Akademik Veri Yönetim Sistemi
WORLD CONGRESS ON OSTEOPOROSIS, OSTEOARTHRITIS AND MUSCULOSKELETAL DISEASES 2019, Paris, Fransa, 4 - 07 Nisan 2019, ss.638-639
Objective: Urinary incontinence (UI) and sarcopenia are common geriatric syndromes. They both increase the risk of falls and fractures in older adults. Identification of factors associated with UI is necessary to identify risky individuals, to take preventive measures and to recognize commonly associated comorbidities. We suggest that sarcopenia and/or its components may be associated with stress and urgency UI through decrease in muscle mass/ strength. In this study, we aimed to investigate the relationship between UI (stress and/or urgency) and sarcopenia.
Methods: Female older adults ³60 y that applied to geriatric outpatient clinic were analyzed cross-sectionally. Demographic data, clinical data including the presence of UI, UI types fecal incontinence, constipation were obtained. Functional status was assessed by basic and instrumental activities of daily living (ADL and IADL), nutrition by mini-nutritional assessment-short form (MNA-SF). Total muscle mass was measured by bioimpedance analysis and adjusted by three different methods (by height2, BMI or weight). Hand grip strength and walking speed were assessed. The factors found significantly associated with UI in univariate analysis were further evaluated by logistic regression analysis.
Results: A total of 802 female adults were included. The prevalence of UI was 48.9%. Associated factors with presence of UI were higher age and BMI, presence of fecal incontinence, constipation, lower activities of ADL and IADL scores, lower grip strength, lower skeletal muscle mass adjusted by weight and BMI and presence of sarcopenia adjusted by weight and BMI in univariate analyses. In regression analysis independent factors related with UI were presence of fecal incontinence, constipation, IADL dependency, low muscle mass adjusted by weight and BMI and sarcopenia adjusted by weight.
Conclusion: The results of our study suggest that UI is independently associated with sarcopenia when muscle mass was adjusted by weight and also with presence of low muscle mass when muscle mass was adjusted by weight or BMI. Sarcopenia and urinary incontinence are related and both increase the risk of falls and fracture. The primary aim should be the prevention of sarcopenia in order to decrease the risk of falls.