Gender differences in the associations between knee pain and urinary incontinence in older adults: Cross-sectional analysis from the Malaysian Elders Longitudinal Research Study (MELoR)
IntroductionThe common assumption that urinary incontinence occurs in osteoarthritis (OA) due to poor mobility is supported by limited evidence. The influence of gender in such associations is also yet to be elucidated. ObjectiveThis study, therefore, identified any potential associations between kn...
Saved in:
Main Authors: | , , , , , , , , , , , , , |
---|---|
Format: | Article |
Published: |
Wiley
2023
|
Subjects: | |
Online Access: | http://eprints.um.edu.my/38650/ |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
my.um.eprints.38650 |
---|---|
record_format |
eprints |
spelling |
my.um.eprints.386502023-11-28T08:31:26Z http://eprints.um.edu.my/38650/ Gender differences in the associations between knee pain and urinary incontinence in older adults: Cross-sectional analysis from the Malaysian Elders Longitudinal Research Study (MELoR) Mat, Sumaiyah Jaafar, Mohamad Hasif Abdul Razack, Azad Hassan Abdul Lim, Jasmine Ong, Teng Aik Khong, Su-Yen Kamaruzzaman, Shahrul Bahyah Chin, Ai-Vyrn Abbas, Azlina Amir Chan, Chee Ken Hairi, Noran Naqiah Othman, Sajaratulnisah Tan, Maw Pin Investigators, MELoR HQ The family. Marriage. Woman HV Social pathology. Social and public welfare IntroductionThe common assumption that urinary incontinence occurs in osteoarthritis (OA) due to poor mobility is supported by limited evidence. The influence of gender in such associations is also yet to be elucidated. ObjectiveThis study, therefore, identified any potential associations between knee OA symptoms and urinary incontinence and further explore sex differences in the associations. DesignCross-sectional study. SettingUniversity Hospital. ParticipantsThis was a cross-sectional study from a longitudinal research study comprising 1221 community-dwelling older persons (57% women), mean age (SD) 68.95 (7.49) years. Main Outcome Measure(s)Presence of urinary incontinence: mixed, stress and urge symptoms. Physical performance and C-reactive protein levels were also assessed. ResultsTwo hundred and seventy-seven (22.83%) individuals reported the presence of urinary incontinence: mixed (41.5%), stress (30%), and urge (28.5%) symptoms. In an unadjusted analysis, stratified by gender, the association between knee pain and urinary incontinence was only present in women with mixed symptoms. After further adjustment of demographics differences and body mass index, the association between knee pain with any urinary incontinence and mixed symptoms remained significant with the odds ratios (95% confidence interval): 1.48 (1.02-2.15) and 1.73 (1.06-2.83), respectively. This relationship was attenuated after further adjustment for waist circumference and impaired lower limb mobility. ConclusionOur study refutes previous assumptions that urinary incontinence in individuals with OA is attributed to impaired mobility alone, but introduces the role of abdominal obesity in this relationship, particularly in women. Future studies should assess the temporal relationship between body fat distribution and OA with urinary incontinence. Wiley 2023-03 Article PeerReviewed Mat, Sumaiyah and Jaafar, Mohamad Hasif and Abdul Razack, Azad Hassan Abdul and Lim, Jasmine and Ong, Teng Aik and Khong, Su-Yen and Kamaruzzaman, Shahrul Bahyah and Chin, Ai-Vyrn and Abbas, Azlina Amir and Chan, Chee Ken and Hairi, Noran Naqiah and Othman, Sajaratulnisah and Tan, Maw Pin and Investigators, MELoR (2023) Gender differences in the associations between knee pain and urinary incontinence in older adults: Cross-sectional analysis from the Malaysian Elders Longitudinal Research Study (MELoR). Neurourology and Urodynamics, 42 (3). pp. 641-649. ISSN 0733-2467, DOI https://doi.org/10.1002/nau.25136 <https://doi.org/10.1002/nau.25136>. 10.1002/nau.25136 |
institution |
Universiti Malaya |
building |
UM Library |
collection |
Institutional Repository |
continent |
Asia |
country |
Malaysia |
content_provider |
Universiti Malaya |
content_source |
UM Research Repository |
url_provider |
http://eprints.um.edu.my/ |
topic |
HQ The family. Marriage. Woman HV Social pathology. Social and public welfare |
spellingShingle |
