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Published in: The journal of nutrition, health & aging 2/2017

01-02-2017

Factors related to urinary incontinence among the Malaysian elderly

Authors: S. A. Eshkoor, Tengku Aizan Hamid, S. Shahar, C. Y. Mun

Published in: The journal of nutrition, health & aging | Issue 2/2017

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Abstract

Background

Urinary incontinence is a prevalent condition in the elderly that is the spontaneous leakage of urine. It is an age-related problem and increases especially in people aged above 65 years. It can cause many psychological, behavioral, biological, economic and social effects. The treatment of urinary incontinence can reduce morbidity and mortality. Thus, this study aimed to determine the effects of variables including age, ethnicity, gender, education, marital status, body weight, blood elements and nutritional parameters on urinary incontinence among the Malaysian elderly.

Methods

The study was on 2322 non-institutionalized Malaysian elderly. The hierarchy logistic regression analysis was applied to estimate the risk of independent variables for urinary incontinence among respondents.

Results

The findings indicated that approximately 3.80% of subjects had urinary incontinence. In addition, constipation was found a significant factor that increased the risk of urinary incontinence in samples (p=0.006; OR=3.77). The increase in dietary monounsaturated fat (p=0.038; OR=0.59) and plasma triglyceride levels (p=0.029; OR=0.56) significantly reduced the risk of incontinence in subjects. Many of suspected variables including socio-demographic factors, diseases, nutritional minerals, blood components and body weight were non-relevant factors to urinary incontinence in respondents.

