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Erschienen in: International Urogynecology Journal 5/2009

01.05.2009 | Original Article

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

verfasst von: Yuko M. Komesu, Rebecca G. Rogers, Ronald M. Schrader, Cindi M. Lewis

Erschienen in: International Urogynecology Journal | Ausgabe 5/2009

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Abstract

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.
Literatur
1.
Zurück zum Zitat Hu TW, Wagner TH, Bentkovre JD et al (2004) Costs of urinary incontinence and overactive bladder in the United States: A comparative study. Urology 63:461–465PubMedCrossRef Hu TW, Wagner TH, Bentkovre JD et al (2004) Costs of urinary incontinence and overactive bladder in the United States: A comparative study. Urology 63:461–465PubMedCrossRef
2.
Zurück zum Zitat Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT (2000) Epidemiology and natural history of urinary incontinence. Int Urogynecol J 11:301–309CrossRef Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT (2000) Epidemiology and natural history of urinary incontinence. Int Urogynecol J 11:301–309CrossRef
3.
Zurück zum Zitat Landefeld CS, Bowers BJ, Feld AD, Hartmann KE, Hoffman E, Ingber MJ et al (2008) National Institutes of Health State-of-the Science Conference Statement: prevention of fecal and urinary incontinence in adults. Ann Intern Med 148:449–458PubMed Landefeld CS, Bowers BJ, Feld AD, Hartmann KE, Hoffman E, Ingber MJ et al (2008) National Institutes of Health State-of-the Science Conference Statement: prevention of fecal and urinary incontinence in adults. Ann Intern Med 148:449–458PubMed
4.
Zurück zum Zitat Waetjen LE, Liao S, Johnson WO, Sampselle CM, Sternfield B, Harlow SD et al (2007) Factors associated with prevalent and incident urinary incontinence in a cohort of midlife women: a longitudinal analysis of data. Am J Epidemiol 165(3):309–318PubMedCrossRef Waetjen LE, Liao S, Johnson WO, Sampselle CM, Sternfield B, Harlow SD et al (2007) Factors associated with prevalent and incident urinary incontinence in a cohort of midlife women: a longitudinal analysis of data. Am J Epidemiol 165(3):309–318PubMedCrossRef
5.
Zurück zum Zitat Goode PS, Burgio KL, Redden DT, Markland A, Richter HE, Sawyer P, Allman R (2008) Population based study of incidence and predictors of urinary incontinence in black and white older adults. J Urol 179:1449–1454PubMedCrossRef Goode PS, Burgio KL, Redden DT, Markland A, Richter HE, Sawyer P, Allman R (2008) Population based study of incidence and predictors of urinary incontinence in black and white older adults. J Urol 179:1449–1454PubMedCrossRef
6.
Zurück zum Zitat Herzog AR, Diokno AC, Brown MB, Normolle DP, Brock BM (1990) Two-year incidence, remission, and change patterns of urinary incontinence in noninstitutionalized older adults. J Gerontol 45(2):m67–m74PubMed Herzog AR, Diokno AC, Brown MB, Normolle DP, Brock BM (1990) Two-year incidence, remission, and change patterns of urinary incontinence in noninstitutionalized older adults. J Gerontol 45(2):m67–m74PubMed
7.
Zurück zum Zitat Nygaard IE, Lemke JH (1996) Urinary incontinence in rural older women: prevalence, incidence and remission. J Am Geriatr Soc 44(9):1049–1054PubMed Nygaard IE, Lemke JH (1996) Urinary incontinence in rural older women: prevalence, incidence and remission. J Am Geriatr Soc 44(9):1049–1054PubMed
8.
Zurück zum Zitat Ouslander JG, Palmer MH, Rovner BW, German PS (1993) Urinary incontinence in nursing homes: incidence, remission and associated factors. Am Geriatr Soc 41:1083–1089 Ouslander JG, Palmer MH, Rovner BW, German PS (1993) Urinary incontinence in nursing homes: incidence, remission and associated factors. Am Geriatr Soc 41:1083–1089
9.
Zurück zum Zitat McGrother CW, Donaldson MMK, Shaw C, Matthews RJ, Hayward TA, Dallosso HM, Jagger C, Clarke M, Castleden CM and the MRC Incontinence Study Team (2004) Storage symptoms of the bladder: prevalence, incidence and need for services in the UK. BJU International 93:763–769PubMedCrossRef McGrother CW, Donaldson MMK, Shaw C, Matthews RJ, Hayward TA, Dallosso HM, Jagger C, Clarke M, Castleden CM and the MRC Incontinence Study Team (2004) Storage symptoms of the bladder: prevalence, incidence and need for services in the UK. BJU International 93:763–769PubMedCrossRef
10.
Zurück zum Zitat Østbye T, Seim A, Krause KM, Feightner J, Hachinski V, Sykes E, Hunskaar S (2004) A 10 year follow-up of urinary and fecal incontinence among the oldest old in the community: the Canadian Study of health and aging. Can J Aging 23(4):319–331PubMedCrossRef Østbye T, Seim A, Krause KM, Feightner J, Hachinski V, Sykes E, Hunskaar S (2004) A 10 year follow-up of urinary and fecal incontinence among the oldest old in the community: the Canadian Study of health and aging. Can J Aging 23(4):319–331PubMedCrossRef
11.