HQ The family. Marriage. Woman HV Social pathology. Social and public welfare Mat, Sumaiyah Jaafar, Mohamad Hasif Abdul Razack, Azad Hassan Abdul Lim, Jasmine Ong, Teng Aik Khong, Su-Yen Kamaruzzaman, Shahrul Bahyah Chin, Ai-Vyrn Abbas, Azlina Amir Chan, Chee Ken Hairi, Noran Naqiah Othman, Sajaratulnisah Tan, Maw Pin Investigators, MELoR Gender differences in the associations between knee pain and urinary incontinence in older adults: Cross-sectional analysis from the Malaysian Elders Longitudinal Research Study (MELoR) |
description |
IntroductionThe common assumption that urinary incontinence occurs in osteoarthritis (OA) due to poor mobility is supported by limited evidence. The influence of gender in such associations is also yet to be elucidated. ObjectiveThis study, therefore, identified any potential associations between knee OA symptoms and urinary incontinence and further explore sex differences in the associations. DesignCross-sectional study. SettingUniversity Hospital. ParticipantsThis was a cross-sectional study from a longitudinal research study comprising 1221 community-dwelling older persons (57% women), mean age (SD) 68.95 (7.49) years. Main Outcome Measure(s)Presence of urinary incontinence: mixed, stress and urge symptoms. Physical performance and C-reactive protein levels were also assessed. ResultsTwo hundred and seventy-seven (22.83%) individuals reported the presence of urinary incontinence: mixed (41.5%), stress (30%), and urge (28.5%) symptoms. In an unadjusted analysis, stratified by gender, the association between knee pain and urinary incontinence was only present in women with mixed symptoms. After further adjustment of demographics differences and body mass index, the association between knee pain with any urinary incontinence and mixed symptoms remained significant with the odds ratios (95% confidence interval): 1.48 (1.02-2.15) and 1.73 (1.06-2.83), respectively. This relationship was attenuated after further adjustment for waist circumference and impaired lower limb mobility. ConclusionOur study refutes previous assumptions that urinary incontinence in individuals with OA is attributed to impaired mobility alone, but introduces the role of abdominal obesity in this relationship, particularly in women. Future studies should assess the temporal relationship between body fat distribution and OA with urinary incontinence. |
format |
Article |
author |
Mat, Sumaiyah Jaafar, Mohamad Hasif Abdul Razack, Azad Hassan Abdul Lim, Jasmine Ong, Teng Aik Khong, Su-Yen Kamaruzzaman, Shahrul Bahyah Chin, Ai-Vyrn Abbas, Azlina Amir Chan, Chee Ken Hairi, Noran Naqiah Othman, Sajaratulnisah Tan, Maw Pin Investigators, MELoR |
author_facet |
Mat, Sumaiyah Jaafar, Mohamad Hasif Abdul Razack, Azad Hassan Abdul Lim, Jasmine Ong, Teng Aik Khong, Su-Yen Kamaruzzaman, Shahrul Bahyah Chin, Ai-Vyrn Abbas, Azlina Amir Chan, Chee Ken Hairi, Noran Naqiah Othman, Sajaratulnisah Tan, Maw Pin Investigators, MELoR |
author_sort |
Mat, Sumaiyah |
title |
Gender differences in the associations between knee pain and urinary incontinence in older adults: Cross-sectional analysis from the Malaysian Elders Longitudinal Research Study (MELoR) |
title_short |
Gender differences in the associations between knee pain and urinary incontinence in older adults: Cross-sectional analysis from the Malaysian Elders Longitudinal Research Study (MELoR) |
title_full |
Gender differences in the associations between knee pain and urinary incontinence in older adults: Cross-sectional analysis from the Malaysian Elders Longitudinal Research Study (MELoR) |
title_fullStr |
Gender differences in the associations between knee pain and urinary incontinence in older adults: Cross-sectional analysis from the Malaysian Elders Longitudinal Research Study (MELoR) |
title_full_unstemmed |
Gender differences in the associations between knee pain and urinary incontinence in older adults: Cross-sectional analysis from the Malaysian Elders Longitudinal Research Study (MELoR) |
title_sort |
gender differences in the associations between knee pain and urinary incontinence in older adults: cross-sectional analysis from the malaysian elders longitudinal research study (melor) |
publisher |
Wiley |
publishDate |
2023 |
url |
http://eprints.um.edu.my/38650/ |
_version_ |
1783876670192615424 |
score |
13.19449 |