Reaves Simone, Arya Lily A, Newman Diane K, Wyman Jean, Klusaritz Heather, Walsh Wendy, Brown Rebecca T, Andy Uduak U
Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA.
Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Adv Geriatr Med Res. 2023;5(4). doi: 10.20900/agmr20230011. Epub 2024 Jan 25.
Urinary incontinence is common in older women and doubles the risk of falls in this population. The association between urinary incontinence, especially urgency urinary incontinence, and falls is multifactorial and likely the result of a complex interaction between physical, mental, social, and environmental factors. As a result of this multifactorial etiology and based on existing evidence, the integration of different fall prevention strategies including strength and resistance exercises, bladder training, and home hazard reduction have the potential to decrease the risk of falls in older women with urinary incontinence. Given the prevalence of urinary incontinence and the significant morbidity associated with falls, effective interventions to reduce fall risk in older women with urinary incontinence is of high public health significance.
尿失禁在老年女性中很常见,会使该人群跌倒风险增加一倍。尿失禁,尤其是急迫性尿失禁与跌倒之间的关联是多因素的,可能是身体、心理、社会和环境因素之间复杂相互作用的结果。由于这种多因素病因,并基于现有证据,综合运用包括力量和阻力训练、膀胱训练以及减少家庭危险因素等不同的跌倒预防策略,有可能降低老年尿失禁女性的跌倒风险。鉴于尿失禁的患病率以及与跌倒相关的显著发病率,有效干预措施以降低老年尿失禁女性的跌倒风险具有很高的公共卫生意义。