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马来西亚老年人尿失禁的相关因素

Factors Related to Urinary Incontinence among the Malaysian Elderly.

作者信息

Eshkoor S A, Hamid T A, Shahar S, Mun C Y

机构信息

Tengku Aizan Hamid, Malaysian Research on Aging (MyAging), University Putra Malaysia, Serdang, Malaysia, E-mail:

出版信息

J Nutr Health Aging. 2017;21(2):220-226. doi: 10.1007/s12603-016-0779-x.

DOI:10.1007/s12603-016-0779-x
PMID:28112780
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.

摘要

背景

尿失禁是老年人中一种普遍存在的情况,即尿液的自主泄漏。它是一个与年龄相关的问题,在65岁以上人群中尤其增加。它会引起许多心理、行为、生物、经济和社会影响。尿失禁的治疗可以降低发病率和死亡率。因此,本研究旨在确定年龄、种族、性别、教育程度、婚姻状况、体重、血液成分和营养参数等变量对马来西亚老年人尿失禁的影响。

方法

该研究针对2322名非机构化的马来西亚老年人。应用层次逻辑回归分析来估计受访者中尿失禁独立变量的风险。

结果

研究结果表明,约3.80%的受试者患有尿失禁。此外,发现便秘是增加样本中尿失禁风险的一个重要因素(p = 0.006;OR = 3.77)。饮食中单不饱和脂肪的增加(p = 0.038;OR = 0.59)和血浆甘油三酯水平的增加(p = 0.029;OR = 0.56)显著降低了受试者尿失禁的风险。许多疑似变量,包括社会人口统计学因素、疾病、营养矿物质、血液成分和体重,对受访者的尿失禁来说都是无关因素。

结论

便秘增加了受试者尿失禁的风险,而饮食中单不饱和脂肪和血浆甘油三酯水平的增加则降低了风险。

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