[Prevalence and characteristics of urinary incontinence in community-dwelling-elderly as determined by comprehensive health examination and interview for the prevention of geriatric syndrome and bed-ridden state].
OBJECTIVE
We examined the prevalence and characteristics of urinary incontinence in community-dwelling elderly individuals.


METHODS
The participants were 1,783 individuals (768 men and 1,015 women) aged over 70 years who participated in a comprehensive health examination involving a medical examination and interview, plus physical performance tests. Differences in characteristics between individuals with and without urinary incontinence were examined, and multivariate logistic regression models were used to describe the characteristics associated with urinary incontinence.


RESULTS
The prevalence of urinary incontinence was 13.4% in men and 23.3% in women. Urinary incontinence was significantly associated with a lower level of physical fitness. Multivariate logistic regression showed that urinary incontinence was significantly associated with a slower walking speed (Odds Ratio (OR) = 0.19, 95% Confidence Intervals (CI) 0.08-0.48) and lower serum albumin level (OR = 0.40, 95% CI 0.16-0.99) in men, and with a slower walking speed (OR = 0.29, 95% CI 0.15-0.56), a higher BMI (OR = 1.09, 95% CI 1.04-1.14), depression (OR = 3.06, 95% CI 1.40-6.69), and lack of physical activity (OR = 0.70, 95% CI 0.50-0.98) in women.


CONCLUSIONS
The characteristics of urinary incontinence in this cohort of community-dwelling elderly individuals were a low level of physical fitness and poor nutritional state in men, and a low level of physical fitness, a tendency to be obese, a poor mental health state, and lack of physical activity in women.
Yoshida
Yuko
Y
Research Team for promotion independence of the elderly, Tokyo Metropolitan Institute of Gerontology.
Kim
Hunkyung
H
Iwasa
Hajime
H
Kwon
Jinhee
J
Sugiura
Miho
M
Furuna
Taketo
T
Yoshida
Hideyo
H
Suzuki
Takao
T
D000368:Aged; D000369:Aged, 80 and over; D003863:Depression; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007564:Japan / Q000453:epidemiology; D008297:Male; D008603:Mental Health; D009043:Motor Activity / Q000502:physiology; D009752:Nutritional Status; D010808:Physical Examination; D010809:Physical Fitness / Q000502:physiology; D015995:Prevalence; D012709:Serum Albumin; D014549:Urinary Incontinence / Q000453:epidemiology* / Q000517:prevention & control*; D016138:Walking / Q000502:physiology
D012709:Serum Albumin