Functional impairment as a risk factor for urinary incontinence among older Americans.
OBJECTIVE
Using a large nationally representative sample of older Americans we investigate four domains of functional impairment as possible risk factors for the subsequent development of urinary incontinence (UI) symptoms.


METHODS
Data from three waves (1993, 1995, 1998) of the Asset and Health Dynamics among the Oldest Old (AHEAD) survey were used to model the effects of functional impairment on the onset of UI symptoms.


RESULTS
A greater number of serious chronic conditions and functional impairment in the lower body mobility domain increased the odds of the onset of mild UI (vs. remaining continent). Factors that contributed to greater odds of the onset of severe UI (vs. remaining continent) were older age, being represented by a proxy respondent, and functional impairment in the strength domain.


CONCLUSIONS
Understanding the possible relationship between functional impairment and UI is an important step toward developing appropriate interventions for the prevention, treatment, or management of urine loss.
Jenkins
Kristi Rahrig
KR
University of Michigan, Institute for Social Research, Ann Arbor, Michigan 48106, USA. Kristirj@isr.umich.edu
Fultz
Nancy H
NH
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009043:Motor Activity; D012307:Risk Factors; D012959:Socioeconomic Factors; D014549:Urinary Incontinence / Q000453:epidemiology*