Comorbidities Associated with Urinary Incontinence: A Case-Control Study from the Second Dutch National Survey of General Practice

Gerwen, Maaike van; Schellevis, François G.; Lagro‐Janssen, Toine

doi:10.3122/jabfm.2007.06.070151

Cited by 41 publications

(31 citation statements)

References 7 publications

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“…Several medical disorders, such as cardiac diseases, depression, diabetes, and hypertension were found to be significantly associated with urinary incontinence [4,15,[31][32][33]. However, we did not observe any such association between these medical disorders and UI.…”

Section: Discussioncontrasting

confidence: 65%

Risk Factors of Urinary Incontinence in Bahrain

Al-Jufairi¹,

H.Gherbal²,

Al-Najjar³

2014

Int J Gynecol Clin Pract

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Objective: To determine the risk factors for urinary incontinence (UI) amongst the patients attending the Urogynecology clinic in Salmaniya medical Complex. Design: Cross sectional study. Setting: Salmaniya Medical Complex -Urogynecology clinic. Population: A total of 259 women complaining of stress and mixed urinary incontinence were recruited between January 2005 and December 2011. Women with over active bladder syndrome, pure neurogenic bladder and overflow incontinence were excluded. Methods: Data collected from the recording forms which were used regularly in the urogynecology clinic. Results:The risk of urinary incontinence increased significantly with age. Women aged 30-60 years were approximately 3-6 times more likely to develop urinary incontinence than women less than 30years. The risk of UI was increased by obesity (OR 2.5, 95%CI (1.6-4.1), vaginal delivery (OR 6.73, 95%CI 1.2-36.8), parity (Para 3-5) (OR 5.09, 95%CI 5.6-9.8), postmenopausal status (OR 5.57, 95%CI 3.2 -9.8) and chronic pulmonary diseases (OR 4.00, 95%CI 1.1 -14.2). Conclusions: The significant risk factors for UI as seen in our study population were age, body mass index, parity, vaginal delivery, menopause and chronic pulmonary diseases. Studies have shown that urinary incontinence affects women of all ages but it rises with advanced age. The prevalence of UI is estimated to range from 16% to 46% amongst middle-aged women and rise to 50% in older women [2][3][4]. Stress urinary incontinence (SUI) is the most prevalent type of urinary incontinence affecting nearly 30 -50 % of women [3,[5][6][7]. Urinary incontince is an embarrassing condition with a major impact on a quality of life [7][8][9]. Risk Factors of Urinary Incontinence in BahrainSeveral studies had focused on risk factors of urinary incontince and these are important in counseling patients appropriately [2][3][4]10]. We decided to study the risk factors of urinary incontinence in Bahraini women as there are no published studies which addressed this issue in our society.The aim of this study was to find out the risk factors of urinary incontinence amongst the patients who presented to the Urogynecology clinic at Salmaniya Medical Complex with urinary incontinence from 1st of January 2005 till 31 st December 2011. Materials and MethodThis study was conducted in the Urogynecology clinic at Salmaniya Medical Complex (SMC)

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Section: Discussioncontrasting

confidence: 65%

Risk Factors of Urinary Incontinence in Bahrain

Al-Jufairi¹,

H.Gherbal²,

Al-Najjar³

2014

Int J Gynecol Clin Pract

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“…16 The relationship between occurrence of urinary incontinence and chronic cough and chronic constipation can be explained by increased abdominal pressure in these conditions. 17 There was a significant association between urinary tract infection and urgency incontinence.…”

Section: Discussionmentioning

confidence: 98%

Urinary incontinence: prevalence, risk factors, impact on quality of life and treatment seeking behaviour among middle aged women

