Urinary Incontinence and Sleep Quality in Older Women with Type 2 Diabetes: A Cross-Sectional Study

Abstract

Background: Urinary incontinence (UI) and poor sleep negatively affect health-related quality of life (HRQoL). This study explored the UI-related factors and the relationships between UI, sleep quality, and HRQoL. Methods: This cross-sectional study collected data from 237 women with type 2 diabetes. Multivariate logistic regression was conducted to identify the factors associated with UI. One-way analysis of variance was used to compare the mean sleep quality and HRQoL scores of women without UI and those who experienced UI of varying severities. Correlation coefficients were estimated, and multivariate linear regression was conducted to examine the relationships between UI severity, sleep quality, and HRQoL. Results: Of the 237 women, 115 (48.52%) experienced UI and 139 (58.65%) were poor sleepers. The three factors associated with UI were advanced age, a higher body mass index, and a history of vaginal delivery. Significant associations between UI severity and sleep quality and between sleep quality and HRQoL were revealed. UI severity and night-time voiding frequency were both associated with sleep quality. Conclusions: One factor associated with UI (body mass index) is modifiable. UI severity is associated with sleep quality as the possible influence of night-time voiding frequency on sleep quality has been considered.

Sleep Quality Assessment in Correlation to Autonomic Nerve Function in Type 2 Diabetic Patients

“…Poor sleepers showed higher incidence of night micturition and autonomic dysfunction than good sleepers. The results concur with Li et al [46], who confirmed worse sleep quality and healthrelated quality of life in T2DM females suffering from urinary incontinence with more than three episodes of nighttime voiding. The results are also consistent with Moningi et al [47], who found that neurogenic bladder may be a result of impaired detrusor function and reduced bladder sensation, which in turn…”

Sleep quality and its associated factors among patients with type 2 diabetes mellitus in Hunan, China: a cross-sectional study

“… 9 28 For example, in a study conducted in Northwest Iran, 38% of patients with T2DM were classified as poor sleepers, 28 and in another study conducted in Japan, the prevalence of poor sleep quality was 38.4%. 9 Nonetheless, the prevalence found in the present study (40.5%) was lower than that found in a study by Li et al (58.7%) 29 and higher than that found in a study by Lou et al (33.6%). 30 The different prevalence observed across these studies can be mainly explained by the differences in study populations, sample sizes and instruments used to assess sleep quality.…”