The relation between cognitive function and UI in healthy, community-dwelling, middle-aged and elderly people

Hatta, Takeshi; Iwahara, Akihiko; Ito, Emi; Hatta, Taketoshi; Hamajima, Nobuyuki

doi:10.1016/j.archger.2010.11.020

Cited by 14 publications

(20 citation statements)

References 20 publications

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“…A strength of our study is its large sample size, which is much larger than in previous reported studies [2, 21, 23, 27, 28], and the assessment with the RAI-MDS that has also been shown to be a reliable instrument [16]. Unfortunately, the RAI-MDS does not contain information on type of UI (stress, urgency, or mixed UI) and drug treatment for UI wasn’t assessed either.…”

Section: Discussionmentioning

confidence: 97%

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Urinary incontinence and its association with functional physical and cognitive health among female nursing home residents in Switzerland

et al. 2017

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BackgroundSpecific knowledge of urinary incontinence (UI) and its interrelation with physical and cognitive health is essential to working towards prevention of UI and to improving quality of treatment and care. The purpose of this study was to determine the association between UI and the activities of daily living (ADL) hierarchy scale, the cognitive performance scale (CPS) and comorbid conditions.MethodsThe cross-sectional retrospective analysis of 357 nursing homes in Switzerland was based on data of the Minimum Data Set of the Resident Assessment Instrument 2.0 (RAI-MDS). The analysis examined the effect of ADL hierarchy scale, CPS, joint motion and comorbidities on UI. Women ≥65 years were included (n = 44’811; January 2005 to September 2014) at the time of admission to a nursing home. Statistical analysis was done by means of descriptive statistics and logistic regression analysis.ResultsThe prevalence of UI was 54.7%, the mean ADL hierarchy scale (± SD) 2.42 ± 3.26 (range = 0–6), the mean CPS 1.95 ± 1.67 (range = 0–6). There was a gradual increase in the odds ratio (OR) for UI depending on the ADL hierarchy scale, from the hierarchy scales of “supervised” to “total dependence” of 1.43 – 30.25. For CPS, the OR for UI from “borderline intact” to “very severe impairment” was 1.35 – 5.99. Considering the interaction between ADL and CPS, all ADL hierarchies remained significantly associated with UI, however for CPS this was the case only in the lower hierarchies. Of the 11 examined comorbid conditions, only diabetes mellitus (OR 1.19), dementia (OR 1.01) and arthrosis/arthritis (OR 1.53) were significantly associated with UI.ConclusionThe study indicated that impairment in ADL performance is strongly associated with UI, more than CPS performance and comorbidities. Physical more than cognitive training in order to improve or at least stabilize ADL performance could be a way to prevent or reduce the process of developing UI.

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Section: Discussionmentioning

confidence: 97%

“…The function of the micturition centre in the brain stem is under the control of the frontal lobe of the brain. A strong relation between UI and performance in cognitive tasks that reflect prefrontal cortex function has previously been demonstrated [28]. …”

Section: Discussionmentioning

confidence: 99%

Urinary incontinence and its association with functional physical and cognitive health among female nursing home residents in Switzerland

et al. 2017

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“…The association between dementia and FI has been identified as one of the most strongly associated with incontinence in the elderly, as it can affect the capacity of reaching the bathroom rapidly. Besides, cognitive decline is considered a predictor of functional incapacity and mobility, which, in turn, can contribute to the development of incontinence (Hatta, Iwahara, Ito, Hatta, & Hamajima, 2011;Leung & Rao, 2009;Offermans, Dumoulin, Hamers, Dassen, & Halfens, 2009).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of fecal incontinence (FI) and associated factors in institutionalized older adults

Jerez-Roig

Souza

Amaral

et al. 2015

Archives of Gerontology and Geriatrics

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The objective of this work is to determine the prevalence of FI and associated factors in institutionalized elderly. A cross-sectional study is presented herein, conducted between October and December 2013, in 10 nursing homes (NHs) of the city of Natal (Northeast Brazil). Individuals over the age of 60 were included in the study, while those hospitalized or in terminal phase were excluded. Data collection included sociodemographic information, FI characterization, as well as variables related to the institution itself and to health conditions (comorbidities, medication, pelvic floor surgery, Barthel Index for functional capacity and Pfeiffer test for cognitive status). FI was verified through the Minimum Data Set (MDS) 3.0, which was also used to assess toileting programs. The Chi-square test and the linear Chi-square test were performed for bivariate analysis, as well as logistic regression for multivariate analysis. The final sample consisted of 321 elderly, mostly females, with mean age of 81.5 years. The prevalence of FI was 42.68% (CI 95%, 37.39-48.15). Most residents presenting FI were always incontinent (83.9%) and the most frequent incontinence type was total FI (solid and liquid stools). Incontinence control measures were applied only to 9.7% of the residents. The final model revealed a statistically significant association between FI and functional and cognitive impairments. It is concluded that FI is a health issue that affects almost half of the institutionalized elderly, and is associated with functional and cognitive disability.

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“…Among the latter, urinary incontinence (UI) can be highlighted, as a geriatric syndrome that can generate different forms of incapacity in the elderly, besides emotional alterations such as discomfort, shame and loss of self-esteem (2). Besides the consequences suffered by the individuals with UI, this syndrome also causes strong economic and social impacts, derived from the costs of treatment and caregiver overload (3,4). UI is defined by the International Continence Society (ICS) as the complaint of any involuntary loss of urine, and is associated with multi-factorial causes (3,5).…”

Section: Introductionmentioning

confidence: 99%

Urinary incontinence in institutionalized elderly: prevalence and impact on quality of life

2015

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Introduction: Urinary incontinence is a geriatric syndrome that generates strong economic and social impacts as well as emotional changes and negative consequences for the health of the elderly. Objective: The objective of this work was to identify the prevalence of urinary incontinence and its associated factors, as well as its impact on quality of life of institutionalized elderly. Materials and methods: A cross-sectional study was conducted herein, with 10 long-term institutions for the elderly of the municipality of Natal (Northeast Brazil). The Minimum Data Set was completed by caregivers to determine the presence of incontinence, and the Short Form of the International Consultation on Incontinence Questionnaire was answered by the elderly, to assess the frequency and amount of urinary leakage, the impact on quality of life, and the type of incontinence. The chi-square test and Fisher's exact test were applied in the bivariate analysis, and logistic regression was utilized for multivariate analysis. Results: The prevalence of urinary incontinence was 42.7% (95% CI: 34.8-50.8). The impact of this condition on daily life was mild in 46.5% of cases, moderate for 29.3% of cases, and severe in 24.1% of cases. The condition was associated with functional impairment (p < 0.001; RP: 4.13).

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The relation between cognitive function and UI in healthy, community-dwelling, middle-aged and elderly people

Cited by 14 publications

References 20 publications

Urinary incontinence and its association with functional physical and cognitive health among female nursing home residents in Switzerland

Urinary incontinence and its association with functional physical and cognitive health among female nursing home residents in Switzerland

Prevalence of fecal incontinence (FI) and associated factors in institutionalized older adults

Urinary incontinence in institutionalized elderly: prevalence and impact on quality of life

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