Abstract
Abstract Objective: to identify risk factors related to overactive bladder syndrome. Method: a cross-sectional study was performed with elderly women (>60 years) from the community of Ceilândia, in the Distrito Federal, Brazil, with or without symptoms of OBS, who were evaluated through interviews and questionnaires. The clinical and sociodemographic variables analyzed were: age; body mass index (BMI); parity, schooling, previous abdominal and urogynecologic surgeries, physical activity, smoking, constipation, systemic arterial hypertension (SAH), diabetes mellitus; depression and anxiety. The questionnaires applied were the Overactive Bladder Awareness Tool (OAB-V8), the Geriatric Depression Scale and the Beck Anxiety Scale. Data were analyzed descriptively. Binary logistic regression was used to evaluate the significant associations between the independent variables and the outcome of interest. Risk ratios were calculated for each independent variable with 95% confidence intervals. Result: A total of 372 volunteers were recruited, 292 of whom were eligible. Of these, 172 were allocated to the case group (58.9%) and 120 (41.1%) were control subjects. The two groups were homogeneous between one another. There was a high prevalence of OBS in the study population and significant differences for the variables presence of SAH, abdominal surgery and pelvic surgery, with the case group presenting a higher frequency of these events. In multivariate analysis, it was observed that an active sexual life reduces the chance of having OBS by 70.8%, while urogynecologic surgeries increase this risk 3.098 times. Conclusion: In univariate logistic regression analysis, BMI, SAH, a previous history of abdominal and urogynecologic surgery, number of abortions and the presence of symptoms of depression and anxiety, were found to be factors associated with OBS.
Highlights
Objective: to identify risk factors related to overactive bladder syndrome
In view of the above, the present study aims to identify factors associated with the occurrence of Overactive Bladder Syndrome (OBS) in elderly women living in the community
Women who scored less than 8 in their final OAB-V8 result were classified as the control group, while a score equal to or greater than 8 meant the participant was placed in the case group
Summary
A cross-sectional study was performed, with the sample group recruited from the activities of the "Escola de Avós" (Grandmother’s School) health promotion program, organized by the Health Center for the Elderly of the Primary Health Care Subsecretariat, which takes place in a fire station in the city of Ceilândia, in the Distrito Federal, Brazil. Following the interview and due completion of the questionnaires, the total points of the questionnaire were used to divide the sample into two groups: one for elderly women with OBS and one for elderly women without OBS, according to the lower urinary tract infection identified by OAB-V8. The b-weight value (regression coefficient) with no extra explanation during the administration associated with each independent variable was used of the questionnaire that might interfere with the to determine the probability of the elderly having participant's interpretation. The differences under approval no 410.161, dated 30 September in the continuous data of the study subgroups 2013, and was carried out from September 2013 to defined according to the presence of overactive December 2016. Bladder as elderly women with versus elderly women without were analyzed using the Mann Whitney U test for independent samples, while the chi-squared test (X2)
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