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Erschienen in: International Urogynecology Journal 5/2017

16.12.2016 | Original Article

Risk factors for urinary incontinence among postmenopausal Mexican women

verfasst von: Mary K. Townsend, Martín Lajous, Raúl Hernán Medina-Campos, Andres Catzin-Kuhlmann, Ruy López-Ridaura, Megan S. Rice

Erschienen in: International Urogynecology Journal | Ausgabe 5/2017

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Abstract

Introduction and hypothesis

Previous studies of racial/ethnic variation in urinary incontinence (UI) suggest that population-specific studies of UI risk factors are needed to develop appropriate public health recommendations. We assessed UI risk factors among postmenopausal Mexican women enrolled in the Mexican Teachers’ Cohort.

Methods

We conducted a cross-sectional study among 15,296 postmenopausal women who completed the 2008 questionnaire. UI cases were women who reported experiencing UI during menopause. Self-reported potential UI risk factors included age, reproductive variables, smoking status, adiposity, and several health conditions. We estimated multivariate-adjusted odds ratios (ORs) and 95 % confidence intervals (CIs) for UI using multivariable logistic regression.

Results

Among these postmenopausal women, the prevalence of UI was 14 %. Odds of UI were higher among women with ≥4 children vs nulliparous women (OR 1.43, 95 % CI 1.04–1.96) or body mass index (BMI) ≥30 vs <22 kg/m2 (OR 2.00, 95 % CI: 1.55–2.57). Age at first birth <20 vs 20–24 years, past or current vs never smoking, larger waist-to-hip ratio, and history of asthma, high blood pressure, or diabetes were also associated with higher odds of UI (OR 1.2–1.3). We found a trend of lower odds of UI with older age.

