Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT)

被引:96
作者
Ebbesen, Marit Helen [1 ]
Hunskaar, Steinar [1 ,2 ]
Rortveit, Guri [1 ,3 ]
Hannestad, Yngvild Skaatun [1 ]
机构
[1] Univ Bergen, Dept Global Hlth & Primary Hlth Care, Res Grp Gen Practice, Bergen, Norway
[2] Uni Hlth, Uni Res, Bergen, Norway
[3] Uni Hlth, Uni Res, Res Unit Gen Practice, Bergen, Norway
来源
BMC UROLOGY | 2013年 / 13卷
关键词
Prevalence; Incidence; Remission; Urinary incontinence; Diabetes; Women; Epidemiology; EPINCONT; HUNT; MIDDLE-AGED WOMEN; EPIDEMIOLOGIC SURVEY; PROSPECTIVE COHORT; TRACT SYMPTOMS; SEVERITY INDEX; OLDER-ADULTS; RISK-FACTORS; OBESE WOMEN; WEIGHT-LOSS; POPULATION;
D O I
10.1186/1471-2490-13-27
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background: To determine incidence and remission of UI as well as changes in UI prevalence in the Norwegian EPINCONT surveys. Methods: The EPINCONT surveys were conducted in the county of Nord-Trondelag, Norway, as part of two large cross-sectional health surveys (HUNT2 and HUNT3) in 1995 - 1997 (EPINCONT1 (E1)), and 2006 - 2008 (EPINCONT2 (E2)). EPINCONT collected information about prevalence of UI, as well as information about type and severity of UI. Results: A 16% relative increase in UI prevalence was found in 11 years. The women who answered E2 were significantly older, had a higher BMI and higher prevalence of diseases such as asthma, diabetes and angina compared with the women who answered E1. The incidence of UI was 18.7%. Increase in BMI (OR 1.03, 95% CI: 1.02 - 1.04), weight increase (OR 1.29 (95% CI: 1.14 - 1.45) for gaining 3 - 10 kilos and OR 1.71 (95% CI: 1.47 - 1.99) for gaining 10 kilos or more) and parity (OR 1.37 (95% CI: 1.04 - 1.79) for 1 childbirth, OR 1.28 (95% CI: 1.03 - 1.61) for 2 childbirths, and OR 1.56 (95% CI: 1.26 - 1.95) for 3 or more childbirths when participating in E2) were all found to be associated with increased odds of incident UI in adjusted regression analyses. Increasing age reduced the odds of incident UI. The 11 year remission of UI was 34.1%. Increasing age (OR 0.98, 95% CI: 0.98 - 0.99), increasing BMI (OR 0.96, 95% CI: 0.95 - 0.98) and large weight gains of 10 kilos or more (OR 0.69, 95% CI: 0.54 - 0.88) were all associated with reduced remission of UI. Conclusion: Crude UI prevalence increased between the studies. Changes in known risk factors for UI such as age, BMI, weight and parity could explain some of the relative increase in prevalence, and were also found to be associated with either incidence of UI, remission of UI or both.
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页数:10
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