女性尿失禁与老年健康问题之间的关联：韩国老龄化纵向研究（2006年）的结果
Association between Female Urinary Incontinence and Geriatric Health Problems: Results from Korean Longitudinal Study of Ageing (2006).
作者信息
Sohn Kyungjin, Lee Chang Ki, Shin Jinyoung, Lee Jungkwon
机构信息
Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Department of Urology, Pyeongchang Health Center and County Hospital, Pyeongchang, Korea.
出版信息
Korean J Fam Med. 2018 Jan;39(1):10-14. doi: 10.4082/kjfm.2018.39.1.10. Epub 2018 Jan 23.
BACKGROUND
Urinary incontinence (UI) is highly prevalent in the aging population. UI is one of the most common geriatric syndromes and affects overall health, quality of life, and economical burden in patients. The aims of this study were to investigate the characteristics of patients with UI and to assess its association with other geriatric health problems.
METHODS
We used data from the Korean Longitudinal Study of Ageing obtained in 2006. Among the 10,254 individuals aged 45 years and older, we analyzed data from 2,418 women aged 65 years and older. Data were obtained using questionnaires for UI, comorbidities, and lifestyle factors.
RESULTS
Among the 2,418 women aged 65 years and older, 506 (20.9%) had UI. Cerebrovascular disease (odds ratio [OR], 2.02; 95% confidence interval [CI], 1.26 to 3.23), arthritis (OR, 1.44; 95% CI, 1.18 to 1.77), and fear of falling (OR, 1.62; 95% CI, 1.18 to 2.22) were significantly associated with UI, while chronic lung disease, psychiatric disease, difficulty in daily living due to visual and hearing problems, and experiencing a fall in the last 2 years were not associated with UI.
CONCLUSION
Cerebrovascular disease, arthritis, and especially fear of falls were significantly associated with UI in elderly Korean women.
背景
尿失禁（UI）在老年人群中非常普遍。尿失禁是最常见的老年综合征之一，会影响患者的整体健康、生活质量和经济负担。本研究的目的是调查尿失禁患者的特征，并评估其与其他老年健康问题的关联。
方法
我们使用了2006年韩国老龄化纵向研究的数据。在10254名45岁及以上的个体中，我们分析了2418名65岁及以上女性的数据。通过尿失禁、合并症和生活方式因素的问卷获取数据。
结果
在2418名65岁及以上的女性中，506名（20.9%）患有尿失禁。脑血管疾病（优势比[OR]，2.02；95%置信区间[CI]，1.26至3.23）、关节炎（OR，1.44；95%CI，1.18至1.77）和害怕跌倒（OR，1.62；95%CI，1.18至2.22）与尿失禁显著相关，而慢性肺病、精神疾病、因视力和听力问题导致的日常生活困难以及过去两年内跌倒与尿失禁无关。
结论
脑血管疾病、关节炎，尤其是害怕跌倒与韩国老年女性的尿失禁显著相关。
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