ArticleAmerican journal of obstetrics and gynecology2018
A prospective study of the natural history of urinary incontinence in women.
Article in American journal of obstetrics and gynecology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Effect of vitamin D supplementation on urinary incontinence in older women: ancillary findings from a randomized trial.American journal of obstetrics and gynecology · 2022Trial
- Randomized controlled trial comparing mini-sling with transobturator sling for the treatment of stress urinary incontinence.International urogynecology journal · 2020Trial
- Understanding Barriers to Care for Urinary Incontinence Among a Contemporary Cohort of Women.The Journal of urology · 2026Article
- Involuntary Urine Loss in Menopause-A Narrative Review.Journal of clinical medicine · 2025Review
- Association of Chronic Conditions With Bladder Health in Women: Cross-Sectional Results From the RISE FOR HEALTH Study.Preventing chronic disease · 2025Article
- The relationship between serum alpha-klotho levels and urinary incontinence in middle-aged and older females: insights from NHANES.Scientific reports · 2024Article
- Developing a urinary incontinence primary care pathway: a mixed methods study.Family practice · 2024Article
- Lower Urinary Tract Symptoms in US Women: Contemporary Prevalence Estimates from the RISE FOR HEALTH Study.The Journal of urology · 2024Article
- Real-World Evidence From a Digital Health Treatment Program for Female Urinary Incontinence: Observational Study of Outcomes Following User-Centered Product Design.JMIR formative research · 2024Article
- The prevalence and risk factors of different degrees of stress urinary incontinence in Chinese women: A community-based cross-sectional study.Nursing open · 2023Article
- Self-reported insomnia symptoms are associated with urinary incontinence among older Indian adults: evidence from the Longitudinal Ageing Study in India (LASI).BMC public health · 2023Article
- Establishment of an overactive bladder model in mice.BMC urology · 2023Article
- Prevalence and influencing factors of lower urinary tract symptoms in female nurses: a cross-sectional study based on TARGET.Frontiers in public health · 2023Article
- Leveraging A Clinical Dashboard and Process Mappings to Improve Treatment Access and Outcomes for Women Veterans with Urinary Incontinence.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Changes in Bladder Health over Time: A Longitudinal Analysis of Adult Women in the Boston Area Community Health Survey.The Journal of urology · 2022Article
- Retrospective claims analysis of physical therapy utilization among women with stress or mixed urinary incontinence.Neurourology and urodynamics · 2022Article
- Longitudinal patterns of urinary incontinence and associated predictors in women with type 1 diabetes.Neurourology and urodynamics · 2022Article
- Women's barriers for contacting their general practitioner when bothered by urinary incontinence: a population-based cross-sectional study.BMC urology · 2021Article
- Patient-Provider Discussions About Urinary Incontinence Among Older Women.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021Observational
- Do Women Who Self-report More Exercise Have Increased Rates of Symptomatic Stress Urinary Incontinence After Midurethral Slings?Female pelvic medicine & reconstructive surgery · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundSymptoms of urinary incontinence are commonly perceived to vary over time; yet, there is limited quantitative evidence regarding the natural history of urinary incontinence, especially over the long term.
objectiveWe sought to delineate the course of urinary incontinence symptoms over time, using 2 large cohorts of middle-aged and older women, with data collected over 10 years. STUDY
designWe studied 9376 women from the Nurses' Health Study, age 56-81 years at baseline, and 7491 women from the Nurses' Health Study II, age 39-56 years, with incident urinary incontinence in 2002 through 2003. Urinary incontinence severity was measured by the Sandvik severity index. We tracked persistence, progression, remission, and improvement of symptoms over 10 years. We also examined risk factors for urinary incontinence progression using logistic regression models.
resultsAmong women age 39-56 years, 39% had slight, 45% had moderate, and 17% had severe urinary incontinence at onset. Among women age 56-81 years, 34% had slight, 45% had moderate, and 21% had severe urinary incontinence at onset. Across ages, most women reported persistence or progression of symptoms over follow-up; few (3-11%) reported remission. However, younger women and women with less severe urinary incontinence at onset were more likely to report remission or improvement of symptoms. We found that increasing age was associated with higher odds of progression only among older women (age 75-81 vs 56-60 years; odds ratio, 1.84; 95% confidence interval, 1.51-2.25). Among all women, higher body mass index was strongly associated with progression (younger women: odds ratio, 2.37; 95% confidence interval, 2.00-2.81; body mass index ≥30 vs <25 kg/m
conclusionMost women with incident urinary incontinence continued to experience symptoms over 10 years; few had complete remission. Identification of risk factors for urinary incontinence progression, such as body mass index and physical activity, could be important for reducing symptoms over time.
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