Article (Scientific journals)
Association between urinary incontinence and frailty: a systematic review and meta-analysis
Veronese, N.; Soysal, P.; Stubbs, B. et al.
2018In European Geriatric Medicine, 9 (5), p. 571-578
Peer reviewed
 

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Keywords :
Aged; Frailty; Meta-analysis; Urinary incontinence
Abstract :
[en] Purpose: Urinary incontinence (UI) and frailty are common geriatric syndromes. Although literature increasingly supports a relationship between these two conditions, no systematic review and meta-analysis has been performed on this topic. Therefore, we aimed to investigate the potential association between UI and frailty, through a meta-analytic approach. Methods: A systematic search in major databases was undertaken until 15th March 2018 for studies reporting the association between UI and frailty. The prevalence of UI in people with frailty (vs. those without) was pooled through an odds ratio (OR) and 95% confidence intervals (CIs), with a random-effects model. The other outcomes were summarized descriptively. Results: Among 828 papers, 11 articles were eligible, including 3784 participants (mean age 78.2 years; 55.1% women). The prevalence of UI was 39.1% in people with frailty and 19.4% in those without. A meta-analysis with five studies (1540 participants) demonstrated that UI was over twice as likely in frail people versus those without (OR 2.28; 95% CI 1.35–3.86; I2 = 61%). One cross-sectional study, adjusting for potential confounders and one longitudinal study confirmed that UI is significantly associated with frailty. In two cross-sectional studies, using adjusted analyses, frailty was more common in people with UI. Conclusion: Urinary incontinence is twice as common in older people with frailty compared to older people without frailty. Screening and the development of interventions for UI and frailty could prove useful for this common comorbidity. © 2018, European Geriatric Medicine Society.
Disciplines :
Public health, health care sciences & services
Author, co-author :
Veronese, N.;  National Research Council, Neuroscience Institute, Aging Branch, Padua, Italy
Soysal, P.;  Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
Stubbs, B.;  Physiotherapy Department, South London and Maudsley NHS Foundation Trust, London, United Kingdom, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom, Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford, United Kingdom
Marengoni, A.;  Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
Demurtas, J.;  Primary Care Department, Azienda USL Toscana Sud Est, Grosseto, Italy
Maggi, S.;  National Research Council, Neuroscience Institute, Aging Branch, Padua, Italy
Petrovic, M.;  Department of Internal Medicine (Geriatrics), Ghent University, Ghent, Belgium
Verdejo-Bravo, C.;  Department of Geriatric Department, Hospital Universitario Clinico San Carlos, Madrid, Spain
Aharony, L.
De Cock, J.
Nuotio, M. S.
Pedone, C.
Rifel, J.
Vandewalle, Nicolas  ;  Université de Liège - ULiège > Département de physique > Physique statistique
Velghe, A.
Vella, A.
Solmi, M.
Koyanagi, A.
Thompson, T.
Beudart, C.
Bruyère, Olivier  ;  Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Torbahn, G.
Firth, J.
Smith, L.
The Special Interest Group on Urinary Incontinence
The Special Interest Group of Systematic Reviews and Meta-Analysis for Healthy Aging, European Geriatric Medicine Society Eugms
More authors (16 more) Less
Language :
English
Title :
Association between urinary incontinence and frailty: a systematic review and meta-analysis
Publication date :
2018
Journal title :
European Geriatric Medicine
ISSN :
1878-7649
eISSN :
1878-7657
Publisher :
Springer International Publishing
Volume :
9
Issue :
5
Pages :
571-578
Peer reviewed :
Peer reviewed
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since 02 April 2020

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