Conclusions

Constipation increased the risk of urinary incontinence in subjects, and increase in dietary monounsaturated fat and plasma triglyceride levels decreased the risk.
Literature
1.
go back to reference Greer JA, Arya LA, Smith AL. Urinary incontinence: diagnosis and treatment in the elderly. Current Translational Geriatrics and Experimental Gerontology Reports 2013;2(2):66–75.CrossRef Greer JA, Arya LA, Smith AL. Urinary incontinence: diagnosis and treatment in the elderly. Current Translational Geriatrics and Experimental Gerontology Reports 2013;2(2):66–75.CrossRef
2.
go back to reference Teunissen D, van Weel C, Lagro-Janssen T. Urinary incontinence in older people living in the community: examining help-seeking behaviour. British Journal of General Practice 2005;55(519):776–782.PubMedPubMedCentral Teunissen D, van Weel C, Lagro-Janssen T. Urinary incontinence in older people living in the community: examining help-seeking behaviour. British Journal of General Practice 2005;55(519):776–782.PubMedPubMedCentral
3.
go back to reference Tong Y-C. Diagnosis and treatment of geriatric urinary incontinence. Incont Pelvic Floor Dysfunct 2009;3:69–72. Tong Y-C. Diagnosis and treatment of geriatric urinary incontinence. Incont Pelvic Floor Dysfunct 2009;3:69–72.
4.
go back to reference Loh K, Sivalingam N. Urinary incontinence in the elderly population. The Medical journal of Malaysia 2006;61(4):506–10; quiz 511.PubMed Loh K, Sivalingam N. Urinary incontinence in the elderly population. The Medical journal of Malaysia 2006;61(4):506–10; quiz 511.PubMed
5.
go back to reference Yusoff SN, Buja GA. Aged society: The way forward. International Conference on Business and Economics Research, 2013 Yusoff SN, Buja GA. Aged society: The way forward. International Conference on Business and Economics Research, 2013
6.
go back to reference Sherina MS, Lekhraj R, Mustaqim A. Functional status of the elderly in a rural community in Malaysia. Malaysian Journal of Public Health Medicine 2004;4(1):55–58. Sherina MS, Lekhraj R, Mustaqim A. Functional status of the elderly in a rural community in Malaysia. Malaysian Journal of Public Health Medicine 2004;4(1):55–58.
7.
go back to reference Sidik SM. The prevalence of urinary incontinence among the elderly in a rural community in Selangor. The Malaysian journal of medical sciences: MJMS 2010;17(2):18. Sidik SM. The prevalence of urinary incontinence among the elderly in a rural community in Selangor. The Malaysian journal of medical sciences: MJMS 2010;17(2):18.
8.
go back to reference Bhagwath G. Urinary Incontinence in the Elderly: Pathogenesis an d Management. Journal of Indian Academy of Clinical Medicine 2001;2:270–275. Bhagwath G. Urinary Incontinence in the Elderly: Pathogenesis an d Management. Journal of Indian Academy of Clinical Medicine 2001;2:270–275.
9.
go back to reference Cook K, Sobeski LM. Urinary Incontinence in the Older Adult. PSAP 2013;3–20. Cook K, Sobeski LM. Urinary Incontinence in the Older Adult. PSAP 2013;3–20.
10.
go back to reference Kuchel GA, DuBeau CE. Chapter 30: Urinary Incontinence in the Elderly. Geriatric Nephrology Curriculum 2009;1–5. Kuchel GA, DuBeau CE. Chapter 30: Urinary Incontinence in the Elderly. Geriatric Nephrology Curriculum 2009;1–5.
11.
go back to reference Fonda D, Benvenuti F, Cottenden A, DuBeau C, Kirshner-Hermanns R, Miller K, Palmer M, Resnick N. Urinary incontinence and bladder dysfunction in older persons. 2nd International Consultation on Incontinence: Recommendations of the International Scientific Committee, P. Abrams, et al., Editors 2002;625–295. Fonda D, Benvenuti F, Cottenden A, DuBeau C, Kirshner-Hermanns R, Miller K, Palmer M, Resnick N. Urinary incontinence and bladder dysfunction in older persons. 2nd International Consultation on Incontinence: Recommendations of the International Scientific Committee, P. Abrams, et al., Editors 2002;625–295.
12.
go back to reference Poi P. Giants of Geriatrics II–Incontinence. In Srinivas P. (Eds): Proceedings of First National Symposium On Gerontology. University Malaya. Kuala Lumpur; University Malaya 1995. p. 92–97. Poi P. Giants of Geriatrics II–Incontinence. In Srinivas P. (Eds): Proceedings of First National Symposium On Gerontology. University Malaya. Kuala Lumpur; University Malaya 1995. p. 92–97.
13.
go back to reference Chia Y. Primary Care in the Elderly. In Srinivas P. (Eds): Proceedings of First National Symposium On Gerontology. University Malaya. Kuala Lumpur; University Malaya 1995. p. 98–110 Chia Y. Primary Care in the Elderly. In Srinivas P. (Eds): Proceedings of First National Symposium On Gerontology. University Malaya. Kuala Lumpur; University Malaya 1995. p. 98–110
14.
