Urinary incontinence: risk factors and frequency in women above 60 years of age in the Southeast of Mexico
DOI:
https://doi.org/10.48193/revistamexicanadeurologa.v79i3.408Keywords:
Urinary incontinence, Risk factors, Women, Quality of lifeAbstract
Objective: To determine the frequency, risk factors, and impact on quality of life of urinary incontinence in older women.
Materials and Methods: An analytic, observational, cross-sectional study was conducted on a population of women over 60 years of age. Sociodemographic, gynecologic/obstetric, and lifestyle variables, were collected, along with clinical histories, and the patients answered the International Consultation on Incontinence Questionnaire (iciq-sf).
Results: Ninety-six women were included in the study and their mean age was 71 ±0.66 years. Of the study participants, 56.25% presented with urinary incontinence. A total of 37.04% had urge incontinence, 33.33% presented with stress incontinence, 16.67% had mixed incontinence, and 13% of the cases of incontinence were unclassifiable. The variables associated with urinary incontinence were: number of births (p=0.027), having had 3 or more children (p=0.032), and diabetes mellitus (p=0.028). Mixed urinary incontinence was the type that was most associated with compromised quality of life (p<0.001).
Limitations and implications: The study was conducted utilizing self-applied questionnaires. The sample was recruited from an educational program for older adults with a middle-to-high socioeconomic status.
Originality. The study was conducted in Yucatán, Mexico, and no previous descriptive studies on incontinence have been carried out on that population.
Discussion and conclusions. Urinary incontinence affected more than half of the women studied, with compromised quality of life classified as moderate. A high number of deliveries was the most outstanding risk factor.
References
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. Estandarización de la terminología de la función del tracto urinario inferior: reporte del subcomité de estandarización de la international continence society(ICS). Revista Chilena de Urología. 2006;71(2):79–94. [accessed 13 Jul 2019] Available from: http://www.revistachilenadeurologia.cl/estandarizacion-de-la-terminologia-de-la-funcion-del-tracto-urinario-inferior-reporte-del-subcomite-de-estandarizacion-de-la-international-continence-societyics/
León Torres K. Incontinencia urinaria. Rev Med Cos Cen. 2016;73(619):247–53. [accessed 13 Jul 2019] Available from: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=67456
Téllez-Díaz Trujillo JA, Aragón-Castro MA, Vázquez-Niño LC, Gutiérrez-Rosales R, Ruvalcaba-Oceguera GE, Guerrero-Reyes G. Aspectos actuales en el tratamiento de la incontinencia urinaria de esfuerzo en mujeres. Rev Mex Urol. 2017;77(5):411–8. [accessed 13 Jul 2019] Available from: www.revistamexicanadeurologia.org.mx
Secretaria de Salud. Incontinencia Urinaria en la Persona Adulta Mayor. Guía de consulta para el Médico de primer nivel de atención. México D.F.: Secretaria de Salud; 2010. Available from: http://www.cenaprece.salud.gob.mx/programas/interior/adulto/descargas/pdf/Guia_primer_nivel_incontinencia_urinaria.pdf
Cortés-Gálvez JM, Martínez-Monje F, Reynoso C, Jiménez-Garzón VA, Alfonso-Cano C, Leal-Hernández M. Incontinencia urinaria “oculta” ¿afecta a la calidad de vida de nuestros pacientes? Rev Mex Urol. 2014;74(2):123–5. [accessed 13 Jul 2019] Available from: http://www.revistamexicanadeurologia.org.mx/index.php/rmu/article/view/168
García-Astudillo E, Pinto-García MP, Laguna-Sáez J. Incontinencia urinaria: frecuencia y factores asociados. Fisioterapia. 2015;37(4):145–54. [accessed 13 Jul 2019] Available from: http://www.sciencedirect.com/science/article/pii/S0211563814001370
Rebassa M, Taltavull JM, Gutiérrez C, Ripoll J, Esteva A, Miralles J, et al. Incontinencia urinaria en mujeres de Mallorca: prevalencia y calidad de vida. Actas Urológicas Españolas. 2013;37(6):354–61. [accessed 13 Jul 2019] Available from: http://www.sciencedirect.com/science/article/pii/S0210480612003877
CONAPO. Proyecciones de la Población 2010-2050. México D.F.: CONAPO; 2012. 100 p. Available from: https://www.gob.mx/cms/uploads/attachment/file/63977/Documento_Metodologico_Proyecciones_Mexico_2010_2050.pdf
Capulín RG, Otero KYD, Reyes RPR. El concepto de familia en México: una revisión desde la mirada antropológica y demográfica. CIENCIA ergo-sum. 2016;23(3):219–28. [accessed 13 Jul 2019] Available from: https://cienciaergosum.uaemex.mx/article/view/7364
Martínez Agulló E, Ruiz Cerdá JL, Gómez Pérez L, Ramírez Backhaus M, Delgado Oliva F, Rebollo P, et al. Prevalencia de Incontinencia Urinaria y Vejiga Hiperactiva en la población española: Resultados del Estudio EPICC. Actas Urológicas Españolas. 2009;33(2):159–66. [accessed 13 Jul 2019] Available from: http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0210-48062009000200011&lng=es&nrm=iso&tlng=es
Klovning A, Avery K, Sandvik H, Hunskaar S. Comparison of two questionnaires for assessing the severity of urinary incontinence: The ICIQ-UI SF versus the incontinence severity index. Neurourol Urodyn. 2009;28(5):411–5. doi: https://doi.org/10.1002/nau.20674
Cervantes-Becerra RG, Villareal-Ríos E, Galicia-Rodríguez L, Vargas-Daza ER, Martínez-González L. Estado de salud en el adulto mayor en atención primaria a partir de una valoración geriátrica integral. Atención primaria: Publicación oficial de la Sociedad Española de Familia y Comunitaria. 2015;47(6):329–35. [accessed 13 Jul 2019] Available from: https://www.sciencedirect.com/science/article/pii/S0212656714002716
Busquets C M, Serra T R. Validación del cuestionario International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF) en una población chilena usuaria del Fondo Nacional de Salud (FONASA). Revista médica de Chile. 2012;140(3):340–6. [accessed 13 Jul 2019] Available from: https://scielo.conicyt.cl/scielo.php?script=sci_abstract&pid=S0034-98872012000300009&lng=es&nrm=iso&tlng=es
Juul S, Frydenberg M. An Introduction to Stata for Health Researchers, Fourth Edition. 4 edition. College Station, Texas: Stata Press; 2014. 346 p.
