Caffeine and urinary incontinence in US women

Gleason, Jonathan L.; Richter, Holly E.; Redden, David T.; Goode, Patricia S.; Burgio, Kathryn L.; Markland, Alayne D.

doi:10.1007/s00192-012-1829-5

Cited by 76 publications

(36 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Injury to pelvic floor muscles occurring during vaginal delivery may weaken the muscles leading to SUI in later life and provides a plausible explanation for the higher prevalence of UI with pregnancy and parity. Although abdominal surgery (other than LSCS), bronchial asthma and regular consumption of coffee did not seem to increase the prevalence of SUI in our study, these have been identified as risk factors in previous studies from the Northern Europe, Canada and United States [19,22,23]. Similar to the findings in the Canadian study [22] presence of chronic cough significantly increased the risk of SUI.…”

Section: Discussionsupporting

confidence: 82%

Descriptive cross sectional study on prevalence, perceptions, predisposing factors and health seeking behaviour of women with stress urinary incontinence

et al. 2014

View full text Add to dashboard Cite

BackgroundStress urinary incontinence (SUI) leads to considerable physical and psychological morbidity. The highest prevalence reported was found in Caucasian Americans (range 23% -67%) and the lowest in Singaporean females (4.8%). The study assessed the prevalence, perceptions, predisposing factors and health seeking behaviour of women with SUI in an Asian setting which may have different sociocultural implications.Methods400 consecutive women >20 years of age attending the outpatient department of a tertiary care hospital in Sri Lanka, for non-urinary conditions were studied over a 3 week period using an interviewer administered questionnaire. SUI was diagnosed on clinical history alone when leakage of urine occurred either with coughing, sneezing, walking or lifting heavy objects. The severity was graded using the Finnish Gynaecological Society’s Urinary Incontinence Severity Score (UISS). Data were analysed using SPSS version 20. Odds ratios were calculated using univariate and multivariate analysis.ResultsNinety three (23.33%) had SUI and only 12 (12.9%) had sought treatment. The prevalence among women >50 years of age was 34.71% ( n = 121) compared to 18.28% (n = 279) in those ≤50 years. 25 (26.88%) had mild SUI, 66 (70.97%) moderate and 2 (2.15%) severe as per UISS. SUI was perceived as an illness by 210 (52.5%). SUI was significantly associated with pregnancy, parity, vaginal delivery, complicated labour, diabetes mellitus, chronic cough, constipation and faecal incontinence (p < 0.05).Among those affected main reasons for not seeking medical advice included; being embarrassed (n = 27, 33.33%), not knowing that it is remediable (n = 23, 28.40%), perceiving SUI to be a normal consequence of childbirth (n = 19, 23.46%) and having to attend to needs of the family (n = 12, 14.81%). None who had been pregnant (n = 313) had received advice on postnatal pelvic floor exercises. SUI interfered with social activities (71;76.34%), sexual function (21; 22.58%) and resulted in despair (67; 72.09%). It was associated with clinically diagnosed candidiasis (50; 53.76%) and soreness in the perineal region (49; 52.69%).ConclusionsSUI is a common and neglected gynaecological problem with poor healthcare seeking behaviour. Community based education may help to minimize the occurrence and improve the quality of life of those affected.

show abstract

Section: Discussionsupporting

confidence: 82%

Descriptive cross sectional study on prevalence, perceptions, predisposing factors and health seeking behaviour of women with stress urinary incontinence

et al. 2014

View full text Add to dashboard Cite

show abstract

“…A recent study also found that high caffeine intake (>450 mg/day) was associated with frequent UI and UUI [27]. Similar findings were also made by Gleason et al who reported that caffeine intake was associated with UI as well as with the degree of severity of UI [28]. The reason/s for this discrepancy in the association between UI and coffee consumption is unclear.…”

Section: Discussionsupporting

confidence: 59%

Urinary Incontinence Amongst Malaysian Women in Selangor: Prevalence, Types and Risk Factors

