Proceedings of the national institute of diabetes and digestive and kidney diseases international symposium on epidemiologic issues in urinary incontinence in women (original) (raw)

Future Directions of Research and Care for Urinary Incontinence in Women: Findings from the National Institute of Diabetes and Digestive and Kidney Diseases' (NIDDK) Summit on Urinary Incontinence Clinical Research in Women

The Journal of urology, 2017

Female urinary incontinence (UI) is prevalent, costly, and morbid. Participants in an NIDDK-sponsored summit reviewed findings from NIH-funded clinical research in UI and discussed the future of UI research. On March 14 2014, the NIDDK convened a "Summit on Urinary Incontinence Clinical Research in Women." Participants representing a broad range of clinical expertise reviewed completed, NIH-sponsored UI-related studies, including results from community-based, epidemiologic studies such as the Boston Area Community Health (BACH) Survey and from randomized clinical trials such as the Program to Reduce Incontinence by Diet and Exercise (PRIDE) and studies conducted by the Pelvic Floor Disorders Network (PFDN) and the Urinary Incontinence Treatment Network (UITN). BACH results improved our understanding of precursors, incidence, prevalence and natural history of UI in a diverse group of women. PFDN found that anticholinergic medications and onabotulinumtoxinA are efficacious f...

Urinary incontinence in women: prevalence, characteristics and effect on quality of life. A primary care clinic study

The Israel Medical Association journal : IMAJ, 2001

Urinary incontinence in older women is common. Its characteristics and impact on quality of life is not well established since these women are usually reluctant to tell their healthcare providers about the problem. To determine the characteristics of urinary incontinence in women and the manner in which it affects patients' quality of life. Twenty family physicians were requested to distribute a questionnaire to the first 25 consecutive women aged 30 to 75 years who visited their clinic for any reason. The questionnaire covered general health issues, symptoms of urinary incontinence, and quality of life. A total of 418 women, mean age 50.0 +/- 11.8 years, completed the questionnaire (84% response rate). Of these, 148 (36%) reported having episodes of urinary incontinence. Urinary incontinence was found to be associated with older age, menopause, obesity and coexisting chronic disorders. Sixty percent of the women with urinary incontinence found it to be a disturbing symptom, and...

Urinary incontinence in women: prevalence rates,risk factors and impact on quality of life

Pakistan Journal of Medical Sciences, 2013

Objectives: To determine the prevalence, risk factors of urinary incontinence (UI) and to assess its impact on the quality of women's life. Methods: This cross-sectional study was performed 1050 female participants aged between 20-80 years. A questionnaire form, including the socio-demographic characteristics and risk factors and the "International Consultation on Incontinence Questionnaire-Short Form" were used for the data collection. Results: The mean age of women was 48.80±11.53 years. The prevalence of UI was 44.6%. The distribution of the types of UI was 31% stress incontinence, 47.4% urge, and 33.1% mixed type. Although 95.5% of the women reported a negative impact on the quality of life, admission to a health center was only 63.9%, and 64.7% of the women had not received any medical help. The statistical analysis revealed that menopause, constipation, hypertension, diabetes, family history and parity are associated with UI as risk factors. Conclusion: We suggest that in the early diagnosis and treatment of urinary incontinence (UI), mental, educational and psychosocial support should be given to patients together with medical therapy.

Incidence and remission of urinary incontinence in a community-based population of women ≥50 years

International Urogynecology Journal, 2009

Introduction and hypothesis The objective of the study was to determine incidence, remission, and predictors of change in urinary incontinence in women ≥50 in a racially diverse population. Methods Subjects were women ≥50 with 4-year follow-up incontinence information in the Health and Retirement Study. Women with Any UI (AUI) and Severe UI (SVUI) were evaluated. Repeated measures logistic regression determined predictors of progression to and improvement of SVUI. Results Women (11,591) were evaluated. AUI 4-year cumulative incidence was 12.7–33.8% (fifth vs. ninth decades). SVUI incidence was lower but also increased with age. Among the predictors of improvement in SVUI were age (ninth vs. fifth decade odds ratios (OR) = 6.06) and ethnicity (Black vs. White OR = 0.57). Improvement of SVUI (45.8% overall) decreased with age (ninth vs. fifth decade OR = 0.12). Conclusions SVUI incidence increased and remission decreased with age. Ethnicity and age predicted SVUI progression while age predicted improvement. Rates of the latter were high, particularly in younger patients.

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

BMC Geriatrics

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 w...

