Constipation and risk of urinary incontinence in women: a meta-analysis

Lian, Wenqing; Li, Fa-Jiang; Huang, Hongxing; Zheng, Yang; Chen, Lianghua

doi:10.1007/s00192-019-03941-w

Cited by 31 publications

(23 citation statements)

References 42 publications

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“…Constipation causes stress and urge type incontinence mostly [15]. Constipation has been reported to increase urinary incontinence [22,23]. In our study, the relationship between the presence of constipation and stress urinary incontinence was found to be statistically significant, and the result was parallel to the literature.…”

Section: Discussionsupporting

confidence: 83%

Investigation of lifestyle behaviors of women with and without stress urinary incontinence

2020

Ann Clin Anal Med

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Aim: The aim of this study was to compare the lifestyle behaviors of women with and without stress urinary incontinence (SUI), and to investigate the effects of lifestyle behaviors on SUI. Materials and Methods: The study included 30 women who were diagnosed with SUI, 25-50 years old, who agreed to participate in the study voluntarily and 30 healthy women who met our study criteria with a total of 60 women. The data were evaluated using a questionnaire including demographic information and urinary incontinence risk factors of the women prepared by the researcher, and healthy lifestyle behaviors by Healthy Lifestyle Behavior Scale-II (HLBS-II), SUI by International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Results: When the HLBS-II scores of the groups were examined, it was observed that the scores of the group with SUI were lower and a statistically significant difference was found between the groups (p<0.005). There was a negative statistically significant relationship between the total score HLBS-II and total score ICIQ-SF (p=0.026). Discussion: As a result, healthy lifestyle behaviors are associated with SUI, and will affect the lifestyle positively.

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Section: Discussionsupporting

confidence: 83%

Investigation of lifestyle behaviors of women with and without stress urinary incontinence

2020

Ann Clin Anal Med

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“…A recent meta-analysis of 16 observational studies with 35,629 participants and 6054 UI patients reported that constipation increased the risk for developing UI in women (OR 2.46, 95% CI 1.79-3.38). 44 This link may be attributable to chronic constipation increasing abdominal exertions on pelvic support structures, thereby increasing the risk of pelvic organ prolapse and UI. Nevertheless, the precise relationship between constipation and UI is not known.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors of Urinary Incontinence Among Elderly Adults in Rural China

Luo

Zou

Wang

et al. 2022

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE:The purpose of this study was to explore the prevalence of urinary incontinence (UI) and several subtypes: (stress, urge, and mixed UI) and the influence of multiple factors on the likelihood of UI. DESIGN: Epidemiological study based on cross-sectional data collection. SUBJECTS AND SETTING:The sample comprised 1279 inhabitants 65 years and older residing in 10 villages randomly selected from the Shanxi province, located in North China. METHODS:The presence and types of UI were assessed using the International Consultation of Incontinence Questionnaire-Short Form. Sociodemographic parameters were also recorded, along with data on lifestyle, bowel function, and medical conditions. The Activity of Daily Living Scale and Mini-Mental State Examination instruments were used to evaluate physical and cognitive functions, respectively. A multivariate logistic regression model with the backward method was employed to identify factors associated with UI. RESULTS:The prevalence of any UI among the rural Chinese elderly 65 years and older was 46.8%, with a female predominance (56.3% in females vs 35.0% in males). The most common incontinence subtype in women was mixed UI (n = 170, 24.0%), followed by stress UI (n = 131, 18.5%) and urge UI (n = 97, 13.7%). The most prevalent form of UI in males was urge UI (n = 190, 33.2%), followed by stress UI (n = 5, 0.9%) and mixed UI (n = 5, 0.9%). Less than one quarter of respondents (17%, n = 102) of participants with UI had consulted a doctor. Multivariate analysis found that poorer physical function, poor quality of sleep, and fecal incontinence were common factors associated with UI in both women and men. In women, higher body mass index and constipation were also independent correlates, as were poor vision and heart disease in men. Poorer physical function was associated with all UI subtypes. For female stress UI, poorer cognitive status, tea drinking, and hypertension also emerged as independent risk factors. Heart disease was an independent risk factor in both female and male urge UI; as was consumption of a non-plant-based diet for female mixed and urge UI; nonfarmer and traumatic brain injury for female urge UI; and poor vision and fecal incontinence in male urge UI. CONCLUSIONS: Chinese rural citizens showed a high UI prevalence, but only a small proportion had consulted a health care provider. Physical function decline was the most important contributor to UI among participants. Individualized intervention programs targeting modifiable risk factors among high-risk populations should be developed.

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“…Constipation has been shown to increase the risk of UI in the elderly ( 29 , 32 ), which is consistent with our findings. The anatomy and angle of the urethra may be altered with chronic constipation, leading to problems such as overactive bladder (OAB), urinary retention, and UI ( 32 , 33 ); conversely, treatment of constipation may prevent UI.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Urinary Incontinence and Subtypes Among the Elderly in Nursing Homes

Tai

Liu

Wang

et al. 2021

Front. Public Health

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Urinary incontinence (UI) is a common problem among older adults. This study investigated the prevalence of UI in nursing home residents aged ≥75 years in China and examined potential risk factors associated with UI and its subtypes. Data were collected during face-to-face interviews using a general questionnaire, the International Consultation Incontinence Questionnaire Short-Form, and the Barthel Index. A total of 551 participants aged ≥75 years residing in Changsha city were enrolled from June to December 2018. The UI prevalence rate among nursing home residents aged ≥75 years was 24.3%. The most frequent subtype was mixed (M) UI (38.1%), followed by urge (U) UI (35.1%), stress (S) UI (11.9%), and other types (14.9%). In terms of severity, 57.5% had moderate UI, while 35.1% had mild and 7.5% had severe UI. Constipation, immobility, wheelchair use, cardiovascular disease (CVD), and pelvic or spinal surgery were significant risk factors for UI. Participants with a history of surgery had higher risks of SUI (odds ratio [OR] = 4.87, 95% confidence interval [CI]: 1.55–15.30) and UUI (OR = 1.97, 95% CI: 1.05–3.71), those who were immobile or used a wheelchair had higher rates of MUI (OR = 11.07, 95% CI: 4.19–29.28; OR = 3.36, 95% CI: 1.16–9.78) and other UI types (OR = 7.89, 95% CI: 1.99–31.30; OR = 14.90, 95% CI: 4.88–45.50), those with CVD had a higher rate of UUI (OR = 2.25, 95% CI: 1.17–4.34), and those with diabetes had a higher risk of UUI (OR = 2.250, 95% CI: 1.14–4.44). Use of oral antithrombotic agents increased UUI risk (OR = 4.98, 95% CI: 2.10–11.85) whereas sedative hypnotic drug use was associated with a higher risk of MUI (OR = 3.62, 95% CI: 1.25–10.45). Each UI subtype has distinct risk factors, and elderly residents of nursing homes with a history of CVD and pelvic or spinal surgery who experience constipation should be closely monitored. Reducing time spent in bed and engaging in active rehabilitation including walking and muscle strengthening may aid in UI prevention and treatment.

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Constipation and risk of urinary incontinence in women: a meta-analysis

Cited by 31 publications

References 42 publications

Investigation of lifestyle behaviors of women with and without stress urinary incontinence

Investigation of lifestyle behaviors of women with and without stress urinary incontinence

Prevalence and Risk Factors of Urinary Incontinence Among Elderly Adults in Rural China

Determinants of Urinary Incontinence and Subtypes Among the Elderly in Nursing Homes

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