Incontinence In Elderly Women Research Articles

Analysis of Factors Influencing the Incidence of Urinary Incontinence in Elderly Women in Medan

Urinary incontinence is a serious health problem that is very vulnerable to be experienced by the elderly caused by urinary disorders, especially women who can increase the risk of postpartum infection. This study used an observational analytic study with astudy design case control with aapproach. A retrospective approach was used to see how many factors were diabetes mellitus, hypertension, parity, mode of delivery, history of hysterectomy surgery, history of gynecological surgery, menopause, body mass index (BMI) and education towards the effect of urinary incontinence in the case group and control group in elderly women in Medan. The results of the study based on the results of statistical tests obtained p value > 0.05 indicating that there was no effect of increasing body weight on the incidence of urinary incontinence. In the blood sugar level variable, the p value <0.05 showed that there was an effect of blood sugar levels on the incidence of urinary incontinence with an OR = 4.375 (95% Cl; 1.320-14.504). blood pressure on the incidence of urinary incontinence with a value of OR = 4.250 (95% Cl; 0.507-9.993), the variable history of delivery obtained p value <0.05 there is an effect of mode of delivery on the incidence of urinary incontinence with an OR value of 4.190 (Cl 95%; 0.716-6.698), the parity variable obtained p value > 0.05, there was no effect of the number of parity on the incidence of urinary incontinence, the variable length of menopause obtained p value > 0.05 indicating that there was no effect of the length of menopause on the incidence of urinary incontinence, on the history of hysterectomy variable obtained p value <0.05, there is an influence between the history of hysterectomy surgery on the incidence of urinary incontinence with OR = 2.740 (95% Cl; 0.252-2.175), on the variable r gynecological history Statistical test results obtained p value > 0.05 indicating that there is no effect between the history of geniculate surgery on the incidence of urinary incontinence

Systematic Review: Risk Factors and Prevalence of Urinary Incontinence in Elderly Women, a Case Study in Japan and Taiwan

Knowledge of the conditions of elderly women in Japanese and Taiwanese communities, particularly in relation to risk factors and their association with urinary incontinence, is of interest. This study aimed to identify risk factors and prevalence of urinary incontinence in elderly women in the community of the Japanese and Taiwanese case study areas. The research method used was a systematic review based on PRISMA guidelines. Data sources were obtained from PubMed and Science Direct for the period 2000-2020 using specific inclusion and exclusion criteria. Evaluation was conducted for quality and bias risk using a standardized assessment system. Results showed that the prevalence of urinary incontinence in elderly women in Japanese and Taiwanese communities ranged from 29.8% to 31.3%. Many factors influenced urinary incontinence, such as age, body mass index (BMI), and smoking habits. From the two selected articles in Japan and Taiwan, it was concluded that urinary incontinence was commonly experienced by elderly women in the community, and awareness of this condition could help improve management.

Construction of Progress Prediction Model of Urinary Incontinence in Elderly Women: Protocol for a Multi-Center, Prospective Cohort Study

Background: Urinary incontinence (UI) is a common health problem and seriously affects quality of life. Many women lack understanding of UI or are too ashamed to seek medical advice early, leading to a low treatment rate. The aim of this study is to establish an effective UI progress prediction model for elderly women with UI for earlier detection and better treatment. Methods: This study is conducted as a prospective, multi-center, cohort study, and recruits 800 women aged ≥60 with mild or moderate UI in China. Participants are divided into three groups: stress urinary incontinence group (SUI), urgency urinary incontinence group (UUI), and mixed urinary incontinence group (MUI). This study will investigate the general conditions of patients, after complete relevant pelvic floor function assessment, as well as after follow up at 6 months, 12 months, and 18 months by telephone. The primary endpoint is UI disease progress. Single factor and multi-factor Cox regression model analyses are undertaken to evaluate the associated risk factors affecting the progress of UI to establish a progress prediction model for elderly women. Discussion: This study will provide more predictive information for elderly women with UI, and new clinical references for the intervention and the treatment of UI for medical staff.