go back to reference Dowling-Castronovo A. Urinary Incontinence Assessment in Older Adults Part I–Transient Urinary Incontinence. Obstetrics & Gynecology 1985;109(2):277–280. Dowling-Castronovo A. Urinary Incontinence Assessment in Older Adults Part I–Transient Urinary Incontinence. Obstetrics & Gynecology 1985;109(2):277–280.
15.
go back to reference Kow JK, Carr M, Whytock S. Diagnosis and management of urinary incontinence in residential care. British Columbia Medical Journal 2013;55(2):96–100. Kow JK, Carr M, Whytock S. Diagnosis and management of urinary incontinence in residential care. British Columbia Medical Journal 2013;55(2):96–100.
17.
go back to reference Goepel M, Kirschner-Hermanns R, Welz-Barth A, Steinwachs K-C, Rübben H. Urinary incontinence in the elderly: part 3 of a series of articles on incontinence. Deutsches Ärzteblatt International 2010;107(30):531.PubMedPubMedCentral Goepel M, Kirschner-Hermanns R, Welz-Barth A, Steinwachs K-C, Rübben H. Urinary incontinence in the elderly: part 3 of a series of articles on incontinence. Deutsches Ärzteblatt International 2010;107(30):531.PubMedPubMedCentral
18.
go back to reference Woodward MC. Constipation in older people: pharmacological management issues, 2002 Woodward MC. Constipation in older people: pharmacological management issues, 2002
19.
go back to reference Birtcher KK, Ballantyne CM. Measurement of Cholesterol A Patient Perspective. Circulation 2004;110(11):e296–e297.CrossRefPubMed Birtcher KK, Ballantyne CM. Measurement of Cholesterol A Patient Perspective. Circulation 2004;110(11):e296–e297.CrossRefPubMed
20.
go back to reference Coyle EF. Fat metabolism during exercise. Sports Science Exchange 1995;8(6):59. Coyle EF. Fat metabolism during exercise. Sports Science Exchange 1995;8(6):59.
21.
go back to reference Lin ATL, Yang C, Chen KK, Chang LS. Detrusor mitochondrial lipid peroxidation and superoxide dismutase activity in partial bladder outlet obstruction of rabbits. Neurourology and urodynamics 2005;24(3):282–287.CrossRefPubMed Lin ATL, Yang C, Chen KK, Chang LS. Detrusor mitochondrial lipid peroxidation and superoxide dismutase activity in partial bladder outlet obstruction of rabbits. Neurourology and urodynamics 2005;24(3):282–287.CrossRefPubMed
22.
go back to reference Kubota Y, Hashitani H, Fukuta H, Kubota H, Kohri K, Suzuki H. Role of mitochondria in the generation of spontaneous activity in detrusor smooth muscles of the Guinea pig bladder. The Journal of urology 2003;170(2):628–633.CrossRefPubMed Kubota Y, Hashitani H, Fukuta H, Kubota H, Kohri K, Suzuki H. Role of mitochondria in the generation of spontaneous activity in detrusor smooth muscles of the Guinea pig bladder. The Journal of urology 2003;170(2):628–633.CrossRefPubMed
23.
go back to reference Cui H, Kong Y, Zhang H. Oxidative stress, mitochondrial dysfunction, and aging. Journal of signal transduction 2011,1–13. Cui H, Kong Y, Zhang H. Oxidative stress, mitochondrial dysfunction, and aging. Journal of signal transduction 2011,1–13.
24.
go back to reference Baierle M, Vencato PH, Oldenburg L, Bordignon S, Zibetti M, Trentini CM, Duarte MM, Veit JC, Somacal S, Emanuelli T. Fatty Acid Status and Its Relationship to Cognitive Decline and Homocysteine Levels in the Elderly. Nutrients 2014;6(9):3624–3640.CrossRefPubMedPubMedCentral Baierle M, Vencato PH, Oldenburg L, Bordignon S, Zibetti M, Trentini CM, Duarte MM, Veit JC, Somacal S, Emanuelli T. Fatty Acid Status and Its Relationship to Cognitive Decline and Homocysteine Levels in the Elderly. Nutrients 2014;6(9):3624–3640.CrossRefPubMedPubMedCentral
25.
go back to reference Maserejian NN, Giovannucci EL, McVary KT, McGrother C, McKinlay JB. Dietary macronutrient and energy intake and urinary incontinence in women. American journal of epidemiology kwq065, 2010. Maserejian NN, Giovannucci EL, McVary KT, McGrother C, McKinlay JB. Dietary macronutrient and energy intake and urinary incontinence in women. American journal of epidemiology kwq065, 2010.
26.
go back to reference Kien CL, Bunn JY, Tompkins CL, Dumas JA, Crain KI, Ebenstein DB, Koves TR, Muoio DM. Substituting dietary monounsaturated fat for saturated fat is associated with increased daily physical activity and resting energy expenditure and with changes in mood. The American journal of clinical nutrition 2013;97(4):689–697.CrossRefPubMedPubMedCentral Kien CL, Bunn JY, Tompkins CL, Dumas JA, Crain KI, Ebenstein DB, Koves TR, Muoio DM. Substituting dietary monounsaturated fat for saturated fat is associated with increased daily physical activity and resting energy expenditure and with changes in mood. The American journal of clinical nutrition 2013;97(4):689–697.CrossRefPubMedPubMedCentral
27.
go back to reference Yaqoob P. Monounsaturated fats and immune function. Brazilian journal of medical and biological research 1998;31(4):453–465.CrossRefPubMed Yaqoob P. Monounsaturated fats and immune function. Brazilian journal of medical and biological research 1998;31(4):453–465.CrossRefPubMed
