Negative impact of urinary incontinence on quality of life, a cross‐sectional study among women aged 49–61 years enrolled in the GAZEL cohort

Saadoun, Karim; Ringa, Virginie; Fritel, Xavier; Varnoux, Noëlle; Zins, Marie; Breart, Gérard

doi:10.1002/nau.20245

Cited by 56 publications

(54 citation statements)

References 33 publications

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“…16,31 However, obese women consistently reported a higher degree of impaired quality of life attributed to incontinence in comparison to nonobese controls. The greatest differences were noticed in the domains of emotional health and feelings of frustration.…”

Section: Discussionmentioning

confidence: 99%

Sexual function in obese women: impact of lower urinary tract dysfunction

et al. 2008

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Objective: To assess the impact on sexual function attributed to lower urinary tract dysfunction in a female obese population. Design: We performed a case-control study based on the registry of a university hospital obesity unit. A consecutive sample of women with body mass index(BMI) X30 (obese) was randomly matched by age, gender and residential county to control subjects using the computerized Register of the Total Population. Data were collected by a self-reported postal survey including the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Results: The questionnaire was completed and returned by 279/446 patients (62%) and 430/892 control subjects (48%). Obese women reported significantly lesser satisfaction with their sexual life, more frequent symptoms of urinary incontinence at intercourse, more often fear of urine leakage at intercourse, a higher tendency toward avoiding intercourse and more frequent feelings of guilt and disgust during intercourse (Po0.001). While considering sexual function in a subset of women with urge or stress urinary incontinence, the overall PISQ-12 scores were significantly lower in obese women compared to their age-matched nonobese controls for both the conditions (Po0.001). In an adjusted multivariate analysis, a BMI 430 was independently associated with a significantly increased risk for sexual dysfunction (odds ratio (OR) 1.8; 95% confidence interval (CI) 1.1-2.9), as were symptoms of urge or stress urinary incontinence (OR, 2.0; 95% CI, 1.3-3.1 and OR, 2.6; 95% CI, 1.7-4.0), respectively. Conclusion: Urge and stress urinary incontinences are more common and have greater impact on sexual function in obese women.

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Section: Discussionmentioning

confidence: 99%

Sexual function in obese women: impact of lower urinary tract dysfunction

et al. 2008

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“…These questions are similar to those of the Sandvik score, which is often used in epidemiological surveys addressing UI. 4,12 The third question assesses how much these leaks interfere with everyday life. The ICIQ-SF score is calculated from the answers to these three questions; it ranges between 0 and 21 and is correlated with the pad test.…”

Section: Methodsmentioning

confidence: 99%

Mobility impairment is associated with urge but not stress urinary incontinence in community‐dwelling older women: results from the Ossébo study

Fritel

Lachal

Cassou

et al. 2013

BJOG

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Objective To assess the association between functional limitations related to mobility and urinary incontinence (UI) in elderly women.Design An observational cross-sectional study.Setting Nine 'balance' workshops in France.Population A total of 1942 community-dwelling women aged 75-85 years, who were invited, based on voter registration lists, to a 'balance assessment'.Methods Mobility and balance test results for incontinent women were compared with those for continent women according to the severity and type of incontinence.Main outcome measures Data on UI were collected using a selfadministered questionnaire (International Consultation on Incontinence Questionnaire-Short Form). Motor-related physical abilities were assessed using standardised balance and functional gait tests.Results Forty-two per cent of women had involuntary urine leakage, with daily leaks in 57% of them; 24% had stress UI, 31% had urge UI, and 37% had mixed UI. Results for each functional test were poorer for women with UI and the limitation was more pronounced when the incontinence was severe. Multivariate logistic regression analyses showed that balance and gait impairments were significantly and independently associated with urge UI (walking speed, lower versus higher quartile, odds ratio (OR) 2.2; 95% confidence interval (95% CI) 1.4-3.5; walking balance, unable versus able to do four tandem steps (OR 1.6; 95% CI 1.2-2.2) but not with stress UI. ConclusionsIn this large population of older women living at home, there was a strong association between limitation of motor and balance skills and UI, which was proportional to the severity of incontinence and related specifically to urge incontinence. These results offer new perspectives on the prevention and treatment of urge incontinence in elderly women.

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“…10 Urinary incontinence has been found to affect quality of life even among women from a non-clinical population, and the more severe the urinary incontinence, the more harmful the effect. 11 Lam et al 12 reported that 19% of incontinent women abstained from some form of social activities, such as visiting friends, sport, shopping or going to work. All these findings emphasize the fact that urinary incontinence, urgency and frequency have a great psychological and social impact on a woman's daily life.…”

Section: Discussionmentioning

confidence: 99%

The impact of female urinary incontinence and urgency on quality of life and partner relationship

Nilsson

Lalos

2009

Neurourology and Urodynamics

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Negative impact of urinary incontinence on quality of life, a cross‐sectional study among women aged 49–61 years enrolled in the GAZEL cohort

Abstract: UI affects QoL even among women from a nonclinical population, and the more severe the UI, the more harmful the effect. These results raise the question of whether UI in its severe forms should be considered a disability because of its negative effects on mobility in daily life.

Cited by 56 publications

References 33 publications

Sexual function in obese women: impact of lower urinary tract dysfunction

Sexual function in obese women: impact of lower urinary tract dysfunction

Mobility impairment is associated with urge but not stress urinary incontinence in community‐dwelling older women: results from the Ossébo study

The impact of female urinary incontinence and urgency on quality of life and partner relationship

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