Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

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

Pau Farrés-Godayol
ORCID logo ,
Javier Jerez-Roig
* ORCID logo ,
Eduard Minobes-Molina
ORCID logo ,
Meltem Yildirim
ORCID logo ,
Miriam Molas-Tuneu
,
Anna Escribà-Salvans
,
Sandra Rierola-Folchs
ORCID logo ,
Montse Romero-Mas
,
Miriam Torres-Moreno
,
Laura Coll-Planas
,
Joanne Booth
,
Maria Giné-Garriga
Version 1 : Received: 6 January 2022 / Approved: 12 January 2022 / Online: 12 January 2022 (18:41:11 CET)

A peer-reviewed article of this Preprint also exists.

Farrés-Godayol, P.; Jerez-Roig, J.; Minobes-Molina, E.; Yildirim, M.; Molas-Tuneu, M.; Escribà-Salvans, A.; Rierola-Fochs, S.; Romero-Mas, M.; Torres-Moreno, M.; Coll-Planas, L.; Booth, J.; Giné-Garriga, M. Urinary Incontinence and Its Association with Physical and Psycho-Cognitive Factors: A Cross-Sectional Study in Older People Living in Nursing Homes. Int. J. Environ. Res. Public Health 2022, 19, 1500. Farrés-Godayol, P.; Jerez-Roig, J.; Minobes-Molina, E.; Yildirim, M.; Molas-Tuneu, M.; Escribà-Salvans, A.; Rierola-Fochs, S.; Romero-Mas, M.; Torres-Moreno, M.; Coll-Planas, L.; Booth, J.; Giné-Garriga, M. Urinary Incontinence and Its Association with Physical and Psycho-Cognitive Factors: A Cross-Sectional Study in Older People Living in Nursing Homes. Int. J. Environ. Res. Public Health 2022, 19, 1500.

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 5 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) and was significantly associated with frailty (PR 1.84; 95%CI 0.96–3.53), faecal incontinence (FI) (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 between incontinent-continent groups were found for activities of daily living (ADL) limitations, mobility, quality of life, sedentary behaviour (SB) and handgrip strength. It can be concluded that 2/3 of the residents experienced UI, and its significant associated factors were mainly physical (SB, frailty, physical performance, ADL limitations, mobility, FI and handgrip strength) followed by psycho-cognitive factors (cognition, anxiety and quality of life).

Keywords

older people; nursing home; incontinence; urinary incontinence; pelvic health; sedentary behaviour; physical health; faecal incontinence; low urinary tract symptoms

Subject

Medicine and Pharmacology, Urology and Nephrology

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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