Yoga and Pilates compared to pelvic floor muscle training for urinary incontinence in elderly women: A randomised controlled pilot trial

Backgroundand purpose: There is limited evidence from randomised controlled trials (RCTs) regarding the use of yoga and Pilates for the management of urinary incontinence (UI) in women. This study aims to investigate the preliminary effects of using Pilates and yoga to manage UI. Materials and methodsAn assessor-blinded, prospective, three-arm parallel-group randomised controlled pilot trial was conducted in three elderly care centres in Hong Kong. Thirty women aged 60 years or above were included in the study. Study centres were randomly assigned to each of the three interventions (yoga, Pilates and pelvic floor muscle training [PFMT; standard care control]). Study interventions were provided once a week for four weeks, followed by unsupervised CD-guided home exercises for eight weeks. Outcomes included the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), 1-h pad test, and feasibility measures such as adherence to the intervention programme, recruitment and retention rates and safety. Outcomes were assessed at baseline, 4 and 12 weeks. Statistical analysis was performed using two-way repeated measures analysis of covariance. ResultsAll three interventions demonstrated a statistically significant effect on ICIQ-SF scores from baseline to weeks 4 and 12. Significant effects in UI were reported for yoga compared with Pilates (mean: −2.93, 95% CI −5.35, −0.51; p = 0.02). ConclusionYoga poses intended to address the pelvic floor and core muscles were found to have superior benefits over Pilates exercises in terms of improved continence measured with the ICIQ-SF.

Experience of Urinary Incontinence in Elderly Women in Urban Areas

Purpose: The purpose of the study was to understand and describe the experiences of urinary incontinence in older women in urban areas.Methods: Data were collected through individual in-depth interviews of 8 older women with urinary incontinence in urban areas from September 2020 to March 2021. The transcribed data were analyzed using Colaizzi's phenomenological six-step method.Results: Four theme clusters emerged: Urinary incontinence as an uninvited visitor in old age; The heavy daily pain urinary incontinence causes; Self-help efforts to cope with urinary incontinence; and A mind to hold on to the present condition so as not to deteriorate.Conclusion: This study provided an in-depth understanding of older women’s experiences with urinary incontinence in urban areas. Based on the results of this study, efforts should be made to develop and provide emotional and psychological support and prevention education programs that can adequately support older women with urinary incontinence in urban areas.

The effect of group or individualised pelvic floor exercises with or without ultrasonography guidance for urinary incontinence in elderly women - A pilot study

IntroductionPelvic floor exercises combined with patient education has shown to be a promising intervention for women suffering from urinary incontinence. This pilot study investigated the effect of patient education combined with group or individualised pelvic floor exercises, or individualised pelvic floor exercises with ultrasonography guidance. MethodsThirty-three elderly women with urinary incontinency completed a block-randomised, assessor-blinded study combining patient education with 12-weeks of pelvic floor exercises either group-based or individual with or without ultrasonography guidance. Urinary incontinence symptoms were assessed using the Incontinence Impact Questionnaire-7 (IQ-7) and Urogenital Distress Inventory-6 (UDI-6). Furthermore, daily fluid intake and number of bathroom visits were recorded. Pelvic floor muscle strength was assessed using a manual squeeze test (Oxford Scale, 6-point). ResultsAn increase in pelvic floor strength was observed after 12 weeks for both the individual (P = 0.038) and the individual ultrasonography-guided (P = 0.01) exercise groups. However, only the latter group maintained an increased strength at the 24-week follow-up (P = 0.008). Across all groups, the intervention led to a decrease in bathroom visits (P = 0.002) that was maintained at the 24-week follow-up (P < 0.001). The interventions led to a decrease in UDI-6 both after the 12-week intervention (P = 0.009) and at the 24-week follow-up (P = 0.032). ConclusionsThese findings indicate that pelvic floor exercises together with patient education can reduce urogenital distress and bathroom visits without change in fluid intake. Furthermore, when pelvic floor exercises were conducted individually, pelvic floor strength increased, but pelvic floor strength was maintained over time only for individualised pelvic floor exercises with ultrasonography guidance.