Conclusions

Our data suggest that information about UI and UI prevention strategies might be particularly useful for Mexican postmenopausal women with 4 or more children or higher BMI. Further studies with longitudinal UI data, in addition to data on UI severity and subtype, are needed to provide more specific information about UI risk factors to Mexican women.
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Literatur
1.
Zurück zum Zitat Hunskaar S, Burgio K, Diokno A, Herzog AR, Hjalmas K, Lapitan MC. Epidemiology and natural history of urinary incontinence in women. Urology. 2003;62:16–23. CrossRefPubMed Hunskaar S, Burgio K, Diokno A, Herzog AR, Hjalmas K, Lapitan MC. Epidemiology and natural history of urinary incontinence in women. Urology. 2003;62:16–23. CrossRefPubMed
2.
Zurück zum Zitat Molinuevo B, Batista-Miranda JE. Under the tip of the iceberg: psychological factors in incontinence. Neurourol Urodyn. 2012;31:669–71. CrossRefPubMed Molinuevo B, Batista-Miranda JE. Under the tip of the iceberg: psychological factors in incontinence. Neurourol Urodyn. 2012;31:669–71. CrossRefPubMed
3.
Zurück zum Zitat Hu TW, Wagner TH, Bentkover JD, Leblanc K, Zhou SZ, Hunt T. Costs of urinary incontinence and overactive bladder in the United States: a comparative study. Urology. 2004;63:461–5. CrossRefPubMed Hu TW, Wagner TH, Bentkover JD, Leblanc K, Zhou SZ, Hunt T. Costs of urinary incontinence and overactive bladder in the United States: a comparative study. Urology. 2004;63:461–5. CrossRefPubMed
4.
Zurück zum Zitat Minassian VA, Drutz HP, Al-Badr A. Urinary incontinence as a worldwide problem. Int J Gynaecol Obstet. 2003;82:327–38. CrossRefPubMed Minassian VA, Drutz HP, Al-Badr A. Urinary incontinence as a worldwide problem. Int J Gynaecol Obstet. 2003;82:327–38. CrossRefPubMed
5.
Zurück zum Zitat Tennstedt SL, Link CL, Steers WD, McKinlay JB. Prevalence of and risk factors for urine leakage in a racially and ethnically diverse population of adults: the Boston Area Community Health (BACH) Survey. Am J Epidemiol. 2008;167:390–9. CrossRefPubMed Tennstedt SL, Link CL, Steers WD, McKinlay JB. Prevalence of and risk factors for urine leakage in a racially and ethnically diverse population of adults: the Boston Area Community Health (BACH) Survey. Am J Epidemiol. 2008;167:390–9. CrossRefPubMed
6.
Zurück zum Zitat Garcia-Perez H, Harlow SD, Sampselle CM, Denman C. Measuring urinary incontinence in a population of women in northern Mexico: prevalence and severity. Int Urogynecol J. 2013;24:847–54. CrossRefPubMed Garcia-Perez H, Harlow SD, Sampselle CM, Denman C. Measuring urinary incontinence in a population of women in northern Mexico: prevalence and severity. Int Urogynecol J. 2013;24:847–54. CrossRefPubMed
7.
Zurück zum Zitat Ruiz-Arregui L, Avila-Funes JA, Amieva H, Borges-Yanez SA, Villa-Romero A, Aguilar-Navarro S, et al. The Coyoacan Cohort Study: design, methodology, and participants’ characteristics of a Mexican study on nutritional and psychosocial markers of frailty. J Frailty Aging. 2013;2:68–76. PubMed Ruiz-Arregui L, Avila-Funes JA, Amieva H, Borges-Yanez SA, Villa-Romero A, Aguilar-Navarro S, et al. The Coyoacan Cohort Study: design, methodology, and participants’ characteristics of a Mexican study on nutritional and psychosocial markers of frailty. J Frailty Aging. 2013;2:68–76. PubMed
8.
Zurück zum Zitat Cervantes Becerra RG, Villarreal Rios E, Galicia Rodriguez L, Vargas Daza ER, Martinez Gonzalez L. Health status of the elderly in primary health care practices using an integral geriatric assessment. Aten Primaria. 2015;47:329–35. CrossRefPubMed Cervantes Becerra RG, Villarreal Rios E, Galicia Rodriguez L, Vargas Daza ER, Martinez Gonzalez L. Health status of the elderly in primary health care practices using an integral geriatric assessment. Aten Primaria. 2015;47:329–35. CrossRefPubMed
9.
Zurück zum Zitat Cortes AR, Villarreal E, Galicia L, Martinez L, Vargas ER. Cross sectional geriatric assessment of Mexican older people. Rev Med Chil. 2011;139:725–31. CrossRefPubMed Cortes AR, Villarreal E, Galicia L, Martinez L, Vargas ER. Cross sectional geriatric assessment of Mexican older people. Rev Med Chil. 2011;139:725–31. CrossRefPubMed
10.
