University of New Mexico Health Sciences Center, Dept. Obstetrics & Gynecology, Albuquerque, New Mexico.
To estimate 2 year incidence, remission and predictors of urgency urinary incontinence (UUI) in a community based population of women ≥50.
We analyzed 2004-2006 data in the Health and Retirement Study. Subjects were women ≥ 50 with baseline and follow-up UUI information. UUI incidence and remission were calculated. Predictors of UUI progression and improvement were estimated controlling for age, ethnicity, body mass index (BMI), parity, psychiatric illness, medical co-morbidities, functional limitations and stress urinary incontinence (SUI). We evaluated whether baseline UUI status predicted follow-up status and used multivariable logistic regression to identify predictor variables.
8,581 women reported UUI status at baseline and follow-up. Of 7,244 women continent at baseline, 268 affirmed UUI at follow-up for a 2 year incidence of 3.7%. Of 581 women with UUI at baseline, 150 were continent at follow-up for a 2 year remission of 25.8%. Predictors of UUI development included increased age (7(th) and 10(th) decade compared to 6(th) decade; OR 1.5 and 7.2, CI 1.1-2.1 and 4.2-12.5, respectively), obesity (OR 1.6, CI 1.2-2.1), history of psychiatric illness (OR 1.6, CI 1.3-2.0), functional limitations (OR 6.2, CI 4.2-9.2) and SUI (OR 5.0, CI 3.0-8.3). Women who denied UUI at baseline were also likely to deny UUI at follow-up (OR 47.4, CI 22.9-98.1).
In this community based population of women ≥ 50 UUI incidence was low and remission was high. Predictors of UUI included increased age, severe obesity, functional limitations, a positive psychiatric history and incontinence status at baseline.
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Komesu Y, Schrader R, Rogers R, Ketai L. Are you the author?
Reference: Female Pelvic Med Reconstr Surg. 2011;17(1):17-23.
PubMed Abstract
PMID: 21359159
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