Urinary Incontinence Is Associated With Physical Performance Decline in Community-Dwelling Older Women: Results From the International Mobility in Aging Study

The objective of this study is to evaluate the influence of urinary incontinence (UI) on physical performance.

In prospective analyses from the International Mobility in Aging Study (IMIAS), 915 women (65-74 years) from Canada, Colombia, Albania, and Brazil were evaluated in relation to self-reported UI (past week) and physical performance (Short Physical Performance Battery [SPPB]), with reevaluation after 2 years. Linear mixed models examined the influence of UI on SPPB, adjusted by covariates (age, study site, education, income sufficiency, body mass index [BMI] and parity).

Women reporting some UI presented lower SPPB mean (β = -0.41, p = .009) and a greater reduction (β = -0.53, p = .001) over 2 years than those reporting no UI.

Compared with no reported UI, some UI was associated with worse and more pronounced declines in physical performance over 2 years. This study highlights the importance of practices to reduce UI to contribute to healthier aging.

Journal of aging and health. 2018 Sep 11 [Epub ahead of print]

Luana Caroline de Assunção Cortez Corrêa, Catherine M Pirkle, Yan Yan Wu, Afshin Vafaei, Carmen-Lucia Curcio, Saionara Maria Aires da Câmara

1 Federal University of Rio Grande do Norte, Santa Cruz, Brazil., 2 University of Hawai'i at Mānoa, Honolulu, USA., 3 Lakehead University, Thunder Bay, Ontario, USA., 4 Universidad de Caldas, Manizales, Colombia.