28.
go back to reference Bourre J-M. Effects of nutrients (in food) on the structure and function of the nervous system: update on dietary requirements for brain. Part 2: macronutrients. Journal of Nutrition Health and Aging 2006;10(5):386. Bourre J-M. Effects of nutrients (in food) on the structure and function of the nervous system: update on dietary requirements for brain. Part 2: macronutrients. Journal of Nutrition Health and Aging 2006;10(5):386.
29.
go back to reference Dallosso H, Matthews R, McGrother C, Donaldson M. Diet as a risk factor for the development of stress urinary incontinence: a longitudinal study in women. European journal of clinical nutrition 2004;58(6):920–926.CrossRefPubMed Dallosso H, Matthews R, McGrother C, Donaldson M. Diet as a risk factor for the development of stress urinary incontinence: a longitudinal study in women. European journal of clinical nutrition 2004;58(6):920–926.CrossRefPubMed
30.
go back to reference Maserejian NN, Mcvary KT, Giovannucci EL, Mckinlay JB. Dietary macronutrient intake and lower urinary tract symptoms in women. Annals of epidemiology 2011;21(6):421–429.CrossRefPubMedPubMedCentral Maserejian NN, Mcvary KT, Giovannucci EL, Mckinlay JB. Dietary macronutrient intake and lower urinary tract symptoms in women. Annals of epidemiology 2011;21(6):421–429.CrossRefPubMedPubMedCentral
31.
go back to reference Kris-Etherton PM. Monounsaturated fatty acids and risk of cardiovascular disease. Circulation 1999;100(11):1253–1258.CrossRefPubMed Kris-Etherton PM. Monounsaturated fatty acids and risk of cardiovascular disease. Circulation 1999;100(11):1253–1258.CrossRefPubMed
32.
go back to reference Thom DH, Van Den Eeden SK, Ragins AI, Wassel-Fyr C, Vittinghof E, Subak LL, Brown JS. Differences in prevalence of urinary incontinence by race/ethnicity. The Journal of urology 2006;175(1):259–264.CrossRefPubMedPubMedCentral Thom DH, Van Den Eeden SK, Ragins AI, Wassel-Fyr C, Vittinghof E, Subak LL, Brown JS. Differences in prevalence of urinary incontinence by race/ethnicity. The Journal of urology 2006;175(1):259–264.CrossRefPubMedPubMedCentral
33.
go back to reference Santos CRdS, Santos VLCG. Prevalence of urinary incontinence in a random sample of the urban population of Pouso Alegre, Minas Gerais, Brazil. Revista latino-americana de enfermagem 2010;18(5):903–910.CrossRefPubMed Santos CRdS, Santos VLCG. Prevalence of urinary incontinence in a random sample of the urban population of Pouso Alegre, Minas Gerais, Brazil. Revista latino-americana de enfermagem 2010;18(5):903–910.CrossRefPubMed
34.
go back to reference Fincham JE. Health policy and ethics. Pharmaceutical Press 290 pages. 2011. Fincham JE. Health policy and ethics. Pharmaceutical Press 290 pages. 2011.
35.
go back to reference Litman HJ, Steers WD, Wei JT, Kupelian V, Link CL, McKinlay JB, Investigators BACHS. Relationship of lifestyle and clinical factors to lower urinary tract symptoms: results from Boston Area Community Health survey. Urology 2007;70(5):916–921.CrossRefPubMedPubMedCentral Litman HJ, Steers WD, Wei JT, Kupelian V, Link CL, McKinlay JB, Investigators BACHS. Relationship of lifestyle and clinical factors to lower urinary tract symptoms: results from Boston Area Community Health survey. Urology 2007;70(5):916–921.CrossRefPubMedPubMedCentral
36.
go back to reference Kim SC. Testosterone Deficiency Linked to Lower Urinary Tract Symptoms, 2012. Kim SC. Testosterone Deficiency Linked to Lower Urinary Tract Symptoms, 2012.
37.
go back to reference Robinson D, Cardozo LD. The role of estrogens in female lower urinary tract dysfunction. Urology 2003;62(4):45–51.CrossRefPubMed Robinson D, Cardozo LD. The role of estrogens in female lower urinary tract dysfunction. Urology 2003;62(4):45–51.CrossRefPubMed
38.
go back to reference Jackson RA, Vittinghoff E, Kanaya AM, Miles TP, Resnick HE, Kritchevsky SB, Simonsick EM, Brown JS, Health A, Study BC. Urinary incontinence in elderly women: findings from the Health, Aging, and Body Composition Study. Obstetrics & Gynecology 2004;104(2):301–307.CrossRef Jackson RA, Vittinghoff E, Kanaya AM, Miles TP, Resnick HE, Kritchevsky SB, Simonsick EM, Brown JS, Health A, Study BC. Urinary incontinence in elderly women: findings from the Health, Aging, and Body Composition Study. Obstetrics & Gynecology 2004;104(2):301–307.CrossRef
Metadata
Title
Factors related to urinary incontinence among the Malaysian elderly
Authors
S. A. Eshkoor
Tengku Aizan Hamid
S. Shahar
C. Y. Mun
Publication date
01-02-2017
Publisher
Springer Paris
Published in
The journal of nutrition, health & aging / Issue 2/2017
Print ISSN: 1279-7707
Electronic ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-016-0779-x

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