Zurück zum Zitat Møller LA, Lose G, Jørgensen T (2000) Incidence and remission rates of lower urinary tract symptoms at one year in women aged 40–60: longitudinal study. BMJ 320:1429–1432PubMedCrossRef Møller LA, Lose G, Jørgensen T (2000) Incidence and remission rates of lower urinary tract symptoms at one year in women aged 40–60: longitudinal study. BMJ 320:1429–1432PubMedCrossRef
12.
Zurück zum Zitat Lifford KL, Townsend MK, Curhan GC, Resnick NM, Grodstein F (2008) the epidemiology of urinary incontinence in older women: incidence, progression and remission. J Am Geriatr Soc 56:1191–1198PubMedCrossRef Lifford KL, Townsend MK, Curhan GC, Resnick NM, Grodstein F (2008) the epidemiology of urinary incontinence in older women: incidence, progression and remission. J Am Geriatr Soc 56:1191–1198PubMedCrossRef
13.
Zurück zum Zitat Samuelsson EC, Victor A, Svärdsudd KF (2000) Five year incidence and remission rates of female urinary incontinence in a Swedish population less than 65 years old. Am J Obstet Gynecol 183:568–574PubMedCrossRef Samuelsson EC, Victor A, Svärdsudd KF (2000) Five year incidence and remission rates of female urinary incontinence in a Swedish population less than 65 years old. Am J Obstet Gynecol 183:568–574PubMedCrossRef
14.
Zurück zum Zitat Townsend MK, Danforth KN, Lifford KL, Rosner B, Curhan GC, Resnick NM, Grodstein F (2007) Incidence and remission of urinary incontinence in middle aged women. Am J Obstet Gynecol 197:167.e1–167.e5CrossRef Townsend MK, Danforth KN, Lifford KL, Rosner B, Curhan GC, Resnick NM, Grodstein F (2007) Incidence and remission of urinary incontinence in middle aged women. Am J Obstet Gynecol 197:167.e1–167.e5CrossRef
15.
Zurück zum Zitat Health and Retirement Study (HRS Data Files; AHEAD 1993, 1995 and HRS Core 1996, 1998, 2000, 20002, 2004, HRS Core early 2006, Cross Wave 2006 Tracker File) public use dataset. Produced and distributed by the University of Michigan with funding from the National Institute on Aging (grant number NIA U01AG009740). Ann Arbor, MI. (2008) Health and Retirement Study (HRS Data Files; AHEAD 1993, 1995 and HRS Core 1996, 1998, 2000, 20002, 2004, HRS Core early 2006, Cross Wave 2006 Tracker File) public use dataset. Produced and distributed by the University of Michigan with funding from the National Institute on Aging (grant number NIA U01AG009740). Ann Arbor, MI. (2008)
16.
Zurück zum Zitat Nygaard I, Turvey C, Burns TL, Crishilles E, Wallace R (2003) Urinary incontinence and depression in Middle-Aged United States women. Obstet Gynecol 101:149–156PubMedCrossRef Nygaard I, Turvey C, Burns TL, Crishilles E, Wallace R (2003) Urinary incontinence and depression in Middle-Aged United States women. Obstet Gynecol 101:149–156PubMedCrossRef
17.
Zurück zum Zitat Holroyd-Leduc et al (2004) Urinary incontinence and its association with death, nursing home admission and functional decline. J Am Geriatr Soc 52:712–718PubMedCrossRef Holroyd-Leduc et al (2004) Urinary incontinence and its association with death, nursing home admission and functional decline. J Am Geriatr Soc 52:712–718PubMedCrossRef
18.
Zurück zum Zitat Johnson TM, Bernard SL, Kincade JE, Defriese GH (2000) Urinary incontinence and risk of death among community-living elderly people: results from the National Survey of Self-Care and Aging. J Aging Health 12:26–46CrossRef Johnson TM, Bernard SL, Kincade JE, Defriese GH (2000) Urinary incontinence and risk of death among community-living elderly people: results from the National Survey of Self-Care and Aging. J Aging Health 12:26–46CrossRef
20.
Zurück zum Zitat Danforth KN et al (2007) Physical activity and urinary incontinence among healthy, older women. Obstet Gynecol 109:721–727PubMed Danforth KN et al (2007) Physical activity and urinary incontinence among healthy, older women. Obstet Gynecol 109:721–727PubMed
21.
Zurück zum Zitat Burgio KL, Matthews KA, Engel BT (1991) Prevalence, incidence and correlates of urinary incontinence in healthy middle aged women. J Urol 146:1255–1259PubMed Burgio KL, Matthews KA, Engel BT (1991) Prevalence, incidence and correlates of urinary incontinence in healthy middle aged women. J Urol 146:1255–1259PubMed
22.
Zurück zum Zitat Vigod SN, Steward DE (2006) Major depression in female urinary incontinence. Psychosomatics 47:147–151PubMedCrossRef Vigod SN, Steward DE (2006) Major depression in female urinary incontinence. Psychosomatics 47:147–151PubMedCrossRef
23.
Zurück zum Zitat Rortveit G, Hannestad YS, Daltveit AK, Hunskaar S (2001) Age and type-dependent effects of parity on urinary incontinence: the Norwegian EPINCONT study. Obstet Gynecol 98:1004–1010PubMedCrossRef Rortveit G, Hannestad YS, Daltveit AK, Hunskaar S (2001) Age and type-dependent effects of parity on urinary incontinence: the Norwegian EPINCONT study. Obstet Gynecol 98:1004–1010PubMedCrossRef
Metadaten
Titel
Incidence and remission of urinary incontinence in a community-based population of women ≥50 years
verfasst von
Yuko M. Komesu
Rebecca G. Rogers
Ronald M. Schrader
Cindi M. Lewis
Publikationsdatum
01.05.2009
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 5/2009
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-0838-5

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