Type and severity of new‐onset urinary incontinence in middle‐aged women: The Hordaland women's cohort

Jahanlu, David; Hunskaar, Steinar

doi:10.1002/nau.20966

Cited by 13 publications

(12 citation statements)

References 25 publications

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“…Since most women in our surveys were below 60 years of age, stress UI was expected to be the most prevalent type. This type distribution is also in accordance with other studies [19,21], and compared with another Norwegian longitudinal study [22], the EPINCONT women had the same type and severity distribution for the equivalent age group, though more of the EPINCONT women reported a new onset UI of severe degree.…”

Section: Resultssupporting

confidence: 91%

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Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT)

et al. 2013

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BackgroundTo determine incidence and remission of UI as well as changes in UI prevalence in the Norwegian EPINCONT surveys.MethodsThe EPINCONT surveys were conducted in the county of Nord-Trøndelag, Norway, as part of two large cross-sectional health surveys (HUNT2 and HUNT3) in 1995 – 1997 (EPINCONT1 (E1)), and 2006 – 2008 (EPINCONT2 (E2)). EPINCONT collected information about prevalence of UI, as well as information about type and severity of UI.ResultsA 16% relative increase in UI prevalence was found in 11 years. The women who answered E2 were significantly older, had a higher BMI and higher prevalence of diseases such as asthma, diabetes and angina compared with the women who answered E1.The incidence of UI was 18.7%. Increase in BMI (OR 1.03, 95% CI: 1.02 – 1.04), weight increase (OR 1.29 (95% CI: 1.14 – 1.45) for gaining 3 – 10 kilos and OR 1.71 (95% CI: 1.47 – 1.99) for gaining 10 kilos or more) and parity (OR 1.37 (95% CI: 1.04 – 1.79) for 1 childbirth, OR 1.28 (95% CI: 1.03 – 1.61) for 2 childbirths, and OR 1.56 (95% CI: 1.26 – 1.95) for 3 or more childbirths when participating in E2) were all found to be associated with increased odds of incident UI in adjusted regression analyses. Increasing age reduced the odds of incident UI. The 11 year remission of UI was 34.1%. Increasing age (OR 0.98, 95% CI: 0.98 – 0.99), increasing BMI (OR 0.96, 95% CI: 0.95 – 0.98) and large weight gains of 10 kilos or more (OR 0.69, 95% CI: 0.54 – 0.88) were all associated with reduced remission of UI.ConclusionCrude UI prevalence increased between the studies. Changes in known risk factors for UI such as age, BMI, weight and parity could explain some of the relative increase in prevalence, and were also found to be associated with either incidence of UI, remission of UI or both.

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Section: Resultssupporting

confidence: 91%

“…In women older than 55 mixed UI of moderate severity was more common. This type and severity distributions for new onset UI were similar to the ones found in another longitudinal cohort study from Norway [22]. In the large Nurses’ Health Study two year incidence of frequent UI was also primarily stress UI, followed by mixed and other UI [7].…”

Section: Resultssupporting

confidence: 80%

Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT)

et al. 2013

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“…The authors also reported a 2-year incidence of 6.1% and a remission rate of 18% for SUI in this cohort. Similar results were reported from the Hordaland Women's Cohort in Norway, which followed 41-to 45-year-old women for 10 years [32]. Women who were continence at enrollment (n=1274) and developed new-onset UI during the follow-up period (40.3%) were more than twice as likely to report SUI (49%) than UUI (18.3%) or MUI (20.3%).…”

Section: Incidence and Remissionsupporting

confidence: 79%

Epidemiology of Stress Urinary Incontinence in Women

2011

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Stress urinary incontinence is common and affects many women globally. About 50% of women with urinary incontinence report symptoms of stress incontinence, but estimates of the prevalence and incidence are limited by inconsistent methods of measurement between epidemiologic studies in different populations. Estimates also are affected by underlying differences in the age and ethnicity of study populations. Longitudinal studies assessing the incidence and natural history of stress incontinence estimate an annual incidence of 4% to 10%. While remission does occur, data on this remains sparse. Multiple risk factors have been associated with stress incontinence and may to contribute to the development of the condition. Recent epidemiologic studies have focused on defining additional lower urinary tract symptoms besides mixed or urge incontinence that may be associated with stress incontinence, but the significance of this is not yet known.

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“…It is well recognized that OAB symptoms tend to wax and wane and the incidence increase with age . Jahanlu and Hunskaar assessed 1274, originally continent, women at age of 41‐45 years over 10‐year period and showed that 40% developed new onset UI; 50%, 18.3%, and 20.3% for stress (SUI), urgency (UUI), and mixed urinary incontinence (MUI), respectively. Hence on assessing urgency at long‐term follow‐up studies, it can be difficult to ascertain if it is related to the MUS or the advancing age or is a progression of an underlying pathology.…”

Section: Discussionmentioning

confidence: 99%

Long‐term outcomes for transobturator tension‐free vaginal tapes in women with urodynamic mixed urinary incontinence

Abdel‐Fattah

Cao

Mostafa

2016

Neurourology and Urodynamics

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Type and severity of new‐onset urinary incontinence in middle‐aged women: The Hordaland women's cohort

Cited by 13 publications

References 25 publications

Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT)

Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT)

Epidemiology of Stress Urinary Incontinence in Women

Long‐term outcomes for transobturator tension‐free vaginal tapes in women with urodynamic mixed urinary incontinence

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