Urinary incontinence in community dwelling Australian adults aged 70 years and above: Prevalence and causal associations

Cheng, Jingmin; Simons, Ken; Crozier, Jayne; Liew, David; McNeil, Julian; O’Connell, Henry

doi:10.1016/s2666-1683(20)33671-5

Cited by 1 publication

(7 citation statements)

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Section: Results/evidence Synthesismentioning

confidence: 99%

“…Five of the 20 articles focusing exclusively on the community setting suggested that age was a significant demographic risk factor [ 36 , 46 , 58 , 60 , 65 ]. Five community-based studies documented urgency UI (UUI) as the most common established UI type [ 31 , 32 , 65 , 67 , 68 ], while stress UI (SUI) was less prevalent [ 42 , 46 , 47 , 69 ]. Physiological factors associated with UUI included increased fat mass (participants’ mean total fat mass = 24 kg), greater waist circumference (mean waist circumference = 100.6 cm) and decreased grip strength (5% or greater decrease in maximum grip strength) [ 31 ].…”

Section: Results/evidence Synthesismentioning

confidence: 99%

“…identified increased BMI and high blood pressure as vascular risk factors for UUI [ 68 ]. At 43%, UUI was the most frequently documented type of established UI in this review [ 31 – 33 , 40 , 42 , 46 – 48 , 51 , 54 , 59 , 65 , 67 – 69 , 72 , 73 , 75 ]. Detrusor overactivity (DO) ranked first in the other medically-related risk factors category/third overall [ 35 , 39 , 40 , 51 , 54 , 55 , 57 , 71 , 72 , 74 ] and was associated with UUI [ 40 , 51 , 72 ] and nocturnal enuresis [ 39 ].…”

Section: Results/evidence Synthesismentioning

confidence: 99%

“…Identified factors associated with SUI included Diabetes mellitus [ 42 , 46 ], heart disease (unspecified), poor vision and faecal incontinence [ 69 ].…”

Section: Results/evidence Synthesismentioning

confidence: 99%

“…Increased BMI [ 46 , 47 ], increasing age [ 46 ], and other factors including poor physical function (indicated by lower Activities of Daily Living Scale (ADLS) scores) and poor sleep quality (higher Pittsburgh Sleep Quality Index (PSQI) scores) were also associated with SUI [ 69 ].…”

Section: Results/evidence Synthesismentioning

confidence: 99%

See 4 more Smart Citations

A scoping review of risk factors for urinary incontinence in older men

Olagundoye,

Odusanya,

Kung

et al. 2023

BMC Geriatr

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Background Most epidemiological studies have not systematically identified or categorized risk factors for urinary incontinence (UI) in older men, despite a higher prevalence than in younger men. Considering the burden of UI, an understanding of risk factors can inform cost-effective prevention/treatment programs. This scoping review aimed to identify and categorise risk factors for UI in older men, identify gaps in the evidence, and opportunities for future research. Methods The Joanna Briggs Institute (JBI) method for scoping reviews guided the conduct and reporting of this review alongside the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping reviews checklist. JBI’s Population, Concept, and Context approach framed the inclusion criteria (all evidence sources on UI risk factors that included older men [65 +]). We employed JBI’s three-step search strategy, which included a limited initial search in Ovid MEDLINE, a detailed comprehensive database search, and a search of reference lists of included studies, Google Scholar and grey literature. There were no restrictions on language, study type, or publication date. Two independent reviewers screened, selected, and extracted eligible studies. Data were analyzed using descriptive statistics and qualitative content analysis. Results Forty-seven articles that met the inclusion criteria identified 98 risk factors across six categories. Behavioural risk factors, reported by only two studies, were the least investigated of all the categories, whereas medical factors/diseases were the most investigated. No genetic factors were documented. The top five risk factors were increasing age/advanced age (n = 12), Benign Prostatic Hyperplasia (n = 11), Diabetes Mellitus (n = 11), Detrusor overactivity (n = 10), limitation in physical function/ADL disability (n = 10), increased Body Mass Index (BMI)/overweight/obesity (n = 8), Dementia (n = 8), and Parkinson’s disease (n = 7). Conclusion There is a dearth of evidence to describe the role behavioural risk factors have in UI in older men. These factors may play a role in health promotion and disease prevention in this area. Registration A protocol detailing the methods was developed and published, and is registered in the Open Science Framework [Feb 07 2023; https://osf.io/xsrge/].

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Section: Results/evidence Synthesismentioning

confidence: 99%

Section: Results/evidence Synthesismentioning

confidence: 99%

Section: Results/evidence Synthesismentioning

confidence: 99%

“…Identified factors associated with SUI included Diabetes mellitus [ 42 , 46 ], heart disease (unspecified), poor vision and faecal incontinence [ 69 ].…”

Section: Results/evidence Synthesismentioning

confidence: 99%