Dhillon¹

2019

WJPH

View full text Add to dashboard Cite

Information on urinary incontinence (UI) amongst Malaysian women remains incomplete and inconclusive. Of the few available studies, none had used the holistic approach to study UI amongst Malaysian women and information on the prevalence and the types of UI experienced by the Malaysian women therefore remains debatable. The objectives of this study were to estimate the prevalence of UI and its types in Malaysian females, determine the demographic characteristics of those with UI and to elucidate the association between potential risk factors and female UI. A validated, standardised Malay Monash Women Health Questionnaire (MMWHQ) was administered to 350 community dwelling, Malaysian women. The response rate was 86% (n=301). The dropout rate for interviews was 30%. Descriptive statistics and multinomial regression were applied. The estimated prevalence of UI (n=52) was 17.3 ± 4.65% (95% Confidence Interval 16.95 -26.25%). Majority of respondents had reported no UI (82.7%; n=249), while 8.0% of the respondents complained of stress urinary incontinence (SUI), 5% reported urge urinary incontinence (UUI) and 4.3% had mixed urinary incontinence (MUI). Most women with UI were of middle age, of Chinese ethnicity, with secondary education, with an income of

show abstract

“…Race and ethnicity have been known to make a difference in the presence of UI due to variability in body mass index, the prevalence of UI-associated diseases such as diabetes, or dietary habits, including caffeine consumption, all of which differ by nation or region [ 1 – 4 ]. Caffeine is the most frequently consumed stimulant in the world, and over 80% of total caffeine consumption comes from coffee and other caffeine-containing beverages [ 11 ]. It has been thought that caffeine acts as a bladder-function stimulant through diuretic effects and other various mechanisms [ 8 – 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, the relationship between caffeine consumption and UI remains controversial because of mixed research results. Some studies have reported that caffeine intake raises the incidence of UI, whereas others have found no association between caffeine intake and UI incidence in females [ 11 – 14 ]. Although caffeine intake is on the rise in Korea with the increasing consumption of coffee and soft drinks among Korean people due to the influence of Western diets and modes of life, one characteristic of a traditional Korean lifestyle is the low consumption of caffeine.…”

Section: Introductionmentioning

confidence: 99%

Caffeine Intake Is Associated with Urinary Incontinence in Korean Postmenopausal Women: Results from the Korean National Health and Nutrition Examination Survey

et al. 2016

View full text Add to dashboard Cite

IntroductionThe objective of this study was to investigate whether caffeine intake is associated with urinary incontinence (UI) and quality of life (QOL) in Korean postmenopausal women.Materials and MethodsWe included 4,028 postmenopausal women who had participated in the Korea National Health and Nutrition Examination Survey IV (KNHANES IV). From the KNHANES questionnaire data, we ascertained the UI status of participants, defined as self-reported or medically diagnosed UI, and calculated their total daily caffeine intake through questions regarding the frequency of food consumption. The EuroQoL-5 Dimension (EQ-5D) descriptive system was used to evaluate QOL among the study population.ResultsThe mean age of the study population was 63.19±0.25 years. Among the 4,028 women, the prevalence of medically diagnosed UI was 2.6% (n = 151), the prevalence of self-reported UI was 11.9% (n = 483), and the lifetime prevalence of UI was 15.8% (n = 639). In the study population, the presence of UI was not significantly different by age group, but daily caffeine consumption and the percentage of caffeine consumer decreased with age (P<0.001). Higher caffeine intake led to significantly higher prevalence of both medically diagnosed UI (p = 0.012) and self-reported UI (p = 0.040) in the study population. Even after adjusting for factors including age, parity, smoking status, hypertension and diabetes in logistic regression analysis, the positive association between caffeine intake and UI prevalence was observed in both medically diagnosed UI and self-reported UI (P = 0.017) among participants. In a subgroup analysis for EQ-5D (using continuous variables) in which we categorized participants into four groups according to UI presence and caffeine consumption, the EQ-5D scores were lower in the caffeine non-user group with UI than in the caffeine consumer group with or without UI.ConclusionIn a sample of Korean postmenopausal women, the prevalence of UI increased with higher caffeine consumption. Additionally, QOL was lower in caffeine non-users with UI than in the caffeine consumer groups. However, additional prospective studies are required to identify clear causation between caffeine consumption, UI prevalence and QOL.

show abstract

Caffeine and urinary incontinence in US women

Cited by 76 publications

References 25 publications

Descriptive cross sectional study on prevalence, perceptions, predisposing factors and health seeking behaviour of women with stress urinary incontinence

Descriptive cross sectional study on prevalence, perceptions, predisposing factors and health seeking behaviour of women with stress urinary incontinence

Urinary Incontinence Amongst Malaysian Women in Selangor: Prevalence, Types and Risk Factors

Caffeine Intake Is Associated with Urinary Incontinence in Korean Postmenopausal Women: Results from the Korean National Health and Nutrition Examination Survey

Contact Info

Product

Resources

About