Zurück zum Zitat Gonzalez-Lopez AM, Vazquez-Cruz E, Romero-Medina JL, Gutierrez-Gabriel I, Montiel-Jarquin AJ, Salvatori J, et al. Geriatric syndromes in patients with a non-recent hip fracture seen at a primary health care unit. Acta Ortop Mex. 2014;28:287–90. PubMed Gonzalez-Lopez AM, Vazquez-Cruz E, Romero-Medina JL, Gutierrez-Gabriel I, Montiel-Jarquin AJ, Salvatori J, et al. Geriatric syndromes in patients with a non-recent hip fracture seen at a primary health care unit. Acta Ortop Mex. 2014;28:287–90. PubMed
11.
Zurück zum Zitat Martinez Espinoza CJ, Flores Carreras O, de Alba Garcia JE, Velazquez Castellanos PI, Gonzalez Ruiz MI, Marquez Allegre R. Prevalence of urinary and anal incontinence in women from metropolitan area of Guadalajara. Ginecol Obstet Mex. 2006;74:300–5. PubMed Martinez Espinoza CJ, Flores Carreras O, de Alba Garcia JE, Velazquez Castellanos PI, Gonzalez Ruiz MI, Marquez Allegre R. Prevalence of urinary and anal incontinence in women from metropolitan area of Guadalajara. Ginecol Obstet Mex. 2006;74:300–5. PubMed
12.
Zurück zum Zitat Anger JT, Saigal CS, Litwin MS. The prevalence of urinary incontinence among community dwelling adult women: results from the National Health and Nutrition Examination Survey. J Urol. 2006;175:601–4. CrossRefPubMed Anger JT, Saigal CS, Litwin MS. The prevalence of urinary incontinence among community dwelling adult women: results from the National Health and Nutrition Examination Survey. J Urol. 2006;175:601–4. CrossRefPubMed
13.
Zurück zum Zitat Dooley Y, Kenton K, Cao G, Luke A, Durazo-Arvizu R, Kramer H, et al. Urinary incontinence prevalence: results from the National Health and Nutrition Examination Survey. J Urol. 2008;179:656–61. CrossRefPubMed Dooley Y, Kenton K, Cao G, Luke A, Durazo-Arvizu R, Kramer H, et al. Urinary incontinence prevalence: results from the National Health and Nutrition Examination Survey. J Urol. 2008;179:656–61. CrossRefPubMed
14.
Zurück zum Zitat Espino DV, Palmer RF, Miles TP, Mouton CP, Lichtenstein MJ, Markides KP. Prevalence and severity of urinary incontinence in elderly Mexican-American women. J Am Geriatr Soc. 2003;51:1580–6. CrossRefPubMed Espino DV, Palmer RF, Miles TP, Mouton CP, Lichtenstein MJ, Markides KP. Prevalence and severity of urinary incontinence in elderly Mexican-American women. J Am Geriatr Soc. 2003;51:1580–6. CrossRefPubMed
15.
Zurück zum Zitat Markland AD, Gerety MB, Goode PS, Kraus SR, Cornell J, Hazuda HP. Urinary incontinence in community-dwelling older Mexican American and European American women. Arch Gerontol Geriatr. 2009;48:232–7. CrossRefPubMed Markland AD, Gerety MB, Goode PS, Kraus SR, Cornell J, Hazuda HP. Urinary incontinence in community-dwelling older Mexican American and European American women. Arch Gerontol Geriatr. 2009;48:232–7. CrossRefPubMed
16.
Zurück zum Zitat Lajous M, Ortiz-Panozo E, Monge A, Santoyo-Vistrain R, Garcia-Anaya A, Yunes-Diaz E, et al. Cohort profile: the Mexican Teachers’ Cohort (MTC). Int J Epidemiol. 2015. doi: 10.​1093/​ije/​dyv123. PubMed Lajous M, Ortiz-Panozo E, Monge A, Santoyo-Vistrain R, Garcia-Anaya A, Yunes-Diaz E, et al. Cohort profile: the Mexican Teachers’ Cohort (MTC). Int J Epidemiol. 2015. doi: 10.​1093/​ije/​dyv123. PubMed
17.
Zurück zum Zitat Newman DK, Cardozo L, Sievert KD. Preventing urinary incontinence in women. Curr Opin Obstet Gynecol. 2013;25:388–94. CrossRefPubMed Newman DK, Cardozo L, Sievert KD. Preventing urinary incontinence in women. Curr Opin Obstet Gynecol. 2013;25:388–94. CrossRefPubMed
18.
Zurück zum Zitat Rice MS, Bertrand KA, Lajous M, Tamimi RM, Torres-Mejia G, Biessy C, et al. Body size throughout the life course and mammographic density in Mexican women. Breast Cancer Res Treat. 2013;138:601–10. CrossRefPubMedPubMedCentral Rice MS, Bertrand KA, Lajous M, Tamimi RM, Torres-Mejia G, Biessy C, et al. Body size throughout the life course and mammographic density in Mexican women. Breast Cancer Res Treat. 2013;138:601–10. CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Must A, Willett WC, Dietz WH. Remote recall of childhood height, weight, and body build by elderly subjects. Am J Epidemiol. 1993;138:56–64. CrossRefPubMed Must A, Willett WC, Dietz WH. Remote recall of childhood height, weight, and body build by elderly subjects. Am J Epidemiol. 1993;138:56–64. CrossRefPubMed
