Health problems associated with lower urinary tract symptoms in older women

Nuotio, Maria; Jylhä, Marja; Luukkaala, Tiina; Tammela, Teuvo L.J.

doi:10.1080/02813430500227626

Cited by 21 publications

(12 citation statements)

References 18 publications

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“…UTI was documented in 103 (78%) persons with UI, but only in 22% of the persons who controlled their bladder. This finding corresponds to previous studies (12, 21, 22). Bird stated that clients with oedema often receive diuretics that may lead to urged UI (47).…”

Section: Discussionsupporting

confidence: 94%

Urinary incontinence and use of pads – clinical features and need for help in home care at 11 sites in Europe

Finne-Soveri

Ljunggren³

et al. 2009

Scandinavian Caring Sciences

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Section: Discussionsupporting

confidence: 94%

Urinary incontinence and use of pads – clinical features and need for help in home care at 11 sites in Europe

Finne-Soveri

Ljunggren³

et al. 2009

Scandinavian Caring Sciences

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“…Lower urinary tract symptoms increase with aging in both men and women, and constitute poor outcomes in older patients due to multiple medical and psychosocial conditions. Nuotio et al (24) found that polypharmacy was associated with the increased risk of lower urinary tract symptoms in women aged 70 years or older. ''mean ± standart deviation, number (%)'' ADL: Activities of daily living, IADL: Instrumental activities of daily living, MNA-sf: Mini Nutritional Assessment short form Many drugs are known to increase the risk of urinary incontinence and exacerbate the urinary tract symptoms such as diuretics, angiotensin converting enzymes, anticholinergics, opiates and calcium channel blockers.…”

Section: Discussionmentioning

confidence: 99%

Polypharmacy and Related Factors in Geriatric Outpatients

Küçükdağlı¹

2019

ejgg

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Objective:The term "polypharmacy" is defined as the usage of multiple medications or more medications than are clinically indicated. Older people tend to have several chronic diseases and prescriptions for these conditions. Polypharmacy is associated with significant consequences such as adverse drug reactions, medication nonadherence, drug-drug and drug-disease interactions, and increased risk of geriatric syndromes. The purpose of the present study was to evaluate the relationship between polypharmacy and common geriatric syndromes. Materials and Methods:Three-hundred individuals ≥60 years of age admitted to İstanbul Faculty of Medicine, Department of Geriatrics outpatient clinic between 2013-2016 were recruited to the study. Patients' data about the number of prescribed drugs, falls (in the preceding year), urinary incontinence, constipation, presence of malnutrition, sleep disorders and functionality were noted. Polypharmacy was defined as the usage of four or more medications. Results:The study was consisted of 198 (66.8%) women and 102 (33.2%) men with mean age of 76.5±6.7 years. The prevalence of polypharmacy was 82.7%. Univariate and multivariate analysis were performed to examine the relationship between polypharmacy and other geriatric syndromes. In regression analysis, polypharmacy was found to be independently associated with sleep disorders [Odds ratio (OR): 2.21, 95% Confidence interval (CI): 1.15-4.24, p=0.016] and urinary incontinence (OR: 2.53, 95% CI: 1.21-5.27, p=0.013). Conclusion:Polypharmacy is an important health problem among older adults, which is frequently associated with inappropriate medication use, increased risk of adverse drug reactions, and poor health outcomes. In this study, sleep disorders and urinary incontinence were found to be independently associated with polypharmacy. Clinicians should consider polypharmacy and related risks when prescribing medications for older adults. AbstractCite this article as: Küçükdağlı P. Polypharmacy and

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“…In addition, after adjustment for socioeconomic status, smoking and alcohol use, urgency and UI are significant predictors for mortality in men . In older women, constipation, musculoskeletal diseases and UTIs are associated with LUTS .…”

Section: Bladder Health Across the Lifespanmentioning

confidence: 99%

Bladder health across the life course

et al. 2013

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Influences on bladder health begin during infancy and continue throughout the lifespan. Bladder anatomy and physiology change as individuals age, and the risk and propensity for bladder conditions, including lower urinary tract symptoms, throughout life are related to factors specific to age, sex, and life events. Bladder habits and dysfunctions at one stage of life may affect bladder health in subsequent stages. However, bladder problems are neither a normal part of aging nor inevitable at any stage of life. Many of the factors that negatively impact bladder health at all ages may be modifiable, and healthy bladder habits may prevent or reverse bladder dysfunctions that can occur naturally or in response to life events. There are opportunities to further define and promote healthy bladder habits through focused research and heightened public awareness of the importance of bladder health, which may lead to improvements in overall health and quality of life. It is our hope that this paper will inform and encourage public health initiatives and research programs aimed at this goal.

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Health problems associated with lower urinary tract symptoms in older women

Cited by 21 publications

References 18 publications

Urinary incontinence and use of pads – clinical features and need for help in home care at 11 sites in Europe

Urinary incontinence and use of pads – clinical features and need for help in home care at 11 sites in Europe

Polypharmacy and Related Factors in Geriatric Outpatients

Bladder health across the life course

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