Physical Activity Patterns and Sedentary Behavior in Older Women With Urinary Incontinence: an Accelerometer-based Study

Chu, C. K.; Khanijow, Kavita D.; Schmitz, Kathryn H.; Newman, Diane K.; Arya, Lily A.; Harvie, Heidi S.

doi:10.1097/spv.0000000000000552

Cited by 16 publications

(22 citation statements)

References 33 publications

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“…Strategies directed to the prevention and care throughout the life of these active seniors could have a substantial effect on these findings. Although PA is a protection factor for several health outcomes, including UI [ 18 ], other biological, psychological, social, and cultural aspects can lead to this issue in the female older population [ 19 ]. It must be noted that aspects related to the aging process can lead to the reduction of periurethral fibers and consequently to a decrease in urethral closure pressure, which leads to urine losses, especially during increases in intra-abdominal pressure [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Based on the score, the questionnaire quantifies the impact of UI on QL, and is divided into no incontinence (0 points), slight impact (1–5 points), moderate impact (6–12 points), severe impact (13–18 points), and very severe impact (19–21 points) [ 17 ]. Finally, the situations during which urine losses occur were investigated, such as during the practice of physical exercise, or when coughing or sneezing, and encompassed a set of eight items for self-diagnosis, related to the causes or UI situations experienced by participants [ 17 , 18 ].…”

Section: Methodsmentioning

confidence: 99%

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Urinary Incontinence in Physically Active Older Women of Northeast Brazil

Guedes

Oliveira

et al. 2021

IJERPH

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Low- and moderate-impact physical activity (PA) is associated with the prevention of urinary incontinence (UI). The objective of the cross-sectional study presented herein is to analyze the factors associated with UI in physically older active women who participate in senior community groups. The variable UI was measured by the International Consultation Incontinence Questionnaire Short Form (ICIQ-SF). Socioeconomic variables were also collected, along with data on life habits and clinical history. The multivariate analysis employed Poisson’s Regression with robust variance for factors associated with UI. Of the 106 participants evaluated, 54.7% presented UI, of which stress incontinence was more frequent, with 40.6%. UI presented a statistically significant association with dizziness/loss of balance during Activities of Daily Living (ADL) (prevalence ratio-PR 1.48; 95% CI 1.06–2.07) and nocturia (PR 1.63; 95% CI 1.05–2.55). Despite PA being a protection factor, UI presented an elevated prevalence in the older population, and therefore, other biological, social, and cultural aspects could also contribute to the occurrence of UI in this age group. Moreover, physically active older women with UI presented nocturia and dizziness/loss of balance during ADL, regardless of education levels and the number of births. These findings can help improve multi-professional programs aimed at promoting, preventing, and managing UI in the public.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Urinary Incontinence in Physically Active Older Women of Northeast Brazil

Guedes

Oliveira

et al. 2021

IJERPH

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“…Most of the factors found to have an effect on LUTS severity in this study are nonmodifiable. Modifiable risk factors associated with LUTS include low levels of physical activity, 20 sedentary behavior, 21 and obesity. 22 Therefore, we suggest that greater focus is put on these factors in future research, as targeting these lifestyle behaviors could provide potential preventative measures for the prevalence and incidence of LUTS.…”

Section: Discussionmentioning

confidence: 99%

Age and gender stratified normative values for the International Prostate Symptom Score for adults aged 60 years and over

Booth

Skelton

Hagen

et al. 2018

Neurourology and Urodynamics

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This study has provided IPSS normative values for an older UK adult population aged 60-99 years. These normative values can be used by researchers and practitioners for peer comparison making the individual's IPSS score more meaningful. Presenting the normative values suggests that some mild symptoms may be described as "normal." It may also help to combat the perception that poor bladder health is an inevitable part of aging, as all norms in the current study fell into either mild or low moderate symptom categories.

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“…remain unknown [49]. Frailty could contribute to LUTS by changing physical activities [51,52]. Park et al [51] examined the association of prolonged sitting time and low physical activity level with the development of LUTS among middle-aged men.…”

Section: Injmentioning

confidence: 99%

“…The hazard ratios for LUTS comparing ≥ 5 hr/day sitting time versus < 5 hr/day were 1.08 (95% CI, 1.00-1.24) and 1.15 (95% CI, 1.06-1.24), respectively (P < 0.001). A cohort study examining communitydwelling women (median age, 71 years) demonstrated that nocturia was associated with a low step count (P =0.02), a shorter duration of moderate to vigorous physical activity (P = 0.001), and a greater percentage of time spent in sedentary behavior (P = 0.016) [52]. Likewise, frailty could contribute to LUTS by causing comorbidities (sleep disturbances or metabolic syndrome-related factors) [53,54].…”

Section: Injmentioning

confidence: 99%

A Review of Aging and the Lower Urinary Tract: The Future of Urology

Nishii

2021

Int Neurourol J

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Lower urinary tract symptoms (LUTS) are common among elderly people, with significant effects on individuals, caregivers, and the wider health care system. As the elderly population with multiple comorbidities is increasing, the burden of LUTS will increase. This review describes the demographic trends in the aging society, changes in lower urinary tract function with aging, and deterioration of physical and cognitive function in aging, as well as what has been done regarding geriatric urology and what urologists should do to meet the health care needs of the aging population. Frailty and dementia are unmissable factors in the evaluation of elderly patients. Numerous reports have described associations between LUTS and frailty and between LUTS and dementia. Urologists must be aware of the multiplex physical, cognitive, and social characteristics of elderly people. Maintaining a geriatric viewpoint in the diagnosis, treatment, and management of elderly individuals with LUTS will fulfill the unmet needs of elderly people. It is also essential to discuss the treatment and management goals of LUTS with patients and caregivers. Active case identification, appropriate evaluations of LUTS and comorbidities, and a multidisciplinary approach with other health-care professionals are recommended for better treatment and management.

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Physical Activity Patterns and Sedentary Behavior in Older Women With Urinary Incontinence: an Accelerometer-based Study

Cited by 16 publications

References 33 publications

Urinary Incontinence in Physically Active Older Women of Northeast Brazil

Urinary Incontinence in Physically Active Older Women of Northeast Brazil

Age and gender stratified normative values for the International Prostate Symptom Score for adults aged 60 years and over

A Review of Aging and the Lower Urinary Tract: The Future of Urology

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