20.
Zurück zum Zitat Thom DH, Brown JS, Schembri M, Ragins AI, Creasman JM, Van Den Eeden SK. Parturition events and risk of urinary incontinence in later life. Neurourol Urodyn. 2011;30:1456–61. CrossRefPubMedPubMedCentral Thom DH, Brown JS, Schembri M, Ragins AI, Creasman JM, Van Den Eeden SK. Parturition events and risk of urinary incontinence in later life. Neurourol Urodyn. 2011;30:1456–61. CrossRefPubMedPubMedCentral
21.
Zurück zum Zitat Jackson S, James M, Abrams P. The effect of oestradiol on vaginal collagen metabolism in postmenopausal women with genuine stress incontinence. BJOG. 2002;109:339–44. CrossRefPubMed Jackson S, James M, Abrams P. The effect of oestradiol on vaginal collagen metabolism in postmenopausal women with genuine stress incontinence. BJOG. 2002;109:339–44. CrossRefPubMed
22.
Zurück zum Zitat Burgio KL, Zyczynski H, Locher JL, Richter HE, Redden DT, Wright KC. Urinary incontinence in the 12-month postpartum period. Obstet Gynecol. 2003;102:1291–8. PubMed Burgio KL, Zyczynski H, Locher JL, Richter HE, Redden DT, Wright KC. Urinary incontinence in the 12-month postpartum period. Obstet Gynecol. 2003;102:1291–8. PubMed
23.
Zurück zum Zitat Thom DH, van den Eeden SK, Brown JS. Evaluation of parturition and other reproductive variables as risk factors for urinary incontinence in later life. Obstet Gynecol. 1997;90:983–9. CrossRefPubMed Thom DH, van den Eeden SK, Brown JS. Evaluation of parturition and other reproductive variables as risk factors for urinary incontinence in later life. Obstet Gynecol. 1997;90:983–9. CrossRefPubMed
24.
Zurück zum Zitat Townsend MK, Curhan GC, Resnick NM, Grodstein F. Oral contraceptive use and incident urinary incontinence in premenopausal women. J Urol. 2009;181:2170–5. CrossRefPubMedPubMedCentral Townsend MK, Curhan GC, Resnick NM, Grodstein F. Oral contraceptive use and incident urinary incontinence in premenopausal women. J Urol. 2009;181:2170–5. CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Bump RC, McClish DK. Cigarette smoking and urinary incontinence in women. Am J Obstet Gynecol. 1992;167:1213–8. CrossRefPubMed Bump RC, McClish DK. Cigarette smoking and urinary incontinence in women. Am J Obstet Gynecol. 1992;167:1213–8. CrossRefPubMed
27.
Zurück zum Zitat Mishra GD, Hardy R, Cardozo L, Kuh D. Body weight through adult life and risk of urinary incontinence in middle-aged women: results from a British prospective cohort. Int J Obes. 2008;32:1415–22. CrossRef Mishra GD, Hardy R, Cardozo L, Kuh D. Body weight through adult life and risk of urinary incontinence in middle-aged women: results from a British prospective cohort. Int J Obes. 2008;32:1415–22. CrossRef
28.
Zurück zum Zitat Garcia-Fabela L, Melano-Carranza E, Aguilar-Navarro S, Garcia-Lara JM, Gutierrez-Robledo LM, Avila-Funes JA. Hypertension as a risk factor for developing depressive symptoms among community-dwelling elders. Rev Invest Clin. 2009;61:274–80. PubMedPubMedCentral Garcia-Fabela L, Melano-Carranza E, Aguilar-Navarro S, Garcia-Lara JM, Gutierrez-Robledo LM, Avila-Funes JA. Hypertension as a risk factor for developing depressive symptoms among community-dwelling elders. Rev Invest Clin. 2009;61:274–80. PubMedPubMedCentral
30.
Zurück zum Zitat Wu F, Guo Y, Chatterji S, Zheng Y, Naidoo N, Jiang Y, et al. Common risk factors for chronic non-communicable diseases among older adults in China, Ghana, Mexico, India, Russia and South Africa: the study on global AGEing and adult health (SAGE) wave 1. BMC Public Health. 2015;15:88. CrossRefPubMedPubMedCentral Wu F, Guo Y, Chatterji S, Zheng Y, Naidoo N, Jiang Y, et al. Common risk factors for chronic non-communicable diseases among older adults in China, Ghana, Mexico, India, Russia and South Africa: the study on global AGEing and adult health (SAGE) wave 1. BMC Public Health. 2015;15:88. CrossRefPubMedPubMedCentral
Metadaten
Titel
Risk factors for urinary incontinence among postmenopausal Mexican women
verfasst von
Mary K. Townsend
Martín Lajous
Raúl Hernán Medina-Campos
Andres Catzin-Kuhlmann
Ruy López-Ridaura
Megan S. Rice
Publikationsdatum
16.12.2016
Verlag
Springer London
Erschienen in
International Urogynecology Journal / Ausgabe 5/2017
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-016-3196-0