The Influence of an Overactive Bladder on Falling: A Study of Females Aged 40 and Older in the Community
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: An overactive bladder (OAB) affects a person’s quality of life. Patients who suffer from OAB run to the toilet frequently to prevent incontinence, and this behavior increases their risk of falling and fear of falling. This study evaluated the influence of OAB on falls and concern about falling in females aged 40 and over living in urban and rural communities. Methods: We conducted a population-based cohort study using King’s Health Questionnaire (KHQ), the Korean version of Falls Efficacy Scale-International (KFES-I) and a questionnaire regarding falls, in females aged 40 and over in Guri city and Yangpyeong county. The data from 514 responders were analyzed. The definition of OAB was ‘moderately’ or ‘a lot’ of urgency, or urge incontinence in KHQ. Falls was defined as experience of falls in the last year. High fear of falling was defined as a score of 24 or over in KFES-I. The factors were analyzed by the exact chi-square test and Student’s t-test. The multivariate logistic regression model was adopted in order to examine the effects of OAB on falls and concern about falling. Results: Of the 514 responders, 98 fitted the criterion of OAB. Eighty-nine (17.3%) of the responders had experienced falls in the last year: twenty-seven (27.5%) in the group with OAB and 62 (14.9%) in the group without OAB. There was a significant association between falls and OAB (odds ratio [OR], 1.76; 95% confidence interval [CI], 1.00 to 3.08; P=0.0485), and between high fear of falling and OAB (OR, 2.72; 95% CI, 1.42 to 5.20; P=0.0024). Conclusions: Urgency and symptoms of urge incontinence increase the risk of falls in women aged 40 or older in the community. Early diagnosis and proper treatment may prevent falls and improve quality of life in OAB patients.
Abstract
Purpose: An overactive bladder (OAB) affects a person’s quality of life. Patients who suffer from OAB run to the toilet frequently to prevent incontinence, and this behavior increases their risk of falling and fear of falling. This study evaluated the influence of OAB on falls and concern about falling in females aged 40 and over living in urban and rural communities. Methods: We conducted a population-based cohort study using King’s Health Questionnaire (KHQ), the Korean version of Falls Efficacy Scale-International (KFES-I) and a questionnaire regarding falls, in females aged 40 and over in Guri city and Yangpyeong county. The data from 514 responders were analyzed. The definition of OAB was ‘moderately’ or ‘a lot’ of urgency, or urge incontinence in KHQ. Falls was defined as experience of falls in the last year. High fear of falling was defined as a score of 24 or over in KFES-I. The factors were analyzed by the exact chi-square test and Student’s t-test. The multivariate logistic regression model was adopted in order to examine the effects of OAB on falls and concern about falling. Results: Of the 514 responders, 98 fitted the criterion of OAB. Eighty-nine (17.3%) of the responders had experienced falls in the last year: twenty-seven (27.5%) in the group with OAB and 62 (14.9%) in the group without OAB. There was a significant association between falls and OAB (odds ratio [OR], 1.76; 95% confidence interval [CI], 1.00 to 3.08; P=0.0485), and between high fear of falling and OAB (OR, 2.72; 95% CI, 1.42 to 5.20; P=0.0024). Conclusions: Urgency and symptoms of urge incontinence increase the risk of falls in women aged 40 or older in the community. Early diagnosis and proper treatment may prevent falls and improve quality of life in OAB patients.
참고문헌 (27)
- Abrams P, "The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society", Neurourol Urodyn, 21, pp.167~178 (2002)
- Stewart WF, "Prevalence and burden of overactive bladder in the United States", World J Urol, 20, pp.327~336 (2003)
- Milsom I, "How widespread are the symptoms of an overactive bladder and how are they managed? A population-based prevalence study", BJU Int, 87, pp.760~766 (2001)
- Tinetti ME, "Risk factors for falls among elderly persons living in the community", N Engl J Med, 319, pp.1701~1707 (1988)
- Coutinho ES, "Risk factors for falls with severe fracture in elderly people living in a middle-income country: a case control study", BMC Geriatr, 8, pp.21~ (2008)
- Berry SD, "Falls: epidemiology, pathophysiology, and relationship to fracture", Curr Osteoporos Rep, 6, pp.149~154 (2008)
- van Helden S, "Risk of falling in patients with a recent fracture", BMC Musculoskelet Disord, 8, pp.55~ (2007)
- Brown JS, "Urinary incontinence: does it increase risk for falls and fractures? Study of Osteoporotic Fractures Research Group", J Am Geriatr Soc, 48, pp.721~725 (2000)
- Wagner TH, "Health-related consequences of overactive bladder", Am J Manag Care, 8(19 Suppl), pp.598~607 (2002)
- Tromp E, "Risk profiles and preventive measures of falls in elderly persons", Tijdschr Gerontol Geriatr, 33, pp.21~25 (2002)
- Cho JP, "Prevalence and associated factors of falls in the elderly community", Korean J Prev Med, 34, pp.47~54 (2001)
- 김욱현, "젊은 여성에서 과민성방광과 요실금의 유병률 및 삶의 질", Korean Journal of Urology, 45(6), pp.543~550 (2004), 대한비뇨기과학회
- Morris V, "Lower urinary tract symptoms, incontinence and falls in elderly people: time for an intervention study", Int J Clin Pract, 61, pp.320~323 (2007)
- Kelleher CJ, "A new questionnaire to assess the quality of life of urinary incontinent women", Br J Obstet Gynaecol, 104, pp.1374~1379 (1997)
- Reese PR, "Multinational study of reliability and validity of the King’s Health Questionnaire in patients with overactive bladder", Qual Life Res, 12, pp.427~442 (2003)
- Tinetti ME, "Falls efficacy as a measure of fear of falling", J Gerontol, 45, pp.239~243 (1990)
- Tinetti ME, "Fear of falling and fall-related efficacy in relationship to functioning among community-living elders", J Gerontol, 49, pp.M140~M147 (1994)
- Powell LE, "The Activities-specific Balance Confidence (ABC) Scale", J Gerontol A Biol Sci Med Sci, 50A, pp.M28~34 (1995)
- 조광연, "노인에서 한국어판 낙상효능척도(국제형)와 낙상의 빈도와의 연관성", Annals of Rehabilitation Medicine, 34(3), pp.342~346 (2010), 대한재활의학회
- Yardley L, "Development and initial validation of the Falls Efficacy Scale-International (FES-I)", Age Ageing, 34, pp.614~619 (2005)
- 박기범, "한국어판 낙상효능척도-국제형의 신뢰도 및 타당도(KFES-I)", Annals of Rehabilitation Medicine, 34(5), pp.554~559 (2010), 대한재활의학회
- Parsons JK, "Lower urinary tract symptoms increase the risk of falls in older men", BJU Int, 104, pp.63~68 (2009)
- Brown JS, "Comorbidities associated with overactive bladder", Am J Manag Care, 6(11 Suppl), pp.S574~579 (2000)
- Hasegawa J, "Urinary incontinence and behavioral symptoms are independent risk factors for recurrent and injurious falls, respectively, among residents in long-term care facilities", Arch Gerontol Geriatr, 50, pp.77~81 (2010)
- Tinetti ME, "Prevention of falls among the elderly", N Engl J Med, 320, pp.1055~1059 (1989)
- Reeves P, "The current and future burden and cost of overactive bladder in five European countries", Eur Urol, 50, pp.1050~1057 (2006)
- Wennberg AL, "Lower urinary tract symptoms: lack of change in prevalence and help-seeking behaviour in two population-based surveys of women in 1991 and 2007", BJU Int, 104, pp.954~959 (2009)