Department of Physiotherapy, Postgraduation Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Physical Therapy Course, Centro Universitário de Belo Horizonte, Centro Universitário UNA, Belo Horizonte, Minas Gerais, Brazil.
Neurourol Urodyn. 2021 Nov;40(8):1999-2007. doi: 10.1002/nau.24782. Epub 2021 Sep 4.
To identify the prevalence, clinical and functional factors associated with urinary symptoms (US) in community-dwelling older adults with acute low back pain (LBP).
This was a cross-sectional study of data's baseline of Back Complaints in the Elders Consortium. All elders had LPB heightened. We analyzed data on urinary symptoms, intensity of pain (Numerical Rating Scale (NRS), disability (Roland Morris [RM]), depressive symptoms (CES-D), and gait speed (m/s) in the Brazilian older adults. The sample was of 586 consecutive participants of BACE-Study. Ethical approval was obtained. In addition to the prevalence analysis, logistic regression analysis was performed.
The prevalence of US was 18.4% and were associated with CES-D (odds ratio [OR] = 2.84; 95% confidence interval [CI] 1.66-4.86), slower gait speed (OR = 0.33; 95% CI 0.14-0.78), and LBP-related disability (OR = 1.09; 95% CI 1.04-1.13) after adjusting for radiculophaty and other confounding factors.
In community-dwelling older people with LBP, US were associated with depressive symptoms, gait speed, and disability. Our findings may provide a new framework for US management with respect to clinical and functional capacity. Specific physical examinations should be encouraged to assess the with acute LBP and US. Others factors can be associated with US in elders with LBP.
确定伴有急性腰痛（LBP）的社区居住老年人群中，与尿症状（US）相关的流行率、临床和功能因素。
这是一项对老年人腰痛联合研究（Back Complaints in the Elders Consortium）数据基线的横断面研究。所有老年人都有 LBP 加重。我们分析了巴西老年人的尿症状、疼痛强度（数字评分量表（NRS））、残疾（罗伦兹·莫里斯（Roland Morris）[RM]）、抑郁症状（CES-D）和步态速度（m/s）的数据。该样本由 BACE-Study 的 586 名连续参与者组成。获得了伦理批准。除了流行率分析外，还进行了逻辑回归分析。
US 的患病率为 18.4%，与 CES-D（比值比 [OR] = 2.84；95%置信区间 [CI] 1.66-4.86）、较慢的步态速度（OR = 0.33；95% CI 0.14-0.78）和与 LBP 相关的残疾（OR = 1.09；95% CI 1.04-1.13）相关，调整了神经根病和其他混杂因素后。
在伴有 LBP 的社区居住老年人中，US 与抑郁症状、步态速度和残疾有关。我们的研究结果可能为 US 管理提供一个新的临床和功能能力框架。应鼓励进行特定的体格检查以评估急性 LBP 和 US。其他因素可能与伴有 LBP 的老年人的 US 相关。
