Prevalence of cognitive impairment in older women with pelvic floor disorders

Kunkle, Cynelle M.; Abernethy, Melinda G.; Tongeren, Lily R. Van; Fashokun, Tola; Wright, E. James; Chen, Grace

doi:10.1007/s00192-017-3322-7

Cited by 5 publications

(1 citation statement)

References 26 publications

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“…Moreover, the type and severity of dementia may affect the degree of UI [ 14 , 15 ]. In addition, a recent study showed that the prevalence of mild CI and dementia was 15% and 17%, respectively, in women over 55 years with pelvic organ dysfunction, including UI [ 16 ]. These findings imply that a close relationship exists between UI and cognitive function and that CI influences the occurrence of UI.…”

Section: Discussionmentioning

confidence: 99%

Effects of Pelvic Floor Muscle Exercise on Urinary Incontinence in Elderly Women With Cognitive Impairment

et al. 2017

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PurposePelvic floor muscle exercise (PFME) is a therapeutic option for urinary incontinence (UI). However, studies of the efficacy of PFME on UI in patients with cognitive impairment (CI) are lacking. Therefore, we evaluated the effect of PFME on UI in elderly women with mild CI. MethodsA total of 150 women with mild CI or Alzheimer disease and UI were screened using the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Cognitive function and behavioral symptoms were evaluated by the Mini-Mental State Examination and Barthel’s Activities of Daily Living. The patients were randomly divided into a control group (n=46) and a PFME group (n=52, 6 sessions of PFME for 12 weeks). The primary outcome was the change in UI episodes measured with a frequency volume chart (FVC). The secondary outcomes were other FVC parameters and the ICIQ-SF scores. ResultsA total of 82 women (control group: 40 and PFME group: 42) completed the study. After 12 weeks of PFME, the mean number of UI episodes per 24 hours decreased by 1.6 (from 3.3 to 1.7) in the PFME group and by 0.5 (from 3.4 to 2.9) in the control group (P<0.001 between groups). The mean number of micturition episodes and total ICIQ-SF scores improved in the PFME group to a significantly greater extent than in the control group (P<0.001). ConclusionsSupervised PFME can be a good therapeutic option for improving UI in elderly women with CI.

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Section: Discussionmentioning

confidence: 99%