Effectiveness of Yoga and Pilates Compared to Pelvic Floor Muscle Training For Urinary Incontinence in Elderly Women: A Randomised Controlled Pilot Trial

Effectiveness of Yoga and Pilates Compared to Pelvic Floor Muscle Training For Urinary Incontinence in Elderly Women: A Randomised Controlled Pilot Trial

Profile of Muscle Strength and Physical Performance with the Incidence of Urinary Incontinence in Elderly Women

Introduction: The 200 million people in the world experience urinary incontinence. In general, with increasing age, the capacity of the bladder decreases. The remaining urine in the bladder tends to increase and irregular contraction of the bladder muscles becomes more frequent. This situation often makes the elderly experience problems with the fulfillment of urine elimination needs, namely urinary incontinence. Efforts to overcome urinary incontinence in the form of bladder training programs are aimed at developing muscle tone and bladder sphincter so that it can function optimally. Objective: Knowing the profile of muscle strength and physical performance with the incidence of urinary incontinence in elderly women. Methods: This research was a retrospective descriptive study based on the results of filling out the questionnaire and evaluating it directly. Based on tabulated data, 38 elderly women were selected as the study sample. Results: There were (42.1%) urinary incontinence on elderly with very poor left hand muscle strength and (50%) urinary incontinence on elderly with very poor right hand muscle strength. In physical performance with urinary incontinence as many as (57.8%) were normal and (42.1%) were poor. Conclusions: Muscle strength and physical performance can be used as a measurement to early detection of the urinary incontinence.&#x0D; &#x0D; Keywords: urinary incontinence; muscle strength; physical performance; descriptive retrospective study

Urinary Incontinence in Elderly Women: Impact of Surgical Correction in Quality of Life and Occurrence of Bacteriuria

Urinary Incontinence in Elderly Women: Impact of Surgical Correction in Quality of Life and Occurrence of Bacteriuria

Behavioral therapy for urinary incontinence in elderly women: an experience of trans personal care

Behavioral therapy for urinary incontinence in elderly women: an experience of trans personal care

Electroacupuncture for stress-related urinary incontinence in elderly women: data analysis from two randomised controlled studies

ObjectiveTo compare the efficacy of electroacupuncture (EA) in elderly and non-elderly women with stress urinary incontinence (SUI) or stress-predominant mixed urinary incontinence (MUI).MethodsThis study was a secondary analysis of two...

Performance Tests of a Washable Incontinence Pants - Urine Absorbency Test

요실금은 노인들의 주요 건강 문제 중 하나이며, 노인 여성의 유병율은 64.2 %로 보고되고 있다. 요실금 관리를 위한 소변 흡수 제품에는 여러 유형이 있는데 요실금 팬티는 정상적 인 속옷처럼 보이도록 설계되어있어 가벼운 요실금 환자에게 좋은 요실금제품이다. 폭 넓은 이용 가능성에도 불구하고 세탁 가능한 요실금 팬티에 대한 성능 테스트의 국제 표준은 아직 없으며, 본 연구는 세탁하여 재사용이 가능한 요실금 팬티의 성능 시험 방법을 개발하기 위한 목적이다. 우리는 ISO 11948-1: Urine absorbing aids. Part 1: Whole product testing and a standard를 이용한 최대흡수량을 측정하고, 한국고령친화용품 산업협회의 단체표준인 SPS-KSPA-1014-7240: Urinary incontinence panty를 적용하여 요실금 팬티의 역류량 측정법을 이용한 최대흡수량, 그리고 소변 누출로 측정되는 최대흡수량을 계산하였다. 역류량 측정법을 이용한 최대흡수량은 146.67(±10.95)ml, 누출 관찰을 기준으로 측정한 최대흡수량은 246.67(±41.47)ml, ISO 11948-1을 기준으로 측정한 최대흡수량은 325.48(±9.44)g이었다. ISO 11948-1의 방법은 가장 작은 변동 계수를 가져 측정의 정확성이 보장되지만, 제품 사용의 실제 환경과는 거리가 크다. 재흡수 질량 및 누출 관찰을 이용한 소변 흡수량 측정은 10-30%의 더 큰 변동 계수를 가지지만 실제 사용 환경과 유사하므로 임상적 의의가 있는 것으로 사료된다. 본 연구에서는 기존의 여과지 대신에 갈색의 흡수지를 사용하였는데 소변의 역류 및 누출을 감지하는데 훨씬 효과적이었다. 따라서 성인용 기저귀나 요실금 팬티의 성능시험에서 기존의 여과지 대신 흡수지를 사용할 것을 제안한다.Urinary incontinence is one of the major health issues among the elderly, and the prevalence incontinence in elderly women is reported to be as high as 64.2 %. There are many types of urine absorbing products for managing urinary incontinence. Washable incontinence pants are designed to look like regular underwear, and they could be the perfect option for more active patients with light incontinence. Despite wide availability, there still is no international standard of performance test for washable incontinence pants. This study aimed to develop performance test methods for washable incontinence pants. We applied the methods of ISO 11948-1: Urine absorbing aids. Part 1: Whole product testing and a standard by Korea Senior Products Association, SPS-KSPA-1014-7240: Urinary incontinence panty to measure maximum absorption volume or urine absorbency, rewet mass, and urine leakage of a washable incontinence pants. The results of the maximum absorption volume or urine absorbency measured were 146.67(±10.95)ml based on rewet mass, 246.67(±41.47)ml based on leakage observation, and 325.48(±9.44)g based on ISO 11948-1. The method in ISO 11948-1 was accurate with the least variation coefficient, but it is far from the real environment of the product use. The urine absorbency measurement utilizing the rewet mass and leakage observation showed larger coefficient of variation, ranging from 10 to 30%, but it seems to be clinically meaningful because it is similar to actual use environments. In this study, brown absorbent paper was used instead of conventional filter paper, and it was much more effective in detecting the rewet and leakage of urine from the incontinence product. Therefore, we proropose to use absorbent paper instead of the existing filter paper in the performance test of urine absorbing pads or urinary incontinence pants. This study showed that each test method has advantages and disadvantages, and further research is needed to develop a performance test method that is similar to the actual use environment and has a reasonably high accuracy.

