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Urinary Incontinence and Its Association with Physical and Psycho-Cognitive Factors: A Cross-Sectional Study in Older People Living in Nursing Homes

Author

Listed:
  • Pau Farrés-Godayol

    (Research Group on Methodology, Methods, Models and Outcome of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (UVic-UCC), 08500 Vic, Spain
    These authors contributed equally to this work.)

  • Javier Jerez-Roig

    (Research Group on Methodology, Methods, Models and Outcome of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (UVic-UCC), 08500 Vic, Spain)

  • Eduard Minobes-Molina

    (Research Group on Methodology, Methods, Models and Outcome of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (UVic-UCC), 08500 Vic, Spain
    These authors contributed equally to this work.)

  • Meltem Yildirim

    (Research Group on Methodology, Methods, Models and Outcome of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (UVic-UCC), 08500 Vic, Spain)

  • Miriam Molas-Tuneu

    (Research Group on Methodology, Methods, Models and Outcome of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (UVic-UCC), 08500 Vic, Spain)

  • Anna Escribà-Salvans

    (Research Group on Methodology, Methods, Models and Outcome of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (UVic-UCC), 08500 Vic, Spain)

  • Sandra Rierola-Fochs

    (Research Group on Methodology, Methods, Models and Outcome of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (UVic-UCC), 08500 Vic, Spain)

  • Montse Romero-Mas

    (Research Group on Methodology, Methods, Models and Outcome of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (UVic-UCC), 08500 Vic, Spain)

  • Miriam Torres-Moreno

    (Research Group on Methodology, Methods, Models and Outcome of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (UVic-UCC), 08500 Vic, Spain)

  • Laura Coll-Planas

    (Research Group on Methodology, Methods, Models and Outcome of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (UVic-UCC), 08500 Vic, Spain)

  • Joanne Booth

    (Research Centre for Health, School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UK)

  • Maria Giné-Garriga

    (Department of Physical Activity and Sport Sciences, Faculty of Psychology, Education and Sport Sciences (FPCEE) Blanquerna, Ramon Llull University, 08022 Barcelona, Spain)

Abstract

Urinary incontinence (UI) is a common geriatric syndrome affecting bladder health and is especially prevalent in nursing homes (NHs). The aim of the study was to determine the prevalence of UI and its associated factors in five Spanish NHs. UI (measured with Minimum Data Set 3.0), sociodemographic, and health-related variables were collected. Chi-square (or Fisher’s) or Student’s t -test (or Mann Whitney U) for bivariate analysis were used, with Prevalence Ratio (PR) as an association measure. The prevalence of UI was 66.1% (CI:95%, 53.6–77.2) in incontinent ( n = 45, mean age 84.04, SD = 7.7) and continent ( n = 23, mean age 83.00, SD = 7.7) groups. UI was significantly associated with frailty (PR = 1.84; 95%CI 0.96–3.53), faecal incontinence (PR = 1.65; 95%CI 1.02–2.65), anxiety (PR = 1.64; 95%CI 1.01–2.66), physical performance (PR = 1.77; 95%CI 1.00–3.11), and cognitive state (PR = 1.95; 95%CI 1.05–3.60). Statistically significant differences were found between incontinent and continent NH residents for limitations in activities of daily living (ADL), mobility, quality of life, sedentary behaviour, and handgrip strength. It can be concluded that two out of three of the residents experienced UI, and significant associated factors were mainly physical (sedentary behaviour, frailty, physical performance, ADL limitations, mobility, faecal incontinence, and handgrip strength) followed by psycho-cognitive factors (cognition, anxiety, and quality of life).

Suggested Citation

  • Pau Farrés-Godayol & Javier Jerez-Roig & Eduard Minobes-Molina & Meltem Yildirim & Miriam Molas-Tuneu & Anna Escribà-Salvans & Sandra Rierola-Fochs & Montse Romero-Mas & Miriam Torres-Moreno & Laura C, 2022. "Urinary Incontinence and Its Association with Physical and Psycho-Cognitive Factors: A Cross-Sectional Study in Older People Living in Nursing Homes," IJERPH, MDPI, vol. 19(3), pages 1-24, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1500-:d:737030
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    References listed on IDEAS

    as
    1. Shinje Moon & Hye Soo Chung & Yoon Jung Kim & Sung Jin Kim & Ohseong Kwon & Young Goo Lee & Jae Myung Yu & Sung Tae Cho, 2021. "The impact of urinary incontinence on falls: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(5), pages 1-18, May.
    2. Natasha Reid & Elizabeth Eakin & Timothy Henwood & Justin W. L. Keogh & Hugh E. Senior & Paul A. Gardiner & Elisabeth Winkler & Genevieve N. Healy, 2013. "Objectively Measured Activity Patterns among Adults in Residential Aged Care," IJERPH, MDPI, vol. 10(12), pages 1-16, December.
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    4. Javier Jerez-Roig & Joanne Booth & Dawn A Skelton & Maria Giné-Garriga & Sebastien F M Chastin & Suzanne Hagen, 2020. "Is urinary incontinence associated with sedentary behaviour in older women? Analysis of data from the National Health and Nutrition Examination Survey," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-13, February.
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