Department of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Department of Cardiovascular Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
World J Urol. 2023 Sep;41(9):2429-2435. doi: 10.1007/s00345-023-04537-2. Epub 2023 Jul 31.
To investigate the association between sleep duration and urgency urinary incontinence (UUI) among adult women.
Cross-sectional data were retrieved from the 2005-2014 National Health and Nutrition Examination Survey. To explore the association between sleep duration and urgency urinary incontinence, multivariable logistic regression and restricted cubic spline (RCS) regression analysis was carried out.
Among 9204 adult women, the weighted urinary incontinence prevalence was 31% for urgency urinary incontinence (UUI). The fully adjusted multivariable model revealed that participants with short (< 7 h) or long (> 9 h) sleep duration were more likely to report UUI compared to participants with normal (7-9 h) sleep duration (OR 1.20, 95% CI 1.03-1.40, p = 0.02, OR 1.40, 95% CI 1.11-1.76, p = 0.005, respectively). Subgroup analysis showed no significant interaction. Furthermore, additional analysis demonstrated a U-shaped correlation between sleep duration and incident UUI.
The non-linear association exists between sleep duration and urgency urinary incontinence. Compared with insufficient or excessive sleep, normal sleep duration is related to lower prevalence of urgency urinary incontinence. Future prospective longitudinal studies should be conducted to further investigate and determine the degree of the association between sleep time and urgent urinary incontinence.
调查成人女性睡眠时间与急迫性尿失禁（UUI）之间的关联。
从 2005-2014 年全国健康和营养调查中提取横断面数据。为了探讨睡眠时间与急迫性尿失禁之间的关联，进行了多变量逻辑回归和受限立方样条（RCS）回归分析。
在 9204 名成年女性中，急迫性尿失禁的加权发生率为 31%。完全调整后的多变量模型显示，与正常睡眠时间（7-9 小时）的参与者相比，睡眠时间短（<7 小时）或长（>9 小时）的参与者更有可能报告 UUI（OR 1.20，95%CI 1.03-1.40，p=0.02，OR 1.40，95%CI 1.11-1.76，p=0.005）。亚组分析显示没有显著的交互作用。此外，进一步的分析表明，睡眠时间与新发 UUI 之间存在 U 形相关性。
睡眠时间与急迫性尿失禁之间存在非线性关联。与睡眠不足或过多相比，正常的睡眠时间与较低的急迫性尿失禁发生率相关。未来应进行前瞻性纵向研究，以进一步调查和确定睡眠时间与急迫性尿失禁之间的关联程度。
