Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies

Abstract

Background Urinary incontinence is a common condition in the general population and, in particular, the older adults population, which reduces the quality of life of these people, so this study aims to systematically examine and meta-analyse the overall prevalence of urinary incontinence in older women around the world and the related and influential factors. Methods This report is a comprehensive systematic review and meta-analysis of the findings of research on urinary incontinence in older adults people across the world through looking for MEDLINE, Cochrane Library Sciencedirect, Embase, Scopus, ProQuest and Persian databases, namely iranmedex, magiran, and SID from January 2000 to April 2020, the heterogeneity of the experiments was measured using the I2 index and the data processing was done in the Systematic Meta-Analysis programme. Results In 29 studies and the sample size of 518,465 people in the age range of 55–106 years, urinary incontinence in older adults’ women in the world based on a meta-analysis of 37.1% (95% CI: 29.6–45.4%) was obtained. The highest prevalence of urinary incontinence was reported in older adults’ women in Asia with 45.1% (95% CI: 36.9–53.5%). Meta-regression also showed that with increasing the sample size and year of the study, the overall prevalence of urinary incontinence in the older adults women of the world decreased and increased, respectively, which were statistically significant differences (P < 0.05). According to studies, the most important factors influencing the incidence of urinary incontinence in older women are women’s age (p < 0.001), obesity (p < 0.001), diabetes (p < 0.001), women’s education (p < 0.001), delivery rank (p < 0.001), hypertension (p < 0.001), smoking (p < 0.001). They also have urinary tract infections (p < 0.001). Conclusion Given the high prevalence of urinary incontinence in older women around the world, health policy makers must consider control and diagnostic measures in older women and prioritize treatment and rehabilitation activities.

Frailty in the elderly: screening possibilities in Primary Health Care

“…The causes are multifactorial, and the consequences are changes in the quality of life of the population. International systematic review and meta-analysis study indicates prevalence similar to that found in this study (29) . In Brazil, we still do not have precise statistical data in this regard since epidemiological studies are scarce (30) .…”

Current Resources for Evidence‐Based Practice, July/August 2021

“…Banaei and colleagues examined the rate of dyspareunia postpartum 2 . Batmani et al estimated the worldwide prevalence of UI in older women 3 . Lastly, Woodley and colleagues extended their 2020 Cochrane systematic review 4 with a narrative review of pelvic floor training 5…”

“…It is estimated that 1 in 4 women aged 18 to 75 years experience UI with the rate increasing with age 6 . Batmani and colleagues estimated the prevalence of UI in those aged 55 to 100 years at 37% 3 . The rates vary by global region with the Americas having the lowest rate at 25.8% and Asia the highest, 45.1% 3 .…”

“…Batmani and colleagues estimated the prevalence of UI in those aged 55 to 100 years at 37% 3 . The rates vary by global region with the Americas having the lowest rate at 25.8% and Asia the highest, 45.1% 3 . The prevalence of UI in pregnancy is higher for those who are parous (42%) compared with those who are nulliparous (31%) with by far the most common type being stress UI.…”

Assessment of Efficacy of Pelvic Floor Muscle Exercise (PFME) on Urinary Incontinence among Middle Aged Women

“…Urinary incontinence is a multifarious ailment characterised by involuntary leakage of urine, a global and extensive disorder affecting millions of people worldwide [1]. Urinary incontinence affects women more than men although the accurate prevalence is not known every quarter (25%) out of four person could be affected by urinary incontinence in their life span [2].…”