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Broome, Barbara

doi:10.1186/1477-7525-1-35

Cited by 71 publications

(25 citation statements)

References 24 publications

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“…2,9,27 In this study, the fully adjusted model (model 3) showed a significant independent association between higher baseline physical and mental HRQoL and a lower incidence of UI at 1-year. Poor QoL is generally considered to represent multiple contributing physical and psychological factors.…”

Section: Discussionsupporting

confidence: 49%

Correlates of 1‐Year Incidence of Urinary Incontinence in Older Latino Adults Enrolled in a Community‐Based Physical Activity Trial

Morrisroe

Rodríguez

Wang

et al. 2014

J American Geriatrics Society

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The prevalence of urinary incontinence (UI) among urban older Latinos is high. Insight into etiologies and contributing factors to the development of this condition is needed. This longitudinal cohort study identifies correlates of 1-year incidence of UI in community-dwelling Latino seniors participating in a senior-center-based physical activity trial in Los Angeles, California. Three hundred twenty-eight Latinos aged 60 to 93 years participating in Caminemos, a randomized trial to increase walking, were studied. Participants completed an in-person survey and physical performance measures at baseline and 1-year. UI was measured using the International Consultation on Incontinence item: “How often do you leak urine?” Potential correlates of 1-year incidence of UI included sociodemographic, behavioral, medical, physical, and psychosocial characteristics. The overall incidence of UI at 1-year was 17.4%. Incident UI was associated with older age, low levels of baseline activity of daily living impairment, health-related quality of life (HRQoL), and mean steps per day. Incident UI was also associated with increased depressive symptoms. Multivariate logistic regression models revealed improvement in physical performance score (odds ratio (OR) = 0.69, 95% confidence interval (CI) = 0.50–0.95) and highbaseline HRQoL (OR = 0.60, 95% CI = 0.40–0.89, and OR = 0.62, 95% CI = 0.43–0.91) were independently associated with lower rates of 1-year incident UI. An increase in depressive symptoms at 1-year (OR = 4.48, 95% CI = 1.02–19.68) was independently associated with a higher rate of incident UI.I-year UI incidence in this population of urban older Latinos participating in a walking trial was high, but was lower among those who improved their physical performance. Interventions aimed at improving physical performance may help prevent UI among older Latinos.

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Section: Discussionsupporting

confidence: 49%

Correlates of 1‐Year Incidence of Urinary Incontinence in Older Latino Adults Enrolled in a Community‐Based Physical Activity Trial

Morrisroe

Rodríguez

Wang

et al. 2014

J American Geriatrics Society

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“…It is associated with reduced quality of life [2] as well as significant morbidity. Incontinence has been implicated in increased length of hospital admission and mortality [3], decreased survival in institutionalized elderly [4], and increased risk of falls [5].…”

Section: Introductionmentioning

confidence: 99%

Continence Promotion and Successful Aging: The Role of the Multidisciplinary Continence Clinic

Yoo

Spencer

2018

Geriatrics

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Incontinence is a common yet under-recognized issue that impacts quality of life, especially for older adults in whom there is often a multifactorial etiology. A retrospective chart review was performed on a representative sample of patients seen at our multidisciplinary continence clinic in Vancouver, Canada from January to December 2017 inclusive. Initial assessment was performed by the nurse continence advisor (NCA) or geriatrician depending on the source of referral. The pelvic floor physiotherapist (PFP) could then be consulted based on perceived need. The average age at assessment was 76 years old (range 29–102), with 82% of patients ≥65 years and 27% ≥85 years old. The majority of patients were referred for bladder incontinence (72%), with the remaining patients referred for bowel incontinence (28%) or pessary care (7%). Referrals came from a variety of sources including physicians (62%), nurses (22%), allied health care providers (12%) and self-referral (5%). Multimorbidity was common, with 40% of patients having a Charlson Comorbidity Index ≥6. The same proportion of patients (40%) were on ≥5 prescription medications. Many patients were functionally dependent for either instrumental activities of daily living (52%) or activities of daily living (25%). Non-pharmacologic treatments were commonly recommended, with the majority of patients counselled on lifestyle changes (88%) and taught Kegel exercises (70%). For patients seen by the geriatrician, modifications were made to non-continence medications in 50% of cases and medical comorbidities were optimized in 39% of cases. In terms of pharmacologic therapy, over-the-counter (OTC) medications were initiated in 45% of patients whereas continence-specific prescription medications were started in 17% of patients. A multidisciplinary continence clinic can play an important role in promoting successful aging by assessing and treating medical causes of incontinence in medically complex older adults.

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“…Thus, the pelvic organs and perineum are relaxed, which causes problems in the continence control system [1], causing diseases such as pelvic organ prolapse, stress incontinence, overactive bladder, overactive detrusor, micturition disorder, urinary tract infection, and fecal incontinence [2,3]. These diseases cause decreased quality of life due to emotional disorders such as depression or a sense of alienation by inducing psychological anxiety, shame, and tension and consequently limiting social activities as well as outings [4–6]. …”

Section: Introductionmentioning

confidence: 99%

Determining the Posture and Vibration Frequency that Maximize Pelvic Floor Muscle Activity During Whole-Body Vibration

Lee

Song

2016

Med Sci Monit

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BackgroundThe aim of this study was to investigate the electromyogram (EMG) response of pelvic floor muscle (PFM) to whole-body vibration (WBV) while using different body posture and vibration frequencies.Material/MethodsThirteen healthy adults (7 men, 6 women) voluntarily participated in this cross-sectional study in which EMG data from PFM were collected in a total of 12 trials for each subject (4 body postures, 3 vibration frequencies). Pelvic floor EMG activity was recorded using an anal probe. The rating of perceived exertion (RPE) was assessed with a modified Borg scale.ResultsWe found that vibration frequency, body posture, and muscle stimulated had a significant effect on the EMG response. The PFM had high activation at 12 Hz and 26 Hz (p<0.05). PFM activation significantly increased with knee flexion (p<0.05). The RPE significantly increased with increased frequency (p<0.05).ConclusionsThe knee flexion angle of 40° at 12 Hz frequency can be readily promoted in improving muscle activation during WBV, and exercise would be performed effectively. Based on the results of the present investigation, sports trainers and physiotherapists may be able to optimize PFM training programs involving WBV.

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Untitled

Cited by 71 publications

References 24 publications

Correlates of 1‐Year Incidence of Urinary Incontinence in Older Latino Adults Enrolled in a Community‐Based Physical Activity Trial

Correlates of 1‐Year Incidence of Urinary Incontinence in Older Latino Adults Enrolled in a Community‐Based Physical Activity Trial

Continence Promotion and Successful Aging: The Role of the Multidisciplinary Continence Clinic

Determining the Posture and Vibration Frequency that Maximize Pelvic Floor Muscle Activity During Whole-Body Vibration

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