Celik Nursanem, Celik Suleyman, Seyhan Zuleyha, Dasdelen Muhammed Furkan, Almas Furkan, Albayrak Selami, Horuz Rahim, Laguna Pilar, de la Rosette Jean, Kocak Mehmet
School of Medicine, Istanbul Medipol University, 34083 Istanbul, Türkiye.
International School of Medicine, Istanbul Medipol University, 34810 Istanbul, Türkiye.
J Clin Med. 2024 Apr 14;13(8):2272. doi: 10.3390/jcm13082272.
: Urinary incontinence diminishes quality of life, and its severity can be worsened by mobility impairments. This study explored the link between urinary incontinence, osteoarthritis, and back musculoskeletal system disorders, considering pain, mobility issues, and daily activity difficulties. : This cross-sectional study included respondents aged ≥ 15 years from the 2008 Turkish Health Studies Survey (n = 13,976). We assessed self-reported urinary incontinence, daily activity, mobility impairment, pain, osteoarthritis, and musculoskeletal disorders to explore their association with urinary incontinence. Gender-specific logistic regression models included chronic conditions related to urinary incontinence. : The prevalence of urinary incontinence was higher in the participants with osteoarthritis and back musculoskeletal system problems. Among the patients with osteoarthritis, the prevalence was 25.84% in the mobility-impaired group and 10.03% in the non-impaired group. Similarly, 33.02% of those with activities of daily living (ADL) difficulties and 12.93% of those without difficulties had incontinence. The frequency of urinary incontinence increased with pain severity. According to the multivariable logistic regression analyses, the adjusted odds ratio (95% confidence interval) of urinary incontinence for osteoarthritis was 1.58 (95% CI 1.23-2.02, < 0.01) for females and 2.38 (95% CI 1.62-3.49, < 0.01) for males. : Urinary incontinence was more common in females, increased with age, and was found to be associated with osteoarthritis and back musculoskeletal system disorders. Among the patients with osteoarthritis and back musculoskeletal system disorders, those with mobility impairment and daily activity difficulties had a higher prevalence of urinary incontinence. The patients with more severe pain had a higher frequency of urinary incontinence.
尿失禁会降低生活质量，而行动不便会加重其严重程度。本研究探讨了尿失禁、骨关节炎和背部肌肉骨骼系统疾病之间的联系，同时考虑了疼痛、行动问题和日常活动困难。：这项横断面研究纳入了2008年土耳其健康研究调查中年龄≥15岁的受访者（n = 13976）。我们评估了自我报告的尿失禁、日常活动、行动障碍、疼痛、骨关节炎和肌肉骨骼疾病，以探讨它们与尿失禁的关联。特定性别的逻辑回归模型纳入了与尿失禁相关的慢性疾病。：骨关节炎和背部肌肉骨骼系统问题患者中尿失禁的患病率更高。在骨关节炎患者中，行动不便组的患病率为25.84%，无障碍组为10.03%。同样，日常生活活动（ADL）有困难的患者中有33.02%存在尿失禁，无困难的患者中有12.93%存在尿失禁。尿失禁的频率随疼痛严重程度增加。根据多变量逻辑回归分析，女性骨关节炎患者尿失禁的调整优势比（95%置信区间）为1.58（95%CI 1.23 - 2.02，<0.01），男性为2.38（95%CI 1.62 - 3.49，<0.01）。：尿失禁在女性中更常见，随年龄增长而增加，并且与骨关节炎和背部肌肉骨骼系统疾病有关。在骨关节炎和背部肌肉骨骼系统疾病患者中，行动不便和日常活动有困难的患者尿失禁患病率更高。疼痛更严重的患者尿失禁频率更高。
