ArticleJournal of the American Geriatrics Society2021
The geriatric incontinence syndrome: Characterizing geriatric incontinence in older women.
Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 10 citations in OpenAlex.
- Pelvic Floor Muscle Evaluation in Older Women with Urinary Incontinence: A Feasibility Study.International urogynecology journal · 2024Article
- Skeletal Muscle Health, Physical Performance, and Lower Urinary Tract Symptoms in Older Adults: The Study of Muscle, Mobility, and Aging.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Urinary Incontinence and Voiding Dysfunction with Aging: A Multifaceted Geriatric Syndrome in Search of Multidisciplinary Research Solutions.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Screening and Treating Urinary Incontinence in Primary Care: A Missed Opportunity.OBM geriatrics · 2023Article
Corrections and comments
- Commented on byGeriatrics.2022
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesAmong older women, the clinical presentation of urinary incontinence (UI) is heterogeneous; presenting as a pelvic floor condition or geriatric syndrome. We aimed to characterize the geriatric incontinence syndrome (GIS) to establish its foundation in clinical practice.
designProspective study.
settingGeriatric Clinical Research Unit.
participantsSixty-one community-dwelling women aged 70 and older with bothersome UI symptoms. MEASUREMENTS: UI symptom type and severity were determined by 3-day bladder diary. UI severity was defined; moderate UI defined as <2 UI episodes/day and severe UI defined as ≥2 UI episodes/day. Subjective assessment of physical performance was determined using the Short Physical Performance Battery (SPPB) score. Total SPPB scores >9 define normal physical performance and scores ≤9 defined impaired physical performance.
resultsThe average age was 77.1 ± 5.8 (mean ± SD) years; 69% of women had severe UI and 31% had moderate UI. Demographic characteristics were similar between groups. Daytime voiding frequency was 7.1 ± 2.9 and nocturia was present equally between groups. The majority of women (59%) with severe UI had SPPB ≤9 compared with 26% among women with moderate UI (p = 0.02); featuring significantly slower chair stand scores (2.3 ± 1.4 vs 3.3 ± 0.9, p = 0.007) and gait speed (0.08 ± 0.2 m/s compared with 1.0 ± 0.2 in women with moderate UI).
conclusionsA multifactorial GIS may be present in older women evidenced by the co-existence of severe UI, physical disability, slower chair stand pace, and gait speed. Prospective studies are needed to understand how these clinical features may impact the clinical care of older incontinent women.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.