Urinary 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...

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.

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?

Portugues

Introduction: Although aging is physiological, is seen by society more vulnerable to disease and may interfere with the autonomy, mobility, manual dexterity, lucidity and functional capacity of the bladder and lower urinary tract, favoring the emergence of Urinary Incontinence (IU). The UI is present in the whole population, it is the complaint of any involuntary leakage of urine, negatively affecting the quality of life of incontinent people.Objective: To determine the prevalence of UI in the elderly of both sexes, to assess the impact of quality of life in front of urinary incontinence and the moment of loss prevalent in this population.Methods: 50 elderly people above 60 years of age were interviewed, a center that serves the community of Cascavel - PR. The volunteers answered a questionnaire, called International Consultation on Incontinence Questionnaire - Urinary Incontinence / Short Form (ICIQ / SF), adapted to the Portuguese applied in May and June 2014. For statistical analysis, the data were tabulated in Microsoft Office Excel 2010 and later analyzed by the researcher.Results: 44% of our volunteers do not show loss of urine and 56% of individuals have some type of urinary incontinence, with 35.7% male and 64.3% female. As for the impact of quality of life in incontinent individuals, 46% reported very severe impact. Regarding the moment of urine loss, lose 22% just before reaching the toilet and 16% lose when they cough or sneeze.Conclusion: The study revealed a high prevalence of urinary incontinence in elderly women. Much of incontinent individuals reported having a serious impact on their quality of life. And as regards the timing of urine loss, the most cited by volunteers were lost just before reaching the toilet.

Urinary incontinence in elderly women from Porto Alegre: its prevalence and relation to pelvic floor muscle function

The purpose of this cross-sectional study was to assess the prevalence of self-reported urinary loss in elderly women living in the city of Porto Alegre (Rio Grande do Sul, Brazil), as well as to determine the relation between urinary incontinence (UI) and pelvic floor muscle function (PFMF). It included 270 elderly women (aged from 60 to 92 years) from a population sample, who reported the presence (n=155; 69.1±7.8 years) or absence (n=115; 67.7±7.9 years) of urine loss. Those who reported UI were asked about how long they had been experiencing urinary leakage, the amount of urine lost (drops, jets or complete micturition) and situations in which they lost urine. Out of the total number of individuals, 178 agreed to undergo the assessment of PFMF by means of a perineometry and a bidigital test. The prevalence of elderly women who reported UI (57.4%) was significantly higher, and the most common isolated situation of urine loss was being unable to get to the toilet in time (26.1%), and this occurred mainly in drops (52.3%). The UI lasted for a median of three years. The elderly women with UI had significantly lower PFMF than those without it, regardless of the type of measurement used (perineometry or bidigital test). Therefore, we conclude that, in this sample, UI had a high prevalence and was associated with decreased PFMF. Bearing these findings in mind and taking into account the data available in the literature about the impact of UI on health and quality of life, as well as the low cost of its assessment and treatment, we suggest that the management and care of this dysfunction should be carried out at the Primary Health Care level.