. Multivariable logistic regression analyses were conducted to assess the association between multimorbidity and UI.ResultsThe prevalence of UI was 5.9% in this sample. UI was more frequent in the presence than in the absence of each one of the 30 chronic conditions (P<0.001). The proportion of people with UI was also higher in the multimorbidity than in the no-multimorbidity group (9.8% versus 0.7%, P<0.001). After adjusting for several potential confounders (that is, sex, age, marital status, education, smoking, and alcohol), there was a significant and positive relationship between multimorbidity and UI (odds ratio = 5.02, 95% confidence interval [CI] = 3.89 to 6.59, P<0.001).ConclusionIn this large sample of Spanish individuals aged ≥15 years, suffering from multimorbidity was associated with a significantly higher level of UI.

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“…For example, a study of 73 adults with MS from Australia revealed that approximately 31% of the sample reported occasional to daily UI, while the proportion of participants with frequent FI was around 14% [6]. The high prevalence of UI and FI in this neurological population may be explained by the demyelination of the neurons involved in the bladder and bowel function and also by several frequent comorbidities of MS (e.g., sarcopenia [17, 18] and dementia [19-21]) and a higher frailty risk [22, 23]. Although previous studies focusing on UI and FI in patients diagnosed with MS have advanced the field, these studies have some limitations that need to be acknowledged.…”

Section: Introductionmentioning

confidence: 99%

Multiple Sclerosis and Incidence of Urinary and Fecal Incontinence in Almost 9,000 Patients Followed Up for up to 10 Years in Germany

Jacob

Tanislav

Kostev³

2021

Neuroepidemiology

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Background: There is a lack of large studies on urinary (UI) and fecal incontinence (FI) following multiple sclerosis (MS) diagnosis. Thus, our goal was to investigate the association between MS and the incidence of UI and FI in patients followed up for up to 10 years in Germany. Methods: This study included patients who received an initial documentation of MS diagnosis in general practices in Germany during 2005–2018 (index date). Patients without MS were matched (1:1) to those with MS using propensity scores based on sex, age, index year, follow-up time (in years), general practice, and the Charlson Comorbidity Index score (index date: a randomly selected visit date). Results: This retrospective study included 4,461 patients with MS and 4,461 patients without MS (69.9% women; mean [SD] age 44.2 [12.7] years). Within 10 years of index date, a higher proportion of patients with MS were diagnosed with UI (11.7 vs. 3.2%) and FI (2.3 vs. 0.5%; p values <0.001) than those without MS. MS was further found to be associated with both UI (hazard ratio [HR] = 3.85) and FI (HR = 5.38; p values <0.001) in the Cox regressions. Conclusions: UI and FI are frequent complications of MS, and the presence of these complications should be regularly assessed in primary care practices.

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The relationship between sarcopenia and urinary incontinence

Cited by 28 publications

References 28 publications

Association of decreased grip strength with lower urinary tract symptoms in women: a cross‐sectional study from Korea

Association of decreased grip strength with lower urinary tract symptoms in women: a cross‐sectional study from Korea

Association of multimorbidity with higher levels of urinary incontinence: a cross-sectional study of 23 089 individuals aged ≥15 years residing in Spain

Multiple Sclerosis and Incidence of Urinary and Fecal Incontinence in Almost 9,000 Patients Followed Up for up to 10 Years in Germany

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