Agarwal

2017

Int Surg J

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INTRODUCTIONUrinary incontinence (UI) is one of the priority health issue recognized by WHO. An understanding of the epidemiology of this condition effectively leads to a better appreciation of its importance and its impact on the population and the health care delivery system. The last two decades have seen intensified research on the prevalence of UI and the identification of its determinants. Urinary incontinence (UI) is defined by the international continence society as "a condition in which involuntary loss of urine is objectively demonstrable and is a social and hygiene problem.1 It is a common and distressing medical condition severely affecting quality of life(QOL). 2Urinary incontinence is a common health problem among women, with the prevalence varying from 8-45% in different studies. [3][4] This wide variation may be due to different factors such as under reporting caused by shame and the belief that it is natural consequence of ageing. 5Women in India have also been reported to have high ABSTRACT Background: Urinary incontinence (UI) is one of the priority health issue recognized by WHO. Urinary incontinence (UI) is defined by the international continence society as "a condition in which involuntary loss of urine is objectively demonstrable and is a social and hygiene problem. It is a common and distressing medical condition severely affecting quality of life (QOL). Urinary incontinence is a common health problem among women, with the prevalence varying from 8-45% in different studies. Methods: This study was based among the population around SRM-IMS, Bareilly. Total 464 women were interviewed out of 2860 total inhabitants. Results: Out of 464, 236 females were selected for this study. 28 women had urinary incontinence. The overall prevalence of urinary incontinence in our study was about 12%. There was significant association of increasing age and presence of urinary incontinence. Urinary incontinence does impact on quality of life of a woman having urinary incontinence. Impact of personal factors do not have much impact on urinary incontinence. 22% women had stress urinary incontinence, 38% had urgency incontinence and 38% had mixed type of urinary incontinence. Conclusions: Various obstetrical factors do contribute to urinary incontinence. Urinary incontinence is a significant health problem in the society leading to restriction in social and sexual activities. Almost 1 in 12 women suffering from urinary incontinence. Simple epidemiological tools such as a questionnaire can unveil the urinary incontinence subjectively. Further efforts are to be done to improve the quality of life and minimizing the urinary incontinence by pursuing them for treatment.

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“…Risk factors identified in these populations include age, constipation [10], urinary tract infection, depression [11], conditions of vaginal delivery [12], age at first delivery [13], number of children [14], and lifestyle factors, such as lack of exercise, high BMI, and heavy smoking [10,15]. Information on the incidence of incontinence among outpatients without a chief complaint of urinary incontinence remains limited.…”

Section: Introductionmentioning

confidence: 99%

Urinary incontinence among Taiwanese women: an outpatient study of prevalence, comorbidity, risk factors, and quality of life

Tsai

Liu

2009

Int Urol Nephrol

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The objective of this study was to evaluate comorbidity and risk factors associated with female urinary incontinence and to assess quality of life for women with different types of urinary incontinence. Subjects included 551 consecutive females who attended the outpatient clinic from 9 March to 8 July 2006 and did not have a chief complaint of incontinence. A four-item incontinence questionnaire and a Chinese version of the Incontinence-Quality of Life (I-QOL) questionnaire were completed in the waiting room. Patient characteristics and medical conditions were summarized from outpatient electronic databases. A total of 371 females were included for statistical analysis. Among them, 114 patients (30.7%) did not indicate any urinary incontinence, while 257 (69.3%) patients indicated symptoms of urge incontinence, stress incontinence, or mixed incontinence. Comorbidities significantly associated with incontinence included osteoarthritis (P = 0.001), peptic ulcer disease (P = 0.031), obesity (P < 0.001), and cardiac disease (P < 0.001). After multiple logistic regression analysis, obesity (OR 3.38, 95% CI 1.94-6.98) and postmenstrual status (OR 2.17, 95% CI 1.35-3.50) were found to be risk factors of incontinence (P < 0.001). Mixed incontinence patients exhibited the least satisfaction in quality of life, while no significant differences were observed between patients with urge incontinence and stress incontinence. In conclusion, the incidence of urinary incontinence may be greater in the outpatient population than previously thought. Osteoarthritis, peptic ulcer disease, and cardiac disease are more common in women with urinary incontinence, obesity and postmenopausal status appear predictive of incontinence, and women with mixed incontinence exhibit the least satisfying quality of life.

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Comorbidities Associated with Urinary Incontinence: A Case-Control Study from the Second Dutch National Survey of General Practice

Cited by 41 publications

References 7 publications

Risk Factors of Urinary Incontinence in Bahrain

Risk Factors of Urinary Incontinence in Bahrain

Urinary incontinence: prevalence, risk factors, impact on quality of life and treatment seeking behaviour among middle aged women

Urinary incontinence among Taiwanese women: an outpatient study of prevalence, comorbidity, risk factors, and quality of life

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