Urinary incontinence and sedentary behaviour in nursing home residents in Osona, Catalonia: protocol for the OsoNaH project, a multicentre observational study

Abstract

IntroductionSeveral studies have shown that physical activity (PA) levels and sedentary behaviour (SB) are independent risk factors for many health-related issues. However, there is scarce evidence supporting the relationship between SB and urinary incontinence (UI) in community-dwelling older adults, and no information on any possible association in institutionalised older adults. Stage I of this project has the main objective of determining the prevalence of UI and its associated factors in nursing home (NH) residents, as well as analysing the association between UI (and its types) and SB. Stage II aims to investigate the incidence and predictive factors of functional and continence decline, falls, hospitalisations, mortality and the impact of the COVID-19 pandemic among NH residents.Methods and analysisStage I is an observational, multicentre, cross-sectional study with mixed methodology that aims to explore the current status of several health-related outcomes in NH residents of Osona (Barcelona, Spain). The prevalence ratio will be used as an association measure and multivariate analysis will be undertaken using Poisson regression with robust variance. Stage II is a 2-year longitudinal study that aims to analyse functional and continence decline, incidence of falls, hospitalisations, mortality and the impact of the COVID-19 pandemic on these outcomes. A survival analysis using the actuarial method for functional decline and continence, evaluated every 6 months, and the Kaplan-Meier method for falls, hospitalisations and deaths, and Cox regression for multivariate analysis will be undertaken.Ethics and disseminationThe study received the following approvals: University of Vic - Central University of Catalonia Ethics and Research Committee (92/2019 and 109/2020), Clinical Research Ethics Committee of the Osona Foundation for Health Research and Education (FORES) (code 2020118/PR249). Study results will be disseminated at conferences, meetings and through peer-reviewed journals.Trial registration numberNCT04297904.

Urinary Incontinence and Its Association with Physical and Psycho-Cognitive Factors: A Cross-Sectional Study in Older People Living in Nursing Homes

“…Researchers still do not identify a threshold for how many consecutive minutes of sitting are needed before health risks are increased, but previous evidence suggests that sitting for as little as 20 consecutive minutes affects cardiometabolic health [81]. In line with the evidence of our study results, previous studies found statistical significance between UI and almost 20% longer duration of sedentary bouts in community-dwelling older women [34,39]. These findings could reinforce the hypothesis that the main risks of SB are the duration of the sitting bouts rather than the total time spent sitting.…”

“…An observational cross-sectional study was carried out in five nursing homes (NHs) of Osona (a central Catalonia County, Spain). This sub study is part of the OsoNaH project [39], registered in Clinical Trials (NCT04297904). The STROBE (STrengthening the Reporting of OBservational studies in Epidemiology) guidelines for cross-sectional studies were followed [40].…”

Sarcopenia and associated factors according to the EWGSOP2 criteria in older people living in nursing homes: a cross-sectional study

“…The study follows the STROBE (STrengthening the Reporting of OBservational studies in Epidemiology) standards for cross-sectional studies [ 15 ]. The study was carried out in 4 NH in Osona (a region of Central Catalonia, Spain) and it is part of the OsoNaH project [ 10 ], registered in Clinical Trials ( NCT04297904 ) .…”

“…Older adults who live in a NH are the frailest of our society, with high levels of functional limitations, physical dependence or cognitive impairment [ 10 , 11 ]. Sarcopenia is highly prevalent in older NH residents but the prevalence varies considerably depending to the different profile of the population studied and with the different methods used to assess sarcopenia [ 5 ].…”

How did the COVID‐19 pandemic affect urinary incontinence and its management in the nursing homes? A descriptive phenomenological study

“…This study is a part of the OsoNaH Project (Urinary incontinence and sedentary behavior in nursing home residents in Osona, Catalonia), with Clinical Trials registration number NCT04297904. In this project, various aspects of UI in NHs were studied through a mixed methodology; further details of the research can be found in the protocol 10 …”