Functional ability and urinary incontinence in elderly women

Functional ability and urinary incontinence in elderly women

The impact of pelvic floor muscle training on the myostatin concentration and severity of urinary incontinence in elderly women with stress urinary incontinence - a pilot study.

ObjectiveThe aim of the study was to assess the myostatin concentration and an improvement in the severity of urinary incontinence (UI) after pelvic floor muscle training (PFMT) in a group of elderly women with stress UI.MethodsA total of 74 participants were included in the analysis: 40 participants in the experimental group (EG) and 34 participants in the control group (CG). The EG underwent PFMT, whereas no therapeutic intervention was applied to the CG. Myostatin concentration and UI severity (Revised Urinary Incontinence Scale [RUIS]) were assessed in all women before and after the treatment.ResultsBy comparing the results before and after the treatment, we have been able to demonstrate a statistically significant decrease in myostatin concentration (P<0.0001) and an improvement in the severity of UI (RUIS) (P<0.0001) in the EG. No statistically significant differences in all measured variables were reported before and after the treatment in the CG. A lower myostatin concentration (P=0.0084) and an improvement in the severity of UI (RUIS) (P=0.0008) were observed after the treatment in the EG compared to that in the CG.ConclusionEffective PFMT causes downregulation of myostatin concentration and an improvement in the severity of UI in elderly women with stress UI. Further trials on a larger EG and an assessment of long-term treatment outcomes are required.

The Influence of Physical Activity on Functional Performance and Urinary Incontinence in Elderly Women

Introduction Urinary incontinence (UI) is the involuntary urine loss, with the prevalence of 17% to 24% in women over 65 years-old. It has a multifactorial cause, being a condition that affects many people in all ages mainly postmenopausal women, it is also found in athlete women who have a high level of training associated mainly to high impact activities. Objective The aim of this study is to conduct a literature review that relates the influence of physical activity on functional performance and on UI among women on the stage of aging. Method The bibliographical review was done in Medline, Scielo, Pubmed and SportsDisco databases using the keywords physical activity or exercise, postmenopause or aging and urinary incontinence and stress urinary incontinence. Conclusion Elderly women engaged in a regular exercise program have a lower incidence of UI.

