ArticleBMC geriatrics2017
Urinary incontinence and its association with functional physical and cognitive health among female nursing home residents in Switzerland.
Article in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Standing Postural Balance Control in Women with and Without Urinary Incontinence: A Systematic Review.International urogynecology journal · 2025Pooled it
- Cognitive-behavioral therapy and urge urinary incontinence in women. A systematic review.International urogynecology journal · 2022Pooled it
- Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies.BMC geriatrics · 2021Pooled it
- Tibial nerve stimulation compared with sham to reduce incontinence in care home residents: ELECTRIC RCT.Health technology assessment (Winchester, England) · 2021Trial
- Health-related quality of life among Chinese primary care patients with different lower urinary tract symptoms: a latent class analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Trial
- Patient health literacy and cognitive impairment surveys highlight barriers to patient-provider communication.Frontiers in health services · 2026Article
- Fear of falling, gait capacity, and dual task performance in multiple sclerosis patients with and without neurogenic overactive bladder.Acta neurologica Belgica · 2025Article
- Sex-specific differences in urinary incontinence associated factors in older adults: an analysis of the German health update study (GEDA 2019/2020-EHIS).World journal of urology · 2025Article
- A large cross sectional study on diaper utilization and beneficial role in outdoor activity and emotions among incontinence elderly people.Scientific reports · 2024Article
- Prevalence of urinary incontinence and associated factors in nursing homes: a multicentre cross-sectional study.BMC geriatrics · 2024Article
- Evaluation and management of urinary incontinence in nursing home residents: unique considerations for an at-risk population.Gynecology and pelvic medicine · 2024Review
- Predictors of improvement in urinary incontinence in the postacute setting: A Canadian cohort study.Neurourology and urodynamics · 2022Article
- Cognitive function following surgery for pelvic organ prolapse.Neurourology and urodynamics · 2022Article
- Article
- Urinary Incontinence and Its Association with Physical and Psycho-Cognitive Factors: A Cross-Sectional Study in Older People Living in Nursing Homes.International journal of environmental research and public health · 2022Article
- Does cognitive aging follow an orchid and dandelion phenomenon?Frontiers in aging neuroscience · 2022Article
- Interplay Between Cognitive and Bowel/Bladder Function in Multiple Sclerosis.International neurourology journal · 2021Article
- Prevalence and Associated Factors of Fecal Incontinence and Double Incontinence among Rural Elderly in North China.International journal of environmental research and public health · 2020Article
- What are the illnesses associated with frailty in community-dwelling older adults: the Korean Frailty and Aging Cohort Study.The Korean journal of internal medicine · 2020Article
- Executive Function Is Related to the Urinary Urgency in Non-demented Patients With Parkinson's Disease.Frontiers in aging neuroscience · 2020Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpecific knowledge of urinary incontinence (UI) and its interrelation with physical and cognitive health is essential to working towards prevention of UI and to improving quality of treatment and care. The purpose of this study was to determine the association between UI and the activities of daily living (ADL) hierarchy scale, the cognitive performance scale (CPS) and comorbid conditions.
methodsThe cross-sectional retrospective analysis of 357 nursing homes in Switzerland was based on data of the Minimum Data Set of the Resident Assessment Instrument 2.0 (RAI-MDS). The analysis examined the effect of ADL hierarchy scale, CPS, joint motion and comorbidities on UI. Women ≥65 years were included (n = 44'811; January 2005 to September 2014) at the time of admission to a nursing home. Statistical analysis was done by means of descriptive statistics and logistic regression analysis.
resultsThe prevalence of UI was 54.7%, the mean ADL hierarchy scale (± SD) 2.42 ± 3.26 (range = 0-6), the mean CPS 1.95 ± 1.67 (range = 0-6). There was a gradual increase in the odds ratio (OR) for UI depending on the ADL hierarchy scale, from the hierarchy scales of "supervised" to "total dependence" of 1.43 - 30.25. For CPS, the OR for UI from "borderline intact" to "very severe impairment" was 1.35 - 5.99. Considering the interaction between ADL and CPS, all ADL hierarchies remained significantly associated with UI, however for CPS this was the case only in the lower hierarchies. Of the 11 examined comorbid conditions, only diabetes mellitus (OR 1.19), dementia (OR 1.01) and arthrosis/arthritis (OR 1.53) were significantly associated with UI.
conclusionThe study indicated that impairment in ADL performance is strongly associated with UI, more than CPS performance and comorbidities. Physical more than cognitive training in order to improve or at least stabilize ADL performance could be a way to prevent or reduce the process of developing UI.
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Registered trials
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