Aguilar-Navarro SG. Incontinencia urinaria en el adulto mayor. Rev Enferm IMSS. 2007;15(1):51–6. [accessed 13 Jul 2019] Available from: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=18893
Chiang HM, Susaeta RC, Valdevenito RS, Rosenfeld RV, Finsterbusch CR. Incontinencia urinaria. Rev Med Clin Condes. 2013;24(2):219–27. [accessed 13 Jul 2019] Available from: http://www.elsevier.es/es-revista-revista-medica-clinica-las-condes-202-articulo-incontinencia-urinaria-S0716864013701536
Fuganti PE, Gowdy JM, Santiago NC. Obesity and smoking: are they modulators of cough intravesical peak pressure in stress urinary incontinence? Int Braz J Urol. 2011;37(4):528–33. doi: https://doi.org/10.1590/s1677-55382011000400013
Rincón Ardila O. Caracterización clínica de la incontinencia urinaria y factores asociados en usuarias de la Unidad de la Mujer del Centro de Salud Familiar “Ultraestación” en la ciudad de Chillán, Chile. Revista médica de Chile. 2015;143(2):203–12. [accessed 13 Jul 2019] Available from: https://scielo.conicyt.cl/scielo.php?script=sci_abstract&pid=S0034-98872015000200008&lng=es&nrm=iso&tlng=es
Schreiber Pedersen L, Lose G, Høybye MT, Elsner S, Waldmann A, Rudnicki M. Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark. Acta Obstet Gynecol Scand. 2017;96(8):939–48. doi: https://doi.org/10.1111/aogs.13149
Jiménez-Rodríguez J, Carbajal-Ramírez A, Meza-Vázquez H, Moreno-Palacios J, Serrano-Brambila E. [Prevalence of urinary tract symptoms in women with diabetes mellitus]. Rev Med Inst Mex Seguro Soc. 2016;54(1):70–4.
Robles JE. La incontinencia urinaria. Anales del Sistema Sanitario de Navarra. 2006;29(2):219–31. [accessed 13 Jul 2019] Available from: http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1137-66272006000300006&lng=es&nrm=iso&tlng=es
Sensoy N, Dogan N, Ozek B, Karaaslan L. Urinary incontinence in women: prevalence rates, risk factors and impact on quality of life. Pak J Med Sci. 2013;29(3):818–22. doi: http://dx.doi.org/10.12669/pjms.293.3404
Demir O, Sen V, Irer B, Bozkurt O, Esen A. Prevalence and Possible Risk Factors for Urinary Incontinence: A Cohort Study in the City of Izmir. Urol Int. 2017;99(1):84–90. doi: https://doi.org/10.1159/000466705
García-Bascones M, Puentes-Gutiérrez AB, Rubio-Hidalgo E, López-Zarzuela MC, Puentes-Gutiérrez R, García-Serrano G. Mejoría de la calidad de vida en mujeres con incontinencia tras el tratamiento rehabilitador. ¿Existe relación entre el ICIQ-SF y el pad test? Rehabilitación. 2012 Apr 1;46(2):141–6. [accessed 13 Jul 2019] Available from: http://www.sciencedirect.com/science/article/pii/S004871201100171X
Tang DH, Colayco DC, Khalaf KM, Piercy J, Patel V, Globe D, et al. Impact of urinary incontinence on healthcare resource utilization, health-related quality of life and productivity in patients with overactive bladder. BJU Int. 2014;113(3):484–91. doi: https://doi.org/10.1111/bju.12505
Minassian VA, Sun H, Yan XS, Clarke DN, Stewart WF. The interaction of stress and urgency urinary incontinence and its effect on quality of life. Int Urogynecol J. 2015;26(2):269–76. doi: https://doi.org/10.1007/s00192-014-2505-8
Rodríguez-Adams EM. Factores de riesgo no obstétrico y calidad de vida en mujeres de edad mediana con incontinencia urinaria. Revista Cubana de Obstetricia y Ginecología. 2014;40(1):119–35. [accessed 13 Jul 2019] Available from: http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0138-600X2014000100013&lng=es&nrm=iso&tlng=es
Secretaria de Salud. Guía de referencia. Detección, Diagnóstico y Tratamiento Inicial de Incontinencia Urinaria en la Mujer, México. Secretaria de Salud; 2009. Available from: http://www.cenetec-difusion.com/CMGPC/IMSS-056-08/RR.pdf