Prevalence of Female Urinary Incontinence in the General Population According to Different Definitions and Study Designs

European Urology, 2016

Background: Estimates of the prevalence of female urinary incontinence (UI) vary widely. Objective: To estimate UI prevalence among women in France using data from five national surveys and analyse prevalence differences among the surveys according to their design (representative sample or not, survey focused on UI or not) and UI definition (based on symptoms or disease perception). Design, setting, and participants: Data came from two representative telephone surveys, Fecond (5017 women aged 15-49 yr) and Barometer (3089 women aged 40-85 yr), general and urinary postal surveys of the GAZEL cohort (3098 women aged 54-69 yr), and the webbased NutriNet survey (85 037 women aged 18-87 yr). Outcome measurements and statistical analysis: Definitions of UI based on the International Conference on Incontinence Questionnaire UI short form (ICIQ-UI-SF) and on a list of health problems were considered. We compared age-adjusted prevalence rates among studies via logistic regression and generalised linear models. Results and limitations: Overall, 13% of the women in Fecond, 24% in Barometer, 15% in the GAZEL general survey, 39% in the GAZEL urinary survey, and 1.5% in the NutriNet survey reported any UI. Prevalence rates in representative samples with the same UI definition (ICIQ-UI-SF) were concordant. UI prevalence in the representative samples was 17%. The estimated number of women in France with UI was 5.35 million (95% confidence interval [CI] 5.34-5.36 million) for any UI and 1.54 million (95% CI 1.53-1.55 million) for daily UI. For the GAZEL sample, UI prevalence was lower but UI severity was greater for responses to a questionnaire with the list-based UI definition rather than to a questionnaire with the ICIQ-UI-SF-based definition. In all surveys, information about UI was self-reported and was not validated by objective measurements. Conclusions: UI definitions and sampling strategies influence estimates of UI prevalence among women. Precise estimates of UI prevalence should be based on non-UI-focused surveys among representative samples and using a validated standardised symptom-based questionnaire. Patient summary: We looked at estimates of urinary incontinence (UI) prevalence in studies with different designs and different UI definitions in a large population of French women. We found that estimates varied with the definition and the design. We conclude that the most precise estimates of UI prevalence are obtained in studies of representative populations that are not focused on UI and use a validated international standard questionnaire with sufficient details to allow grading of UI severity. Most women reported rare urine leakages involving small amounts of urine with little impact on their quality of life.

The Epidemiology of Urinary Incontinence in Older Women: Incidence, Progression, and Remission

Journal of the American Geriatrics Society, 2000

OBJECTIVES: To examine the epidemiology of urinary incontinence (UI) in older women. DESIGN: Prospective study. SETTING: Nurses' Health Study. PARTICIPANTS: Incidence of UI was determined in 23,792 women aged 54 to 79 without UI at baseline. Progression or remission of UI was determined in 28,813 women with UI at least monthly at baseline. MEASUREMENTS: UI was ascertained according to questionnaires in 2000 and 2002. Rates of incident UI and progression or remission of prevalent UI were calculated. Logistic regression was used to estimate relative risks of UI associated with risk factors. RESULTS: In women with no urine leakage at baseline, 9.2% reported leakage at least monthly after 2 years. For women with leakage at least weekly, the incidence was 3.6%; of these cases, stress UI had the highest incidence, followed by mixed and urge UI. Relationships between UI and age differed for stress UI, which decreased with age (relative risk (RR) 5 0.63, 95% confidence interval (CI) 5 0.43-0.92 for aged 70-79 vs 54-59), and urge and mixed UI, which increased with age (RR 5 2.28, 95% CI 5 1.09-4.75 and RR 5 2.11, 95% CI 5 1.24-3.61, respectively). For prevalent UI in 2000, 32.1% of subjects with leakage once a month progressed to leakage at least once a week over follow-up. Only 8.9% with frequent leakage in 2000 reported improvement to monthly leakage or less, with 2.0% having complete remission. CONCLUSION: The incidence of UI is high in older women, and progression from occasional to frequent leaking is common. Urge UI, for which there are limited effective treatments, increases with age, thus research on UI preven-tion in older women is particularly important.

Assessment of the Severity of Urinary Incontinence Among Elderly Women

Journal of Clinical and Laboratory Research, 2024

Background: The International Continence Society (ICS) defines urinary incontinence (UI) as the complaint of any involuntary leakage of urine. It is a distressing and debilitating condition that is becoming more prevalent as our population ages. Pathophysiology of urinary incontinence during menopause the ovaries stop producing considerable quantities of estrogen; hence the symptoms and problems associated with estrogen deficiency occur gradually. Among the changes is reduction in the integrity of the pelvic floor, changes in the rate of different types of collagens and the preferential atrophy of type II muscle fibers, atrophy of urinary-genital tract which may be associated with problems such as urinary urgency, urinary frequency, nocturia, stress incontinence, urge incontinence, burning upon urination and an increased prevalence of urinary tract infections. Aim of the study: The study aimed to assess severity of urinary incontinence among elderly women. Design: A descriptive study design was utilized in this study. Sample: A purposive sample of 100 women diagnosed with stress urinary incontinence. Setting: gynecological and urological outpatient clinics Beni-Suef university hospital. Tools: (1) A structured interviewing questionnaire sheet was developed by the researcher in the Arabic language. It was containing of two parts; (1) personal characteristics data of the study women such, (2) urinary incontinence history; (2) The International Consultation on Incontinence Modular Questionnaire ICIQ-SF. Results: The mean weight of the studied sample was 82.680±11.8815, mean height was 160.420±2.8610, and mean of BMI was 32.1224±4.47973. It indicates that 42% of the study sample their frequency of urination was every 3-6 hours, 75% of them had a completely empty bladder after voiding, 37% did not used sanitary towel for urine leakage. Conclusion: Based on the results of the study; It can be concluded that most of elderly women suffer from sever urinary incontinence. Recommendations: Replication of the present study under different circumstances (sampling and setting) is recommended to validate its results.