Effects of Pelvic Floor Muscle Exercise on Urinary Incontinence in Elderly Women With Cognitive Impairment

PurposePelvic floor muscle exercise (PFME) is a therapeutic option for urinary incontinence (UI). However, studies of the efficacy of PFME on UI in patients with cognitive impairment (CI) are lacking. Therefore, we evaluated the effect of PFME on UI in elderly women with mild CI. MethodsA total of 150 women with mild CI or Alzheimer disease and UI were screened using the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Cognitive function and behavioral symptoms were evaluated by the Mini-Mental State Examination and Barthel’s Activities of Daily Living. The patients were randomly divided into a control group (n=46) and a PFME group (n=52, 6 sessions of PFME for 12 weeks). The primary outcome was the change in UI episodes measured with a frequency volume chart (FVC). The secondary outcomes were other FVC parameters and the ICIQ-SF scores. ResultsA total of 82 women (control group: 40 and PFME group: 42) completed the study. After 12 weeks of PFME, the mean number of UI episodes per 24 hours decreased by 1.6 (from 3.3 to 1.7) in the PFME group and by 0.5 (from 3.4 to 2.9) in the control group (P<0.001 between groups). The mean number of micturition episodes and total ICIQ-SF scores improved in the PFME group to a significantly greater extent than in the control group (P<0.001). ConclusionsSupervised PFME can be a good therapeutic option for improving UI in elderly women with CI.

Pelvic Floor Morphometric Differences in Elderly Women with or without Urinary Incontinence.

Purpose: Urinary incontinence (UI) affects as many as 50% of women aged 60 years and older, but UI pathophysiology, specifically in elderly women, remains unclear. A better understanding of morphometric differences between continent and urinary incontinent elderly women is needed to improve the effectiveness of conservative treatment approaches. We hypothesized that morphometric differences in the pelvic floor muscles (PFM) among elderly women with and without UI could be observed using three- and four-dimensional (3D/4D) transperineal ultrasound (TPU) imaging. Method: A total of 40 elderly women (20 women with and 20 women without UI), with a mean age of 67.10 (SD 4.94) years, participated in the study. This was a case-control study in which TPU images were taken under three conditions: rest, maximal voluntary contraction (MVC), and Valsalva. Independent t-tests were conducted to compare measurements between the groups. Results: The study revealed statistically significant differences between the groups. At rest, the levator hiatal area and transverse diameter were bigger, and the PFM position was lower in the incontinent group. During MVC, all axial plane parameters were bigger in the incontinent group. In the sagittal plane, PFM position was again lower in the incontinent group. During Valsalva, the anorectal angle was wider in the women with incontinence. Conclusion: PFM morphometric differences were present and were observed using 3D/4D TPU imaging in elderly women with and without UI.

아쿠아로빅스가 고령여성의 체력 및 요실금에 미치는 영향

The purpose of this study was to investigation the effects of aquarobics program on physical fitness and urinary incontinence in elderly women. The subjects of this study were 8 elderly women in exercise group. The 12 weeks of aquarobics exercise intervention was consisted of 60 minutes of a day, 3 days per a week. The results of this study showed that significant improvement of physical fitness such as Left and Right grip strength (p.05), Chair sit-and-up (p.01), 2min standing walking (p.01). Moreover, we found that there were the significant improvements of urinary incontinence in a day (p.01), a week (p.01), a month (p.05) between before and after the intervention. Therefore, these data demonstrated that aquarobics program may be an effective strategy for improving urinary incontinence in elderly women.

URINARY INCONTINENCE IN ELDERLY PEOPLE: CARE PRACTICES AND CARE PROPOSAL IN PRIMARY HEALTH CARE

ABSTRACT Objective: identify the knowledge and care practices concerning urinary incontinence in elderly women and develop a care proposal for these women for the purpose of health promotion in Primary Health Care. Method: a qualitative, convergent care research was undertaken. The data were collected between August and October 2014 through semistructured interviews and thematic workshops with 14 physiotherapists and ten nurses. The analysis involved apprehension, synthesis, theorization and transference processes, revealing two thematic axes: the professionals' perception of urinary incontinence in elderly women; and the conception of a care proposal for elderly women with urinary incontinence. Results: the professionals' limited knowledge of urinary incontinence was verified, as well as the lack of information on the possible orientations for self-care concerning the urinary symptoms. Conclusion: training actions should be implemented for these professionals with a view to health promotion for self-care.

13 Does pelvic floor muscle training help to reduce urinary incontinence in elderly women with mild cognitive impairment and Alzheimer's disease?

13 Does pelvic floor muscle training help to reduce urinary incontinence in elderly women with mild cognitive impairment and Alzheimer's disease?