Mobility impairment is associated with urge but not stress urinary incontinence in community‐dwelling older women: results from the O ssébo study
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Objective: To assess the association between functional limitations related to mobility and urinary incontinence ( UI ) in elderly women. Design: An observational cross‐sectional study. Setting: Nine ‘balance’ workshops in F rance. Population: A total of 1942 community‐dwelling women aged 75–85 years, who were invited, based on voter registration lists, to a ‘balance assessment’. Methods: Mobility and balance test results for incontinent women were compared with those for continent women according to the severity and type of incontinence. Main outcome measures: Data on UI were collected using a self‐administered questionnaire ( I nternational C onsultation on I ncontinence Q uestionnaire— S hort F orm). Motor‐related physical abilities were assessed using standardised balance and functional gait tests. Results: Forty‐two per cent of women had involuntary urine leakage, with daily leaks in 57% of them; 24% had stress UI , 31% had urge UI , and 37% had mixed UI . Results for each functional test were poorer for women with UI and the limitation was more pronounced when the incontinence was severe. Multivariate logistic regression analyses showed that balance and gait impairments were significantly and independently associated with urge UI (walking speed, lower versus higher quartile, odds ratio ( OR ) 2.2; 95% confidence interval (95% CI ) 1.4–3.5; walking balance, unable versus able to do four tandem steps ( OR 1.6; 95% CI 1.2–2.2) but not with stress UI . Conclusions: In this large population of older women living at home, there was a strong association between limitation of motor and balance skills and UI , which was proportional to the severity of incontinence and related specifically to urge incontinence. These results offer new perspectives on the prevention and treatment of urge incontinence in elderly women.
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Many older women with pelvic floor disorders, especially those with urinary and fecal incontinence, have limited mobility, which increases their dependence on caregivers to travel to providers' offices.
“Many older women with pelvic floor disorders, especially those with urinary and fecal incontinence, also suffer from limited mobility, thus increasing their dependence on caregivers to travel to their providers’ office.13,14”
From Willingness of women with pelvic floor disorders to use mobile technology to communicate with their health care providers (2019) · cites this paper as [13]
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Lee, D. D., Arya, L. A., Andy, U. U., Sammel, M. D., & Harvie, H. S. (2019) · Female Pelvic Medicine & Reconstructive Surgery · doi:10.1097/spv.0000000000000668 · Cited by 21 · see citing works
“Recurrent urinary tract infection 27 (13) Hematuria 6 (3) Other 8 (4)”
- Authors
- Fritel, X., Lachal, L., Cassou, B., Fauconnier, A., & Dargent‐Molina, P.
- Affiliations
- Inserm (FR)
- Université de Versailles Saint-Quentin-en-Yvelines (FR)
- Corresponding author
- Fritel, X
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 2013-06-10
- Volume
- 120
- Issue
- 12
- Pages
- 1566-1574
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- 1471-0528
- OpenAlex
- W2134537959
- Cited by
- 80
- References
- 42
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 9 · 2023: 5 · 2022: 2 · 2021: 8 · 2020: 11 · 2019: 8 · 2018: 3 · 2017: 10 · 2016: 3 · 2015: 6 · 2014: 5 · 2013: 1
- FWCI
- 4.09
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Funders
- French National Research Agency
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- urinary incontinence, urge urinary incontinence, stress urinary incontinence, mobility impairment, balance disorders, gait disturbance, older women, community-dwelling older adults, functional limitations, walking speed, tandem stance, incontinence severity
- MeSH terms
- Accidental Falls, Aged, Aged, 80 and over, Cross-Sectional Studies, Postural Balance, Female, Humans, Movement Disorders, Psychomotor Disorders, Quality of Life, Urinary Incontinence, Stress, Walking, Urinary Incontinence, Urge, Independent Living
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