Urinary Incontinence and Its Association with Frailty Among Men Aged 80 Years or Older in Taiwan: A Cross-Sectional Study

Wang, Chi-Jane; Hung, Cheng Hao; Tang, Ting; Chen, Liang Yu; Peng, Li Ning; Hsiao, Fei‐Yuan; Chen, Liang Kung

doi:10.1089/rej.2016.1855

Cited by 30 publications

(32 citation statements)

References 41 publications

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“…A Brazilian cross-sectional urban study in an independent elderly population showed that incontinence doubled in the frail vs nonfrail (42.9% vs 20.8%, respectively). 62 Similarly, in a Taiwanese study from veterans' nursing homes, the presence of frailty was more common among people with urinary incontinence than those without (60.7% vs 32.3%, P <.001) 63 but, as in the Brazilian study, nocturnal LUTS were not expressed separately from overall incontinence.…”

Section: Nocturia In the Frail Elderlymentioning

confidence: 85%

Nocturia: A Highly Prevalent Disorder With Multifaceted Consequences

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Wagg

Sand

2019

Urology

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Section: Nocturia In the Frail Elderlymentioning

confidence: 85%

Nocturia: A Highly Prevalent Disorder With Multifaceted Consequences

Bliwise

Wagg

Sand

2019

Urology

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“…Polypharmacy was defined as the use of more than four medications, and a systemic review has clearly established a strong relationship between polypharmacy and negative clinical consequences . Other variables including history of dementia, visual/hearing impairment, history of fall in the recent 1 year, urinary incontinence and the use of antipsychotic drugs have been previously described in detail …”

Section: Methodsmentioning

confidence: 94%

“…27 Other variables including history of dementia, visual/hearing impairment, history of fall in the recent 1 year, urinary incontinence and the use of antipsychotic drugs have been previously described in detail. 28…”

Section: Comprehensive Geriatric Assessmentmentioning

confidence: 99%

Association between using medications with anticholinergic properties and short‐term cognitive decline among older men: A retrospective cohort study in Taiwan

Wang

Hung

et al. 2017

Geriatrics Gerontology Int

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Aim The use of anticholinergic drugs had been strongly linked to adverse health outcomes among older adults, especially in cognitive impairment or dementia. The present study aimed to evaluate the cognitive decline related to the use of anticholinergic drugs among older men living in the veterans’ homes in Taiwan. Methods This retrospective cohort study was a substudy of The Longitudinal Older Veterans study. A total of 274 residents living in four Taiwan veterans’ homes and receiving two consecutive Mini‐Mental State Examinations within the interval of 6 months from January 2012 to December 2014 were enrolled in the present study. The medication lists for all participants were reviewed by the same physician, and the anticholinergic properties of the individual medications were evaluated by using the Anticholinergic Cognitive Burden scale. Cognitive decline was defined as the decrease of Mini‐Mental State Examinations scores during the study period. Results Overall, 139 persons (50.7%) had exposure to anticholinergic drugs at baseline (designated as AC[+]), and the most frequently used anticholinergic drugs were cardiovascular drugs (48.2%), antipsychotics (21.6%), theophylline (20.1%), antidepressants (12.2%), gastrointestinal drugs (11.5%) and antihistamines (8.6%). After adjusting for covariates, AC(+) participants had a significantly higher risk for short‐term cognitive decline (OR 2.69, 95% CI 1.36–5.31). After excluding 30 participants using antipsychotics, non‐antipsychotics AC(+)participants still had a significantly higher risk for short‐term cognitive decline (OR 2.24, 95% CI 1.26–3.99). Conclusions Exposure to anticholinergic drugs significantly increased the risk for short‐term cognitive decline among older men, and the adverse effects remained similar when antipsychotics were excluded for analysis. A further intervention study is required to evaluate whether reducing anticholinergic burden might improve cognitive function among older adults. Geriatr Gerontol Int 2017: 17 (Suppl. 1): 57–64.

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“…Do mesmo modo, foi observada em estudo com 440 idosos institucionalizados (≥80 anos), de quatro cidades de Taiwan. Os resultados apontaram prevalência de 19,1% (n=84) idosos com IU, inferior ao presente estudo, ainda assim houve associação significativa entre fragilidade física e IU (p<0,001) (20) .…”

Section: Discussionunclassified

Fragilidade Física E Incontinência Urinária De Idosos Em Assistência Ambulatorial

et al. 2020

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Objetivo: analisar a associação dos marcadores e da condição de fragilidade física à incontinênciaurinária em assistência ambulatorial de geriatria e gerontologia.Método: estudo transversal, desenvolvido na atenção secundária à saúde de ambulatório doParaná, com 384 idosos. Coletaram-se dados entre setembro de 2016 a março de 2017 mediantefenótipo de fragilidade e questionário International Consultation on Incontinence Questionnaire -Short Form.Resultados: dos idosos 118 (30,7%) foram considerados não frágeis, 212 (55,2%) pré-frágeis, 54(14,1%) frágeis, 106 (27,6%) com incontinência urinária, 50 (47,2%) com impacto muito gravena rotina diária, 18 (17,0%) grave, 16 (15,0%) moderado, 11 (10,4%) leve a nenhum impacto.Associaram-se à incontinência urinária a condição de fragilidade (p=0,011), os marcadores forçade preensão manual diminuída (p=0,027), fadiga e exaustão (p=0,002) e velocidade da marchareduzida (p=0,000).Conclusão: os resultados contribuem com o desenvolvimento crítico da enfermagem no momentode avaliar as necessidades de cuidado gerontológico.

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Urinary Incontinence and Its Association with Frailty Among Men Aged 80 Years or Older in Taiwan: A Cross-Sectional Study

Cited by 30 publications

References 41 publications

Nocturia: A Highly Prevalent Disorder With Multifaceted Consequences

Nocturia: A Highly Prevalent Disorder With Multifaceted Consequences

Association between using medications with anticholinergic properties and short‐term cognitive decline among older men: A retrospective cohort study in Taiwan

Fragilidade Física E Incontinência Urinária De Idosos Em Assistência Ambulatorial

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